S72.464F
S72.464F — Nondisplaced supracondylar fracture with 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
S72.464F is a billable, specific ICD-10-CM code for nondisplaced supracondylar fracture with 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
S72.464F 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
S72.464F 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.
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- A53058Billing and Coding: Home Health Physical Therapy
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Related codes at this level
Codes that share S72.464. If S72.464F is not quite right, the correct code is usually one of these.
- S72.464ANondisplaced supracondylar fracture with intracondylar extension of lower end of right femur, initial encounter for closed fracture
- S72.464BNondisplaced supracondylar fracture with intracondylar extension of lower end of right femur, initial encounter for open fracture type I or II
- S72.464CNondisplaced supracondylar fracture with intracondylar extension of lower end of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.464DNondisplaced supracondylar fracture with intracondylar extension of lower end of right femur, subsequent encounter for closed fracture with routine healing
- S72.464ENondisplaced supracondylar fracture with intracondylar extension of lower end of right femur, subsequent encounter for open fracture type I or II with routine healing
- S72.464GNondisplaced supracondylar fracture with intracondylar extension of lower end of right femur, subsequent encounter for closed fracture with delayed healing
- S72.464HNondisplaced supracondylar fracture with intracondylar extension of lower end of right femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.464JNondisplaced supracondylar fracture with intracondylar extension of lower end of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.464KNondisplaced supracondylar fracture with intracondylar extension of lower end of right femur, subsequent encounter for closed fracture with nonunion
- S72.464MNondisplaced supracondylar fracture with intracondylar extension of lower end of right femur, subsequent encounter for open fracture type I or II with nonunion
- S72.464NNondisplaced supracondylar fracture with intracondylar extension of lower end of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.464PNondisplaced supracondylar fracture with intracondylar extension of lower end of right femur, subsequent encounter for closed fracture with malunion
- S72.464QNondisplaced supracondylar fracture with intracondylar extension of lower end of right femur, subsequent encounter for open fracture type I or II with malunion
- S72.464RNondisplaced supracondylar fracture with intracondylar extension of lower end of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.464SNondisplaced supracondylar fracture with intracondylar extension of lower end of right femur, sequela
Questions about S72.464F
- Is S72.464F a billable ICD-10-CM code?
- Yes. S72.464F is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S72.464F 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).