S72.413A
S72.413A — Displaced unspecified condyle fracture of lower end of unspecified femur, initial encounter for closed fracture
Billable / specific codeICD-10-CM
S72.413A is a billable, specific ICD-10-CM code for displaced unspecified condyle fracture of lower end of unspecified femur, initial encounter for closed fracture. It is valid for submission on a claim.
7th 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
Risk adjustment
S72.413A 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 S72.413. If S72.413A is not quite right, the correct code is usually one of these.
- S72.413BDisplaced unspecified condyle fracture of lower end of unspecified femur, initial encounter for open fracture type I or II
- S72.413CDisplaced unspecified condyle fracture of lower end of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.413DDisplaced unspecified condyle fracture of lower end of unspecified femur, subsequent encounter for closed fracture with routine healing
- S72.413EDisplaced unspecified condyle fracture of lower end of unspecified femur, subsequent encounter for open fracture type I or II with routine healing
- S72.413FDisplaced unspecified condyle fracture of lower end of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.413GDisplaced unspecified condyle fracture of lower end of unspecified femur, subsequent encounter for closed fracture with delayed healing
- S72.413HDisplaced unspecified condyle fracture of lower end of unspecified femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.413JDisplaced unspecified condyle fracture of lower end of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.413KDisplaced unspecified condyle fracture of lower end of unspecified femur, subsequent encounter for closed fracture with nonunion
- S72.413MDisplaced unspecified condyle fracture of lower end of unspecified femur, subsequent encounter for open fracture type I or II with nonunion
- S72.413NDisplaced unspecified condyle fracture of lower end of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.413PDisplaced unspecified condyle fracture of lower end of unspecified femur, subsequent encounter for closed fracture with malunion
- S72.413QDisplaced unspecified condyle fracture of lower end of unspecified femur, subsequent encounter for open fracture type I or II with malunion
- S72.413RDisplaced unspecified condyle fracture of lower end of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.413SDisplaced unspecified condyle fracture of lower end of unspecified femur, sequela
Questions about S72.413A
- Is S72.413A a billable ICD-10-CM code?
- Yes. S72.413A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S72.413A 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).