S72.423B
S72.423B — Displaced fracture of lateral condyle of unspecified femur, initial encounter for open fracture type I or II
Billable / specific codeICD-10-CM
S72.423B is a billable, specific ICD-10-CM code for displaced fracture of lateral condyle 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
S72.423B 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 S72.423. If S72.423B is not quite right, the correct code is usually one of these.
- S72.423ADisplaced fracture of lateral condyle of unspecified femur, initial encounter for closed fracture
- S72.423CDisplaced fracture of lateral condyle of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.423DDisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for closed fracture with routine healing
- S72.423EDisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for open fracture type I or II with routine healing
- S72.423FDisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.423GDisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for closed fracture with delayed healing
- S72.423HDisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.423JDisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.423KDisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for closed fracture with nonunion
- S72.423MDisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for open fracture type I or II with nonunion
- S72.423NDisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.423PDisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for closed fracture with malunion
- S72.423QDisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for open fracture type I or II with malunion
- S72.423RDisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.423SDisplaced fracture of lateral condyle of unspecified femur, sequela
Questions about S72.423B
- Is S72.423B a billable ICD-10-CM code?
- Yes. S72.423B is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S72.423B 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).