S72.322C: Displaced transverse fracture of shaft of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
S72.322C is a billable, specific ICD-10-CM code for displaced transverse fracture of shaft of left femur, initial encounter for open fracture type iiia, iiib, or iiic. It is valid for submission on a claim.
Check S72.322C 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 S72.322C
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S72.322C
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S72.322C
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
S72.322C 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.
Medicare coverage
S72.322C is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52465Knee Orthoses - Policy Article
- A54767Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
- A56900Billing and Coding: Immunizations
- A57311Billing and Coding: Physical Therapy - Home Health
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S72.322
- S72.322ADisplaced transverse fracture of shaft of left femur, initial encounter for closed fracture
- S72.322BDisplaced transverse fracture of shaft of left femur, initial encounter for open fracture type I or II
- S72.322DDisplaced transverse fracture of shaft of left femur, subsequent encounter for closed fracture with routine healing
- S72.322EDisplaced transverse fracture of shaft of left femur, subsequent encounter for open fracture type I or II with routine healing
- S72.322FDisplaced transverse fracture of shaft of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.322GDisplaced transverse fracture of shaft of left femur, subsequent encounter for closed fracture with delayed healing
- S72.322HDisplaced transverse fracture of shaft of left femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.322JDisplaced transverse fracture of shaft of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.322KDisplaced transverse fracture of shaft of left femur, subsequent encounter for closed fracture with nonunion
- S72.322MDisplaced transverse fracture of shaft of left femur, subsequent encounter for open fracture type I or II with nonunion
- S72.322NDisplaced transverse fracture of shaft of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.322PDisplaced transverse fracture of shaft of left femur, subsequent encounter for closed fracture with malunion
- S72.322QDisplaced transverse fracture of shaft of left femur, subsequent encounter for open fracture type I or II with malunion
- S72.322RDisplaced transverse fracture of shaft of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.322SDisplaced transverse fracture of shaft of left femur, sequela