S72.363C
S72.363C — Displaced segmental fracture of shaft of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
Billable / specific codeICD-10-CM
S72.363C is a billable, specific ICD-10-CM code for displaced segmental fracture of shaft of unspecified femur, initial encounter for open fracture type iiia, iiib, or iiic. It is valid for submission on a claim.
7th 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
Risk adjustment
S72.363C 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.
Related codes at this level
Codes that share S72.363. If S72.363C is not quite right, the correct code is usually one of these.
- S72.363ADisplaced segmental fracture of shaft of unspecified femur, initial encounter for closed fracture
- S72.363BDisplaced segmental fracture of shaft of unspecified femur, initial encounter for open fracture type I or II
- 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
Questions about S72.363C
- Is S72.363C a billable ICD-10-CM code?
- Yes. S72.363C is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S72.363C 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).