S72.443B
S72.443B: Displaced fracture of lower epiphysis (separation) of unspecified femur, initial encounter for open fracture type I or II
Billable / specific codeICD-10-CM
S72.443B is a billable, specific ICD-10-CM code for displaced fracture of lower epiphysis (separation) of unspecified femur, initial encounter for open fracture type i or ii. It is valid for submission on a claim.
Check S72.443B with the rest of the claim: free scrubber7th 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
Excludes1 inherited from the categories above S72.443B
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S72.443B
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 S72.443B
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
S72.443B 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. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S72.443
- S72.443ADisplaced fracture of lower epiphysis (separation) of unspecified femur, initial encounter for closed fracture
- S72.443CDisplaced fracture of lower epiphysis (separation) of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.443DDisplaced fracture of lower epiphysis (separation) of unspecified femur, subsequent encounter for closed fracture with routine healing
- S72.443EDisplaced fracture of lower epiphysis (separation) of unspecified femur, subsequent encounter for open fracture type I or II with routine healing
- S72.443FDisplaced fracture of lower epiphysis (separation) of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.443GDisplaced fracture of lower epiphysis (separation) of unspecified femur, subsequent encounter for closed fracture with delayed healing
- S72.443HDisplaced fracture of lower epiphysis (separation) of unspecified femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.443JDisplaced fracture of lower epiphysis (separation) of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.443KDisplaced fracture of lower epiphysis (separation) of unspecified femur, subsequent encounter for closed fracture with nonunion
- S72.443MDisplaced fracture of lower epiphysis (separation) of unspecified femur, subsequent encounter for open fracture type I or II with nonunion
- S72.443NDisplaced fracture of lower epiphysis (separation) of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.443PDisplaced fracture of lower epiphysis (separation) of unspecified femur, subsequent encounter for closed fracture with malunion
- S72.443QDisplaced fracture of lower epiphysis (separation) of unspecified femur, subsequent encounter for open fracture type I or II with malunion
- S72.443RDisplaced fracture of lower epiphysis (separation) of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.443SDisplaced fracture of lower epiphysis (separation) of unspecified femur, sequela