S72.409B
S72.409B — Unspecified fracture of lower end of unspecified femur, initial encounter for open fracture type I or II
Billable / specific codeICD-10-CM
S72.409B is a billable, specific ICD-10-CM code for unspecified fracture of lower end 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
S72.409B 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 S72.409. If S72.409B is not quite right, the correct code is usually one of these.
- S72.409AUnspecified fracture of lower end of unspecified femur, initial encounter for closed fracture
- 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
Questions about S72.409B
- Is S72.409B a billable ICD-10-CM code?
- Yes. S72.409B is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S72.409B 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).