Is S72.472 a billable ICD-10-CM code?

No. S72.472 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does S72.472 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).

S72.472

S72.472 — Torus fracture of lower end of left femur

Non-billable headerICD-10-CMleft

S72.472 is a non-billable header ICD-10-CM code for torus fracture of lower end of left femur. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.

This code requires a 7th character

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

S72.472 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.

Code to one of these instead S72.472

6 child codes. Green means billable.

Related codes at this level

Codes that share S72.47. If S72.472 is not quite right, the correct code is usually one of these.

Questions about S72.472

Is S72.472 a billable ICD-10-CM code?: No. S72.472 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does S72.472 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).