S72.461R
S72.461R: Displaced supracondylar fracture with intracondylar extension of lower end of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
Billable / specific codeICD-10-CMPOA exemptright
S72.461R 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 malunion. It is valid for submission on a claim.
Check S72.461R with the rest of the claim: free scrubber7th character "R": subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
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 S72.461R
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S72.461R
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 S72.461R
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
S72.461R 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 S72.461
- 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
- S72.461NDisplaced supracondylar fracture with intracondylar extension of lower end of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC 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
- S72.461SDisplaced supracondylar fracture with intracondylar extension of lower end of right femur, sequela