S72.409A: Unspecified fracture of lower end of unspecified femur, initial encounter for closed fracture
S72.409A is a billable, specific ICD-10-CM code for unspecified fracture of lower end of unspecified femur, initial encounter for closed fracture. It is valid for submission on a claim.
Check S72.409A with the rest of the claim: free scrubber7th character "A": initial encounter for closed fracture
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 S72.409A
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S72.409A
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 S72.409A
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
S72.409A 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. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S72.409
- 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