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).

What cannot be coded together with S72.472?

S72.472 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above S72.472 (S72) and apply to it just the same.

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

Excludes1 inherited from the categories above S72.472

These are not written on S72.472, but they bind it: a note on a category applies to every code beneath it. Billing S72.472 with anything listed here is a denial.

Written on S72 — Fracture of femur

traumatic amputation of hip and thigh (S78.-)

Excludes2 inherited from the categories above S72.472

Also inherited, and the opposite of Excludes1: these conditions are not part of S72.472, but a patient can have both, so you may code both.

Written on S72.4 — Fracture of lower end of femur

fracture of shaft of femur (S72.3-)
physeal fracture of lower end of femur (S79.1-)

Written on S72 — Fracture of femur

fracture of lower leg and ankle (S82.-)
fracture of foot (S92.-)
periprosthetic fracture of prosthetic implant of hip (M97.0-)

Other codes that can never be billed with S72.472

These codes carry an Excludes1 note pointing at S72.472. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S72.472 alone.

M84.3Stress fracture
M84.4Pathological fracture, not elsewhere classified
S71Open wound of hip and thigh

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 history

S72.472 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

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).
What cannot be coded together with S72.472?: S72.472 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above S72.472 (S72) and apply to it just the same.