S72.461N
S72.461N — Displaced supracondylar fracture with intracondylar extension of lower end of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
Billable / specific codeICD-10-CMPOA exemptright
S72.461N is a billable, specific ICD-10-CM code for displaced supracondylar fracture with intracondylar extension of lower end of right femur, subsequent encounter for open fracture type iiia, iiib, or iiic with nonunion. It is valid for submission on a claim.
7th character "N" — subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
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
S72.461N 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
S72.461N 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 S72.461. If S72.461N is not quite right, the correct code is usually one of these.
- S72.461ADisplaced supracondylar fracture with intracondylar extension of lower end of right femur, initial encounter for closed fracture
- S72.461BDisplaced supracondylar fracture with intracondylar extension of lower end of right femur, initial encounter for open fracture type I or II
- S72.461CDisplaced supracondylar fracture with intracondylar extension of lower end of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.461DDisplaced supracondylar fracture with intracondylar extension of lower end of right femur, subsequent encounter for closed fracture with routine healing
- S72.461EDisplaced supracondylar fracture with intracondylar extension of lower end of right femur, subsequent encounter for open fracture type I or II with routine healing
- S72.461FDisplaced supracondylar fracture with intracondylar extension of lower end of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.461GDisplaced supracondylar fracture with intracondylar extension of lower end of right femur, subsequent encounter for closed fracture with delayed healing
- S72.461HDisplaced supracondylar fracture with intracondylar extension of lower end of right femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.461JDisplaced supracondylar fracture with intracondylar extension of lower end of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.461KDisplaced supracondylar fracture with intracondylar extension of lower end of right femur, subsequent encounter for closed fracture with nonunion
- S72.461MDisplaced supracondylar fracture with intracondylar extension of lower end of right femur, subsequent encounter for open fracture type I or II with nonunion
- S72.461PDisplaced supracondylar fracture with intracondylar extension of lower end of right femur, subsequent encounter for closed fracture with malunion
- S72.461QDisplaced supracondylar fracture with intracondylar extension of lower end of right femur, subsequent encounter for open fracture type I or II with malunion
- S72.461RDisplaced supracondylar fracture with intracondylar extension of lower end of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.461SDisplaced supracondylar fracture with intracondylar extension of lower end of right femur, sequela
Questions about S72.461N
- Is S72.461N a billable ICD-10-CM code?
- Yes. S72.461N is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S72.461N 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).