S72.363A
S72.363A: Displaced segmental fracture of shaft of unspecified femur, initial encounter for closed fracture
Billable / specific codeICD-10-CM
S72.363A is a billable, specific ICD-10-CM code for displaced segmental fracture of shaft of unspecified femur, initial encounter for closed fracture. It is valid for submission on a claim.
Check S72.363A with the rest of the claim: free scrubber7th character "A": initial encounter for closed fracture
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 S72.363A
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S72.363A
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S72.363A
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
S72.363A 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 S72.363
- S72.363BDisplaced segmental fracture of shaft of unspecified femur, initial encounter for open fracture type I or II
- S72.363CDisplaced segmental fracture of shaft of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.363DDisplaced segmental fracture of shaft of unspecified femur, subsequent encounter for closed fracture with routine healing
- S72.363EDisplaced segmental fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with routine healing
- S72.363FDisplaced segmental fracture of shaft of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.363GDisplaced segmental fracture of shaft of unspecified femur, subsequent encounter for closed fracture with delayed healing
- S72.363HDisplaced segmental fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.363JDisplaced segmental fracture of shaft of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.363KDisplaced segmental fracture of shaft of unspecified femur, subsequent encounter for closed fracture with nonunion
- S72.363MDisplaced segmental fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with nonunion
- S72.363NDisplaced segmental fracture of shaft of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.363PDisplaced segmental fracture of shaft of unspecified femur, subsequent encounter for closed fracture with malunion
- S72.363QDisplaced segmental fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with malunion
- S72.363RDisplaced segmental fracture of shaft of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.363SDisplaced segmental fracture of shaft of unspecified femur, sequela