S72.401P
S72.401P: Unspecified fracture of lower end of right femur, subsequent encounter for closed fracture with malunion
Billable / specific codeICD-10-CMPOA exemptright
S72.401P is a billable, specific ICD-10-CM code for unspecified fracture of lower end of right femur, subsequent encounter for closed fracture with malunion. It is valid for submission on a claim.
Check S72.401P with the rest of the claim: free scrubber7th character "P": subsequent encounter for closed fracture with malunion
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 S72.401P
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S72.401P
Not part of this code, but both may be coded when both are present.
Written on S72.4: Fracture of lower end of femur
Other codes that can never be billed with S72.401P
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S72.401P is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52465Knee Orthoses - Policy Article
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A57685Billing and Coding: Total Knee Arthroplasty
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S72.401
- S72.401AUnspecified fracture of lower end of right femur, initial encounter for closed fracture
- S72.401BUnspecified fracture of lower end of right femur, initial encounter for open fracture type I or II
- S72.401CUnspecified fracture of lower end of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.401DUnspecified fracture of lower end of right femur, subsequent encounter for closed fracture with routine healing
- S72.401EUnspecified fracture of lower end of right femur, subsequent encounter for open fracture type I or II with routine healing
- S72.401FUnspecified fracture of lower end of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.401GUnspecified fracture of lower end of right femur, subsequent encounter for closed fracture with delayed healing
- S72.401HUnspecified fracture of lower end of right femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.401JUnspecified fracture of lower end of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.401KUnspecified fracture of lower end of right femur, subsequent encounter for closed fracture with nonunion
- S72.401MUnspecified fracture of lower end of right femur, subsequent encounter for open fracture type I or II with nonunion
- S72.401NUnspecified fracture of lower end of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.401QUnspecified fracture of lower end of right femur, subsequent encounter for open fracture type I or II with malunion
- S72.401RUnspecified fracture of lower end of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.401SUnspecified fracture of lower end of right femur, sequela