S72.471K — Torus fracture of lower end of right femur, subsequent encounter for fracture with nonunion
S72.471K is a billable, specific ICD-10-CM code for torus fracture of lower end of right femur, subsequent encounter for fracture with nonunion. It is valid for submission on a claim.
7th character "K" — subsequent encounter for fracture with nonunion
The appropriate 7th character is to be added to all codes in subcategory S72.47
- A
- initial encounter for closed fracture
- D
- subsequent encounter for fracture with routine healing
- G
- subsequent encounter for fracture with delayed healing
- K
- subsequent encounter for fracture with nonunion
- P
- subsequent encounter for fracture with malunion
- S
- sequela
Risk adjustment
S72.471K 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
S72.471K is named in 7 Medicare coverage policies — 7 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 S72.471. If S72.471K is not quite right, the correct code is usually one of these.
- S72.471ATorus fracture of lower end of right femur, initial encounter for closed fracture
- S72.471DTorus fracture of lower end of right femur, subsequent encounter for fracture with routine healing
- S72.471GTorus fracture of lower end of right femur, subsequent encounter for fracture with delayed healing
- S72.471PTorus fracture of lower end of right femur, subsequent encounter for fracture with malunion
- S72.471STorus fracture of lower end of right femur, sequela
Questions about S72.471K
- Is S72.471K a billable ICD-10-CM code?
- Yes. S72.471K is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S72.471K 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).