S72.366B
S72.366B — Nondisplaced segmental fracture of shaft of unspecified femur, initial encounter for open fracture type I or II
Billable / specific codeICD-10-CM
S72.366B is a billable, specific ICD-10-CM code for nondisplaced segmental fracture of shaft of unspecified femur, initial encounter for open fracture type i or ii. It is valid for submission on a claim.
7th 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
Risk adjustment
S72.366B 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 S72.366. If S72.366B is not quite right, the correct code is usually one of these.
- S72.366ANondisplaced segmental fracture of shaft of unspecified femur, initial encounter for closed fracture
- S72.366CNondisplaced segmental fracture of shaft of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.366DNondisplaced segmental fracture of shaft of unspecified femur, subsequent encounter for closed fracture with routine healing
- S72.366ENondisplaced segmental fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with routine healing
- S72.366FNondisplaced segmental fracture of shaft of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.366GNondisplaced segmental fracture of shaft of unspecified femur, subsequent encounter for closed fracture with delayed healing
- S72.366HNondisplaced segmental fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.366JNondisplaced segmental fracture of shaft of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.366KNondisplaced segmental fracture of shaft of unspecified femur, subsequent encounter for closed fracture with nonunion
- S72.366MNondisplaced segmental fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with nonunion
- S72.366NNondisplaced segmental fracture of shaft of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.366PNondisplaced segmental fracture of shaft of unspecified femur, subsequent encounter for closed fracture with malunion
- S72.366QNondisplaced segmental fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with malunion
- S72.366RNondisplaced segmental fracture of shaft of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.366SNondisplaced segmental fracture of shaft of unspecified femur, sequela
Questions about S72.366B
- Is S72.366B a billable ICD-10-CM code?
- Yes. S72.366B is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S72.366B 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).