S72.364
S72.364 — Nondisplaced segmental fracture of shaft of right femur
Non-billable headerICD-10-CMright
S72.364 is a non-billable header ICD-10-CM code for nondisplaced segmental fracture of shaft of right femur. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
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
S72.364 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.
Code to one of these instead S72.364
16 child codes. Green means billable.
- S72.364ANondisplaced segmental fracture of shaft of right femur, initial encounter for closed fracture
- S72.364BNondisplaced segmental fracture of shaft of right femur, initial encounter for open fracture type I or II
- S72.364CNondisplaced segmental fracture of shaft of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.364DNondisplaced segmental fracture of shaft of right femur, subsequent encounter for closed fracture with routine healing
- S72.364ENondisplaced segmental fracture of shaft of right femur, subsequent encounter for open fracture type I or II with routine healing
- S72.364FNondisplaced segmental fracture of shaft of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.364GNondisplaced segmental fracture of shaft of right femur, subsequent encounter for closed fracture with delayed healing
- S72.364HNondisplaced segmental fracture of shaft of right femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.364JNondisplaced segmental fracture of shaft of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.364KNondisplaced segmental fracture of shaft of right femur, subsequent encounter for closed fracture with nonunion
- S72.364MNondisplaced segmental fracture of shaft of right femur, subsequent encounter for open fracture type I or II with nonunion
- S72.364NNondisplaced segmental fracture of shaft of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.364PNondisplaced segmental fracture of shaft of right femur, subsequent encounter for closed fracture with malunion
- S72.364QNondisplaced segmental fracture of shaft of right femur, subsequent encounter for open fracture type I or II with malunion
- S72.364RNondisplaced segmental fracture of shaft of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.364SNondisplaced segmental fracture of shaft of right femur, sequela
Related codes at this level
Codes that share S72.36. If S72.364 is not quite right, the correct code is usually one of these.
- S72.361Displaced segmental fracture of shaft of right femur
- S72.362Displaced segmental fracture of shaft of left femur
- S72.363Displaced segmental fracture of shaft of unspecified femur
- S72.365Nondisplaced segmental fracture of shaft of left femur
- S72.366Nondisplaced segmental fracture of shaft of unspecified femur
Questions about S72.364
- Is S72.364 a billable ICD-10-CM code?
- No. S72.364 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S72.364 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).