S72.416 — Nondisplaced unspecified condyle fracture of lower end of unspecified femur
S72.416 is a non-billable header ICD-10-CM code for nondisplaced unspecified condyle fracture of lower end of unspecified femur. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
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 S72.416
These are not written on S72.416, but they bind it: a note on a category applies to every code beneath it. Billing S72.416 with anything listed here is a denial.
Excludes2 inherited from the categories above S72.416
Also inherited, and the opposite of Excludes1: these conditions are not part of S72.416, but a patient can have both, so you may code both.
Written on S72.4 — Fracture of lower end of femur
Other codes that can never be billed with S72.416
These codes carry an Excludes1 note pointing at S72.416. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S72.416 alone.
Risk adjustment
S72.416 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code history
S72.416 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Code to one of these instead S72.416
16 child codes. Green means billable.
- S72.416ANondisplaced unspecified condyle fracture of lower end of unspecified femur, initial encounter for closed fracture
- S72.416BNondisplaced unspecified condyle fracture of lower end of unspecified femur, initial encounter for open fracture type I or II
- S72.416CNondisplaced unspecified condyle fracture of lower end of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.416DNondisplaced unspecified condyle fracture of lower end of unspecified femur, subsequent encounter for closed fracture with routine healing
- S72.416ENondisplaced unspecified condyle fracture of lower end of unspecified femur, subsequent encounter for open fracture type I or II with routine healing
- S72.416FNondisplaced unspecified condyle fracture of lower end of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.416GNondisplaced unspecified condyle fracture of lower end of unspecified femur, subsequent encounter for closed fracture with delayed healing
- S72.416HNondisplaced unspecified condyle fracture of lower end of unspecified femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.416JNondisplaced unspecified condyle fracture of lower end of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.416KNondisplaced unspecified condyle fracture of lower end of unspecified femur, subsequent encounter for closed fracture with nonunion
- S72.416MNondisplaced unspecified condyle fracture of lower end of unspecified femur, subsequent encounter for open fracture type I or II with nonunion
- S72.416NNondisplaced unspecified condyle fracture of lower end of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.416PNondisplaced unspecified condyle fracture of lower end of unspecified femur, subsequent encounter for closed fracture with malunion
- S72.416QNondisplaced unspecified condyle fracture of lower end of unspecified femur, subsequent encounter for open fracture type I or II with malunion
- S72.416RNondisplaced unspecified condyle fracture of lower end of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.416SNondisplaced unspecified condyle fracture of lower end of unspecified femur, sequela
Related codes at this level
Codes that share S72.41. If S72.416 is not quite right, the correct code is usually one of these.
- S72.411Displaced unspecified condyle fracture of lower end of right femur
- S72.412Displaced unspecified condyle fracture of lower end of left femur
- S72.413Displaced unspecified condyle fracture of lower end of unspecified femur
- S72.414Nondisplaced unspecified condyle fracture of lower end of right femur
- S72.415Nondisplaced unspecified condyle fracture of lower end of left femur
Questions about S72.416
- Is S72.416 a billable ICD-10-CM code?
- No. S72.416 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S72.416 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).
- What cannot be coded together with S72.416?
- S72.416 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above S72.416 (S72) and apply to it just the same.