S72.309C
S72.309C: Unspecified fracture of shaft of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
Billable / specific codeICD-10-CM
S72.309C is a billable, specific ICD-10-CM code for unspecified fracture of shaft of unspecified femur, initial encounter for open fracture type iiia, iiib, or iiic. It is valid for submission on a claim.
Check S72.309C with the rest of the claim: free scrubber7th character "C": initial encounter for open fracture type IIIA, IIIB, or IIIC
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 S72.309C
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S72.309C
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S72.309C
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
S72.309C 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.
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S72.309
- S72.309AUnspecified fracture of shaft of unspecified femur, initial encounter for closed fracture
- S72.309BUnspecified fracture of shaft of unspecified femur, initial encounter for open fracture type I or II
- S72.309DUnspecified fracture of shaft of unspecified femur, subsequent encounter for closed fracture with routine healing
- S72.309EUnspecified fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with routine healing
- S72.309FUnspecified fracture of shaft of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.309GUnspecified fracture of shaft of unspecified femur, subsequent encounter for closed fracture with delayed healing
- S72.309HUnspecified fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.309JUnspecified fracture of shaft of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.309KUnspecified fracture of shaft of unspecified femur, subsequent encounter for closed fracture with nonunion
- S72.309MUnspecified fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with nonunion
- S72.309NUnspecified fracture of shaft of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.309PUnspecified fracture of shaft of unspecified femur, subsequent encounter for closed fracture with malunion
- S72.309QUnspecified fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with malunion
- S72.309RUnspecified fracture of shaft of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.309SUnspecified fracture of shaft of unspecified femur, sequela