S72.415M
S72.415M: Nondisplaced unspecified condyle fracture of lower end of left femur, subsequent encounter for open fracture type I or II with nonunion
Billable / specific codeICD-10-CMPOA exemptleft
S72.415M is a billable, specific ICD-10-CM code for nondisplaced unspecified condyle fracture of lower end of left femur, subsequent encounter for open fracture type i or ii with nonunion. It is valid for submission on a claim.
Check S72.415M with the rest of the claim: free scrubber7th character "M": subsequent encounter for open fracture type I or II with nonunion
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 S72.415M
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S72.415M
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 S72.415M
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
S72.415M 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 S72.415
- S72.415ANondisplaced unspecified condyle fracture of lower end of left femur, initial encounter for closed fracture
- S72.415BNondisplaced unspecified condyle fracture of lower end of left femur, initial encounter for open fracture type I or II
- S72.415CNondisplaced unspecified condyle fracture of lower end of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.415DNondisplaced unspecified condyle fracture of lower end of left femur, subsequent encounter for closed fracture with routine healing
- S72.415ENondisplaced unspecified condyle fracture of lower end of left femur, subsequent encounter for open fracture type I or II with routine healing
- S72.415FNondisplaced unspecified condyle fracture of lower end of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.415GNondisplaced unspecified condyle fracture of lower end of left femur, subsequent encounter for closed fracture with delayed healing
- S72.415HNondisplaced unspecified condyle fracture of lower end of left femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.415JNondisplaced unspecified condyle fracture of lower end of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.415KNondisplaced unspecified condyle fracture of lower end of left femur, subsequent encounter for closed fracture with nonunion
- S72.415NNondisplaced unspecified condyle fracture of lower end of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.415PNondisplaced unspecified condyle fracture of lower end of left femur, subsequent encounter for closed fracture with malunion
- S72.415QNondisplaced unspecified condyle fracture of lower end of left femur, subsequent encounter for open fracture type I or II with malunion
- S72.415RNondisplaced unspecified condyle fracture of lower end of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.415SNondisplaced unspecified condyle fracture of lower end of left femur, sequela