S72.134A: Nondisplaced apophyseal fracture of right femur, initial encounter for closed fracture
S72.134A is a billable, specific ICD-10-CM code for nondisplaced apophyseal fracture of right femur, initial encounter for closed fracture. It is valid for submission on a claim.
Check S72.134A with the rest of the claim: free scrubber7th character "A": initial encounter for closed fracture
The appropriate 7th character is to be added to all codes from category S72
- A
- initial encounter for closed fracture
- B
- initial encounter for open fracture type I or II
- C
- initial encounter for open fracture type IIIA, IIIB, or IIIC
- D
- subsequent encounter for closed fracture with routine healing
- E
- subsequent encounter for open fracture type I or II with routine healing
- F
- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- G
- subsequent encounter for closed fracture with delayed healing
- H
- subsequent encounter for open fracture type I or II with delayed healing
- J
- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- K
- subsequent encounter for closed fracture with nonunion
- M
- subsequent encounter for open fracture type I or II with nonunion
- N
- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- P
- subsequent encounter for closed fracture with malunion
- Q
- subsequent encounter for open fracture type I or II with malunion
- R
- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S
- sequela
Excludes1 inherited from the categories above S72.134A
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S72.134A
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S72.134A
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
S72.134A risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 402 Hip Fracture/Dislocation0.467 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
S72.134A is named in 10 Medicare coverage policies: 10 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52465Knee Orthoses - Policy Article
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56777Billing and Coding: Total Joint Arthroplasty
- A56796Billing and Coding: Lower Extremity Major Joint Replacement (Hip and Knee)
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S72.134
- S72.134BNondisplaced apophyseal fracture of right femur, initial encounter for open fracture type I or II
- S72.134CNondisplaced apophyseal fracture of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.134DNondisplaced apophyseal fracture of right femur, subsequent encounter for closed fracture with routine healing
- S72.134ENondisplaced apophyseal fracture of right femur, subsequent encounter for open fracture type I or II with routine healing
- S72.134FNondisplaced apophyseal fracture of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.134GNondisplaced apophyseal fracture of right femur, subsequent encounter for closed fracture with delayed healing
- S72.134HNondisplaced apophyseal fracture of right femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.134JNondisplaced apophyseal fracture of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.134KNondisplaced apophyseal fracture of right femur, subsequent encounter for closed fracture with nonunion
- S72.134MNondisplaced apophyseal fracture of right femur, subsequent encounter for open fracture type I or II with nonunion
- S72.134NNondisplaced apophyseal fracture of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.134PNondisplaced apophyseal fracture of right femur, subsequent encounter for closed fracture with malunion
- S72.134QNondisplaced apophyseal fracture of right femur, subsequent encounter for open fracture type I or II with malunion
- S72.134RNondisplaced apophyseal fracture of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.134SNondisplaced apophyseal fracture of right femur, sequela