S72.135E
S72.135E: Nondisplaced apophyseal fracture of left femur, subsequent encounter for open fracture type I or II with routine healing
Billable / specific codeICD-10-CMPOA exemptleft
S72.135E is a billable, specific ICD-10-CM code for nondisplaced apophyseal fracture of left femur, subsequent encounter for open fracture type i or ii with routine healing. It is valid for submission on a claim.
Check S72.135E with the rest of the claim: free scrubber7th character "E": subsequent encounter for open fracture type I or II with routine healing
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 S72.135E
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S72.135E
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S72.135E
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S72.135E is named in 11 Medicare coverage policies: 11 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52465Knee Orthoses - Policy Article
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A56421Billing and Coding: CT of the Abdomen and Pelvis
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S72.135
- S72.135ANondisplaced apophyseal fracture of left femur, initial encounter for closed fracture
- S72.135BNondisplaced apophyseal fracture of left femur, initial encounter for open fracture type I or II
- S72.135CNondisplaced apophyseal fracture of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.135DNondisplaced apophyseal fracture of left femur, subsequent encounter for closed fracture with routine healing
- S72.135FNondisplaced apophyseal fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.135GNondisplaced apophyseal fracture of left femur, subsequent encounter for closed fracture with delayed healing
- S72.135HNondisplaced apophyseal fracture of left femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.135JNondisplaced apophyseal fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.135KNondisplaced apophyseal fracture of left femur, subsequent encounter for closed fracture with nonunion
- S72.135MNondisplaced apophyseal fracture of left femur, subsequent encounter for open fracture type I or II with nonunion
- S72.135NNondisplaced apophyseal fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.135PNondisplaced apophyseal fracture of left femur, subsequent encounter for closed fracture with malunion
- S72.135QNondisplaced apophyseal fracture of left femur, subsequent encounter for open fracture type I or II with malunion
- S72.135RNondisplaced apophyseal fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.135SNondisplaced apophyseal fracture of left femur, sequela