S72.25XH
S72.25XH: Nondisplaced subtrochanteric fracture of left femur, subsequent encounter for open fracture type I or II with delayed healing
Billable / specific codeICD-10-CMPOA exemptleft
S72.25XH is a billable, specific ICD-10-CM code for nondisplaced subtrochanteric fracture of left femur, subsequent encounter for open fracture type i or ii with delayed healing. It is valid for submission on a claim.
Check S72.25XH with the rest of the claim: free scrubber7th character "H": subsequent encounter for open fracture type I or II 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 S72.25XH
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S72.25XH
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S72.25XH
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
S72.25XH 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 S72.25
- S72.25XANondisplaced subtrochanteric fracture of left femur, initial encounter for closed fracture
- S72.25XBNondisplaced subtrochanteric fracture of left femur, initial encounter for open fracture type I or II
- S72.25XCNondisplaced subtrochanteric fracture of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.25XDNondisplaced subtrochanteric fracture of left femur, subsequent encounter for closed fracture with routine healing
- S72.25XENondisplaced subtrochanteric fracture of left femur, subsequent encounter for open fracture type I or II with routine healing
- S72.25XFNondisplaced subtrochanteric fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.25XGNondisplaced subtrochanteric fracture of left femur, subsequent encounter for closed fracture with delayed healing
- S72.25XJNondisplaced subtrochanteric fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.25XKNondisplaced subtrochanteric fracture of left femur, subsequent encounter for closed fracture with nonunion
- S72.25XMNondisplaced subtrochanteric fracture of left femur, subsequent encounter for open fracture type I or II with nonunion
- S72.25XNNondisplaced subtrochanteric fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.25XPNondisplaced subtrochanteric fracture of left femur, subsequent encounter for closed fracture with malunion
- S72.25XQNondisplaced subtrochanteric fracture of left femur, subsequent encounter for open fracture type I or II with malunion
- S72.25XRNondisplaced subtrochanteric fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.25XSNondisplaced subtrochanteric fracture of left femur, sequela