S72.23XM
S72.23XM — Displaced subtrochanteric fracture of unspecified femur, subsequent encounter for open fracture type I or II with nonunion
Billable / specific codeICD-10-CMPOA exempt
S72.23XM is a billable, specific ICD-10-CM code for displaced subtrochanteric fracture of unspecified femur, subsequent encounter for open fracture type i or ii with nonunion. It is valid for submission on a claim.
7th character "M" — subsequent encounter for open fracture type I or II with nonunion
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
Risk adjustment
S72.23XM does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
S72.23XM is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A57765Billing and Coding: Major Joint Replacement (Hip and Knee)
Related codes at this level
Codes that share S72.23. If S72.23XM is not quite right, the correct code is usually one of these.
- S72.23XADisplaced subtrochanteric fracture of unspecified femur, initial encounter for closed fracture
- S72.23XBDisplaced subtrochanteric fracture of unspecified femur, initial encounter for open fracture type I or II
- S72.23XCDisplaced subtrochanteric fracture of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.23XDDisplaced subtrochanteric fracture of unspecified femur, subsequent encounter for closed fracture with routine healing
- S72.23XEDisplaced subtrochanteric fracture of unspecified femur, subsequent encounter for open fracture type I or II with routine healing
- S72.23XFDisplaced subtrochanteric fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.23XGDisplaced subtrochanteric fracture of unspecified femur, subsequent encounter for closed fracture with delayed healing
- S72.23XHDisplaced subtrochanteric fracture of unspecified femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.23XJDisplaced subtrochanteric fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.23XKDisplaced subtrochanteric fracture of unspecified femur, subsequent encounter for closed fracture with nonunion
- S72.23XNDisplaced subtrochanteric fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.23XPDisplaced subtrochanteric fracture of unspecified femur, subsequent encounter for closed fracture with malunion
- S72.23XQDisplaced subtrochanteric fracture of unspecified femur, subsequent encounter for open fracture type I or II with malunion
- S72.23XRDisplaced subtrochanteric fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.23XSDisplaced subtrochanteric fracture of unspecified femur, sequela
Questions about S72.23XM
- Is S72.23XM a billable ICD-10-CM code?
- Yes. S72.23XM is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S72.23XM sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the hip and thigh (S70-S79).