S72.402
S72.402 — Unspecified fracture of lower end of left femur
Non-billable headerICD-10-CMleft
S72.402 is a non-billable header ICD-10-CM code for unspecified fracture of lower end of left 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
S72.402 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 S72.402
16 child codes. Green means billable.
- S72.402AUnspecified fracture of lower end of left femur, initial encounter for closed fracture
- S72.402BUnspecified fracture of lower end of left femur, initial encounter for open fracture type I or II
- S72.402CUnspecified fracture of lower end of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.402DUnspecified fracture of lower end of left femur, subsequent encounter for closed fracture with routine healing
- S72.402EUnspecified fracture of lower end of left femur, subsequent encounter for open fracture type I or II with routine healing
- S72.402FUnspecified fracture of lower end of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.402GUnspecified fracture of lower end of left femur, subsequent encounter for closed fracture with delayed healing
- S72.402HUnspecified fracture of lower end of left femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.402JUnspecified fracture of lower end of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.402KUnspecified fracture of lower end of left femur, subsequent encounter for closed fracture with nonunion
- S72.402MUnspecified fracture of lower end of left femur, subsequent encounter for open fracture type I or II with nonunion
- S72.402NUnspecified fracture of lower end of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.402PUnspecified fracture of lower end of left femur, subsequent encounter for closed fracture with malunion
- S72.402QUnspecified fracture of lower end of left femur, subsequent encounter for open fracture type I or II with malunion
- S72.402RUnspecified fracture of lower end of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.402SUnspecified fracture of lower end of left femur, sequela
Related codes at this level
Codes that share S72.40. If S72.402 is not quite right, the correct code is usually one of these.
Questions about S72.402
- Is S72.402 a billable ICD-10-CM code?
- No. S72.402 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S72.402 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).