S72.352P
S72.352P — Displaced comminuted fracture of shaft of left femur, subsequent encounter for closed fracture with malunion
Billable / specific codeICD-10-CMPOA exemptleft
S72.352P is a billable, specific ICD-10-CM code for displaced comminuted fracture of shaft of left femur, subsequent encounter for closed fracture with malunion. It is valid for submission on a claim.
7th character "P" — subsequent encounter for closed fracture with malunion
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
S72.352P 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
S72.352P is named in 5 Medicare coverage policies — 5 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52465Knee Orthoses - Policy Article
- A52465Knee Orthoses - Policy Article
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Related codes at this level
Codes that share S72.352. If S72.352P is not quite right, the correct code is usually one of these.
- S72.352ADisplaced comminuted fracture of shaft of left femur, initial encounter for closed fracture
- S72.352BDisplaced comminuted fracture of shaft of left femur, initial encounter for open fracture type I or II
- S72.352CDisplaced comminuted fracture of shaft of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.352DDisplaced comminuted fracture of shaft of left femur, subsequent encounter for closed fracture with routine healing
- S72.352EDisplaced comminuted fracture of shaft of left femur, subsequent encounter for open fracture type I or II with routine healing
- S72.352FDisplaced comminuted fracture of shaft of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.352GDisplaced comminuted fracture of shaft of left femur, subsequent encounter for closed fracture with delayed healing
- S72.352HDisplaced comminuted fracture of shaft of left femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.352JDisplaced comminuted fracture of shaft of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.352KDisplaced comminuted fracture of shaft of left femur, subsequent encounter for closed fracture with nonunion
- S72.352MDisplaced comminuted fracture of shaft of left femur, subsequent encounter for open fracture type I or II with nonunion
- S72.352NDisplaced comminuted fracture of shaft of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.352QDisplaced comminuted fracture of shaft of left femur, subsequent encounter for open fracture type I or II with malunion
- S72.352RDisplaced comminuted fracture of shaft of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.352SDisplaced comminuted fracture of shaft of left femur, sequela
Questions about S72.352P
- Is S72.352P a billable ICD-10-CM code?
- Yes. S72.352P is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S72.352P 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).