S72.431F
S72.431F: Displaced fracture of medial condyle of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
Billable / specific codeICD-10-CMPOA exemptright
S72.431F is a billable, specific ICD-10-CM code for displaced fracture of medial condyle of right femur, subsequent encounter for open fracture type iiia, iiib, or iiic with routine healing. It is valid for submission on a claim.
Check S72.431F with the rest of the claim: free scrubber7th character "F": subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
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 S72.431F
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S72.431F
Not part of this code, but both may be coded when both are present.
Written on S72.4: Fracture of lower end of femur
Other codes that can never be billed with S72.431F
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S72.431F is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52465Knee Orthoses - Policy Article
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A57311Billing and Coding: Physical Therapy - Home Health
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S72.431
- 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
- S72.431GDisplaced 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