S72.451F
S72.451F — Displaced supracondylar fracture without intracondylar extension of lower end of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
Billable / specific codeICD-10-CMPOA exemptright
S72.451F is a billable, specific ICD-10-CM code for displaced supracondylar fracture without intracondylar extension of lower end of right femur, subsequent encounter for open fracture type iiia, iiib, or iiic with routine healing. It is valid for submission on a claim.
7th 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
Risk adjustment
S72.451F 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.
Medicare coverage
S72.451F is named in 6 Medicare coverage policies — 6 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52465Knee Orthoses - Policy Article
- A52465Knee Orthoses - Policy Article
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Related codes at this level
Codes that share S72.451. If S72.451F is not quite right, the correct code is usually one of these.
- S72.451ADisplaced supracondylar fracture without intracondylar extension of lower end of right femur, initial encounter for closed fracture
- S72.451BDisplaced supracondylar fracture without intracondylar extension of lower end of right femur, initial encounter for open fracture type I or II
- S72.451CDisplaced supracondylar fracture without intracondylar extension of lower end of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.451DDisplaced supracondylar fracture without intracondylar extension of lower end of right femur, subsequent encounter for closed fracture with routine healing
- S72.451EDisplaced supracondylar fracture without intracondylar extension of lower end of right femur, subsequent encounter for open fracture type I or II with routine healing
- S72.451GDisplaced supracondylar fracture without intracondylar extension of lower end of right femur, subsequent encounter for closed fracture with delayed healing
- S72.451HDisplaced supracondylar fracture without intracondylar extension of lower end of right femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.451JDisplaced supracondylar fracture without intracondylar extension of lower end of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.451KDisplaced supracondylar fracture without intracondylar extension of lower end of right femur, subsequent encounter for closed fracture with nonunion
- S72.451MDisplaced supracondylar fracture without intracondylar extension of lower end of right femur, subsequent encounter for open fracture type I or II with nonunion
- S72.451NDisplaced supracondylar fracture without intracondylar extension of lower end of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.451PDisplaced supracondylar fracture without intracondylar extension of lower end of right femur, subsequent encounter for closed fracture with malunion
- S72.451QDisplaced supracondylar fracture without intracondylar extension of lower end of right femur, subsequent encounter for open fracture type I or II with malunion
- S72.451RDisplaced supracondylar fracture without intracondylar extension of lower end of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.451SDisplaced supracondylar fracture without intracondylar extension of lower end of right femur, sequela
Questions about S72.451F
- Is S72.451F a billable ICD-10-CM code?
- Yes. S72.451F is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S72.451F 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).