S72.22XJ
S72.22XJ: Displaced subtrochanteric fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
Billable / specific codeICD-10-CMPOA exemptleft
S72.22XJ is a billable, specific ICD-10-CM code for displaced subtrochanteric fracture of left femur, subsequent encounter for open fracture type iiia, iiib, or iiic with delayed healing. It is valid for submission on a claim.
Check S72.22XJ with the rest of the claim: free scrubber7th character "J": subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed 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 S72.22XJ
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S72.22XJ
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S72.22XJ
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
S72.22XJ 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 S72.22
- S72.22XADisplaced subtrochanteric fracture of left femur, initial encounter for closed fracture
- S72.22XBDisplaced subtrochanteric fracture of left femur, initial encounter for open fracture type I or II
- S72.22XCDisplaced subtrochanteric fracture of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.22XDDisplaced subtrochanteric fracture of left femur, subsequent encounter for closed fracture with routine healing
- S72.22XEDisplaced subtrochanteric fracture of left femur, subsequent encounter for open fracture type I or II with routine healing
- S72.22XFDisplaced subtrochanteric fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.22XGDisplaced subtrochanteric fracture of left femur, subsequent encounter for closed fracture with delayed healing
- S72.22XHDisplaced subtrochanteric fracture of left femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.22XKDisplaced subtrochanteric fracture of left femur, subsequent encounter for closed fracture with nonunion
- S72.22XMDisplaced subtrochanteric fracture of left femur, subsequent encounter for open fracture type I or II with nonunion
- S72.22XNDisplaced subtrochanteric fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.22XPDisplaced subtrochanteric fracture of left femur, subsequent encounter for closed fracture with malunion
- S72.22XQDisplaced subtrochanteric fracture of left femur, subsequent encounter for open fracture type I or II with malunion
- S72.22XRDisplaced subtrochanteric fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.22XSDisplaced subtrochanteric fracture of left femur, sequela