S72.425 — Nondisplaced fracture of lateral condyle of left femur
S72.425 is a non-billable header ICD-10-CM code for nondisplaced fracture of lateral condyle of left 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 S72.425
These are not written on S72.425, but they bind it: a note on a category applies to every code beneath it. Billing S72.425 with anything listed here is a denial.
Excludes2 inherited from the categories above S72.425
Also inherited, and the opposite of Excludes1: these conditions are not part of S72.425, 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 S72.425
These codes carry an Excludes1 note pointing at S72.425. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S72.425 alone.
Risk adjustment
S72.425 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
S72.425 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 S72.425
16 child codes. Green means billable.
- S72.425ANondisplaced fracture of lateral condyle of left femur, initial encounter for closed fracture
- S72.425BNondisplaced fracture of lateral condyle of left femur, initial encounter for open fracture type I or II
- S72.425CNondisplaced fracture of lateral condyle of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.425DNondisplaced fracture of lateral condyle of left femur, subsequent encounter for closed fracture with routine healing
- S72.425ENondisplaced fracture of lateral condyle of left femur, subsequent encounter for open fracture type I or II with routine healing
- S72.425FNondisplaced fracture of lateral condyle of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.425GNondisplaced fracture of lateral condyle of left femur, subsequent encounter for closed fracture with delayed healing
- S72.425HNondisplaced fracture of lateral condyle of left femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.425JNondisplaced fracture of lateral condyle of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.425KNondisplaced fracture of lateral condyle of left femur, subsequent encounter for closed fracture with nonunion
- S72.425MNondisplaced fracture of lateral condyle of left femur, subsequent encounter for open fracture type I or II with nonunion
- S72.425NNondisplaced fracture of lateral condyle of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.425PNondisplaced fracture of lateral condyle of left femur, subsequent encounter for closed fracture with malunion
- S72.425QNondisplaced fracture of lateral condyle of left femur, subsequent encounter for open fracture type I or II with malunion
- S72.425RNondisplaced fracture of lateral condyle of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.425SNondisplaced fracture of lateral condyle of left femur, sequela
Related codes at this level
Codes that share S72.42. If S72.425 is not quite right, the correct code is usually one of these.
- S72.421Displaced fracture of lateral condyle of right femur
- S72.422Displaced fracture of lateral condyle of left femur
- S72.423Displaced fracture of lateral condyle of unspecified femur
- S72.424Nondisplaced fracture of lateral condyle of right femur
- S72.426Nondisplaced fracture of lateral condyle of unspecified femur
Questions about S72.425
- Is S72.425 a billable ICD-10-CM code?
- No. S72.425 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S72.425 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 S72.425?
- S72.425 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 S72.425 (S72) and apply to it just the same.