S72.414H
S72.414H: Nondisplaced unspecified condyle fracture of lower end of right femur, subsequent encounter for open fracture type I or II with delayed healing
Billable / specific codeICD-10-CMPOA exemptright
S72.414H is a billable, specific ICD-10-CM code for nondisplaced unspecified condyle fracture of lower end of right femur, subsequent encounter for open fracture type i or ii with delayed healing. It is valid for submission on a claim.
Check S72.414H with the rest of the claim: free scrubber7th character "H": subsequent encounter for open fracture type I or II with delayed healing
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 S72.414H
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S72.414H
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 S72.414H
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S72.414H is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52465Knee Orthoses - Policy Article
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A57685Billing and Coding: Total Knee Arthroplasty
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S72.414
- S72.414ANondisplaced unspecified condyle fracture of lower end of right femur, initial encounter for closed fracture
- S72.414BNondisplaced unspecified condyle fracture of lower end of right femur, initial encounter for open fracture type I or II
- S72.414CNondisplaced unspecified condyle fracture of lower end of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.414DNondisplaced unspecified condyle fracture of lower end of right femur, subsequent encounter for closed fracture with routine healing
- S72.414ENondisplaced unspecified condyle fracture of lower end of right femur, subsequent encounter for open fracture type I or II with routine healing
- S72.414FNondisplaced unspecified condyle fracture of lower end of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.414GNondisplaced unspecified condyle fracture of lower end of right femur, subsequent encounter for closed fracture with delayed healing
- S72.414JNondisplaced unspecified condyle fracture of lower end of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.414KNondisplaced unspecified condyle fracture of lower end of right femur, subsequent encounter for closed fracture with nonunion
- S72.414MNondisplaced unspecified condyle fracture of lower end of right femur, subsequent encounter for open fracture type I or II with nonunion
- S72.414NNondisplaced unspecified condyle fracture of lower end of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.414PNondisplaced unspecified condyle fracture of lower end of right femur, subsequent encounter for closed fracture with malunion
- S72.414QNondisplaced unspecified condyle fracture of lower end of right femur, subsequent encounter for open fracture type I or II with malunion
- S72.414RNondisplaced unspecified condyle fracture of lower end of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.414SNondisplaced unspecified condyle fracture of lower end of right femur, sequela