S72.356B
S72.356B: Nondisplaced comminuted fracture of shaft of unspecified femur, initial encounter for open fracture type I or II
Billable / specific codeICD-10-CM
S72.356B is a billable, specific ICD-10-CM code for nondisplaced comminuted fracture of shaft of unspecified femur, initial encounter for open fracture type i or ii. It is valid for submission on a claim.
Check S72.356B with the rest of the claim: free scrubber7th character "B": initial encounter for open fracture type I or II
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 S72.356B
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S72.356B
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S72.356B
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
S72.356B 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 S72.356
- S72.356ANondisplaced comminuted fracture of shaft of unspecified femur, initial encounter for closed fracture
- S72.356CNondisplaced comminuted fracture of shaft of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.356DNondisplaced comminuted fracture of shaft of unspecified femur, subsequent encounter for closed fracture with routine healing
- S72.356ENondisplaced comminuted fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with routine healing
- S72.356FNondisplaced comminuted fracture of shaft of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.356GNondisplaced comminuted fracture of shaft of unspecified femur, subsequent encounter for closed fracture with delayed healing
- S72.356HNondisplaced comminuted fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.356JNondisplaced comminuted fracture of shaft of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.356KNondisplaced comminuted fracture of shaft of unspecified femur, subsequent encounter for closed fracture with nonunion
- S72.356MNondisplaced comminuted fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with nonunion
- S72.356NNondisplaced comminuted fracture of shaft of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.356PNondisplaced comminuted fracture of shaft of unspecified femur, subsequent encounter for closed fracture with malunion
- S72.356QNondisplaced comminuted fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with malunion
- S72.356RNondisplaced comminuted fracture of shaft of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.356SNondisplaced comminuted fracture of shaft of unspecified femur, sequela