S72.426
S72.426 — Nondisplaced fracture of lateral condyle of unspecified femur
Non-billable headerICD-10-CM
S72.426 is a non-billable header ICD-10-CM code for nondisplaced fracture of lateral condyle 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
Risk adjustment
S72.426 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 to one of these instead S72.426
16 child codes. Green means billable.
- S72.426ANondisplaced fracture of lateral condyle of unspecified femur, initial encounter for closed fracture
- S72.426BNondisplaced fracture of lateral condyle of unspecified femur, initial encounter for open fracture type I or II
- S72.426CNondisplaced fracture of lateral condyle of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.426DNondisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for closed fracture with routine healing
- S72.426ENondisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for open fracture type I or II with routine healing
- S72.426FNondisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.426GNondisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for closed fracture with delayed healing
- S72.426HNondisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.426JNondisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.426KNondisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for closed fracture with nonunion
- S72.426MNondisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for open fracture type I or II with nonunion
- S72.426NNondisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.426PNondisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for closed fracture with malunion
- S72.426QNondisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for open fracture type I or II with malunion
- S72.426RNondisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.426SNondisplaced fracture of lateral condyle of unspecified femur, sequela
Related codes at this level
Codes that share S72.42. If S72.426 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
- S72.425Nondisplaced fracture of lateral condyle of left femur
Questions about S72.426
- Is S72.426 a billable ICD-10-CM code?
- No. S72.426 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S72.426 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).