S72.409
S72.409 — Unspecified fracture of lower end of unspecified femur
Non-billable headerICD-10-CM
S72.409 is a non-billable header ICD-10-CM code for unspecified fracture of lower end of unspecified 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
S72.409 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 S72.409
16 child codes. Green means billable.
- S72.409AUnspecified fracture of lower end of unspecified femur, initial encounter for closed fracture
- S72.409BUnspecified fracture of lower end of unspecified femur, initial encounter for open fracture type I or II
- S72.409CUnspecified fracture of lower end of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.409DUnspecified fracture of lower end of unspecified femur, subsequent encounter for closed fracture with routine healing
- S72.409EUnspecified fracture of lower end of unspecified femur, subsequent encounter for open fracture type I or II with routine healing
- S72.409FUnspecified fracture of lower end of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.409GUnspecified fracture of lower end of unspecified femur, subsequent encounter for closed fracture with delayed healing
- S72.409HUnspecified fracture of lower end of unspecified femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.409JUnspecified fracture of lower end of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.409KUnspecified fracture of lower end of unspecified femur, subsequent encounter for closed fracture with nonunion
- S72.409MUnspecified fracture of lower end of unspecified femur, subsequent encounter for open fracture type I or II with nonunion
- S72.409NUnspecified fracture of lower end of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.409PUnspecified fracture of lower end of unspecified femur, subsequent encounter for closed fracture with malunion
- S72.409QUnspecified fracture of lower end of unspecified femur, subsequent encounter for open fracture type I or II with malunion
- S72.409RUnspecified fracture of lower end of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.409SUnspecified fracture of lower end of unspecified femur, sequela
Related codes at this level
Codes that share S72.40. If S72.409 is not quite right, the correct code is usually one of these.
Questions about S72.409
- Is S72.409 a billable ICD-10-CM code?
- No. S72.409 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S72.409 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).