S72.399B
S72.399B — Other fracture of shaft of unspecified femur, initial encounter for open fracture type I or II
Billable / specific codeICD-10-CM
S72.399B is a billable, specific ICD-10-CM code for other 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
S72.399B 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 S72.399. If S72.399B is not quite right, the correct code is usually one of these.
- S72.399AOther fracture of shaft of unspecified femur, initial encounter for closed fracture
- S72.399COther fracture of shaft of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.399DOther fracture of shaft of unspecified femur, subsequent encounter for closed fracture with routine healing
- S72.399EOther fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with routine healing
- S72.399FOther fracture of shaft of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.399GOther fracture of shaft of unspecified femur, subsequent encounter for closed fracture with delayed healing
- S72.399HOther fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.399JOther fracture of shaft of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.399KOther fracture of shaft of unspecified femur, subsequent encounter for closed fracture with nonunion
- S72.399MOther fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with nonunion
- S72.399NOther fracture of shaft of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.399POther fracture of shaft of unspecified femur, subsequent encounter for closed fracture with malunion
- S72.399QOther fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with malunion
- S72.399ROther fracture of shaft of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.399SOther fracture of shaft of unspecified femur, sequela
Questions about S72.399B
- Is S72.399B a billable ICD-10-CM code?
- Yes. S72.399B is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S72.399B 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).