S72.431
S72.431 — Displaced fracture of medial condyle of right femur
Non-billable headerICD-10-CMright
S72.431 is a non-billable header ICD-10-CM code for displaced fracture of medial condyle of right 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
S72.431 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 S72.431
16 child codes. Green means billable.
- S72.431ADisplaced fracture of medial condyle of right femur, initial encounter for closed fracture
- S72.431BDisplaced fracture of medial condyle of right femur, initial encounter for open fracture type I or II
- S72.431CDisplaced fracture of medial condyle of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.431DDisplaced fracture of medial condyle of right femur, subsequent encounter for closed fracture with routine healing
- S72.431EDisplaced fracture of medial condyle of right femur, subsequent encounter for open fracture type I or II with routine healing
- S72.431FDisplaced fracture of medial condyle of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.431GDisplaced fracture of medial condyle of right femur, subsequent encounter for closed fracture with delayed healing
- S72.431HDisplaced fracture of medial condyle of right femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.431JDisplaced fracture of medial condyle of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.431KDisplaced fracture of medial condyle of right femur, subsequent encounter for closed fracture with nonunion
- S72.431MDisplaced fracture of medial condyle of right femur, subsequent encounter for open fracture type I or II with nonunion
- S72.431NDisplaced fracture of medial condyle of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.431PDisplaced fracture of medial condyle of right femur, subsequent encounter for closed fracture with malunion
- S72.431QDisplaced fracture of medial condyle of right femur, subsequent encounter for open fracture type I or II with malunion
- S72.431RDisplaced fracture of medial condyle of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.431SDisplaced fracture of medial condyle of right femur, sequela
Related codes at this level
Codes that share S72.43. If S72.431 is not quite right, the correct code is usually one of these.
- S72.432Displaced fracture of medial condyle of left femur
- S72.433Displaced fracture of medial condyle of unspecified femur
- S72.434Nondisplaced fracture of medial condyle of right femur
- S72.435Nondisplaced fracture of medial condyle of left femur
- S72.436Nondisplaced fracture of medial condyle of unspecified femur
Questions about S72.431
- Is S72.431 a billable ICD-10-CM code?
- No. S72.431 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S72.431 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).