S72.466J
S72.466J — Nondisplaced supracondylar fracture with intracondylar extension of lower end of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
Billable / specific codeICD-10-CMPOA exempt
S72.466J is a billable, specific ICD-10-CM code for nondisplaced supracondylar fracture with intracondylar extension of lower end of unspecified femur, subsequent encounter for open fracture type iiia, iiib, or iiic with delayed healing. It is valid for submission on a claim.
7th character "J" — subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed 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
S72.466J 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
S72.466J is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A57765Billing and Coding: Major Joint Replacement (Hip and Knee)
- A59811Billing and Coding: Total Joint Arthroplasty
- A60249Billing and Coding: Total Joint Arthroplasty
- A60250Billing and Coding: Total Joint Arthroplasty
Related codes at this level
Codes that share S72.466. If S72.466J is not quite right, the correct code is usually one of these.
- S72.466ANondisplaced supracondylar fracture with intracondylar extension of lower end of unspecified femur, initial encounter for closed fracture
- S72.466BNondisplaced supracondylar fracture with intracondylar extension of lower end of unspecified femur, initial encounter for open fracture type I or II
- S72.466CNondisplaced supracondylar fracture with intracondylar extension of lower end of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.466DNondisplaced supracondylar fracture with intracondylar extension of lower end of unspecified femur, subsequent encounter for closed fracture with routine healing
- S72.466ENondisplaced supracondylar fracture with intracondylar extension of lower end of unspecified femur, subsequent encounter for open fracture type I or II with routine healing
- S72.466FNondisplaced supracondylar fracture with intracondylar extension of lower end of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.466GNondisplaced supracondylar fracture with intracondylar extension of lower end of unspecified femur, subsequent encounter for closed fracture with delayed healing
- S72.466HNondisplaced supracondylar fracture with intracondylar extension of lower end of unspecified femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.466KNondisplaced supracondylar fracture with intracondylar extension of lower end of unspecified femur, subsequent encounter for closed fracture with nonunion
- S72.466MNondisplaced supracondylar fracture with intracondylar extension of lower end of unspecified femur, subsequent encounter for open fracture type I or II with nonunion
- S72.466NNondisplaced supracondylar fracture with intracondylar extension of lower end of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.466PNondisplaced supracondylar fracture with intracondylar extension of lower end of unspecified femur, subsequent encounter for closed fracture with malunion
- S72.466QNondisplaced supracondylar fracture with intracondylar extension of lower end of unspecified femur, subsequent encounter for open fracture type I or II with malunion
- S72.466RNondisplaced supracondylar fracture with intracondylar extension of lower end of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.466SNondisplaced supracondylar fracture with intracondylar extension of lower end of unspecified femur, sequela
Questions about S72.466J
- Is S72.466J a billable ICD-10-CM code?
- Yes. S72.466J is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S72.466J 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).