S72.416B
S72.416B — Nondisplaced unspecified condyle fracture of lower end of unspecified femur, initial encounter for open fracture type I or II
Billable / specific codeICD-10-CM
S72.416B is a billable, specific ICD-10-CM code for nondisplaced unspecified condyle 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
S72.416B 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 S72.416. If S72.416B is not quite right, the correct code is usually one of these.
- S72.416ANondisplaced unspecified condyle fracture of lower end of unspecified femur, initial encounter for closed fracture
- 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
Questions about S72.416B
- Is S72.416B a billable ICD-10-CM code?
- Yes. S72.416B is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S72.416B 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).