S72.472P: Torus fracture of lower end of left femur, subsequent encounter for fracture with malunion
S72.472P is a billable, specific ICD-10-CM code for torus fracture of lower end of left femur, subsequent encounter for fracture with malunion. It is valid for submission on a claim.
Check S72.472P with the rest of the claim: free scrubber7th character "P": subsequent encounter for fracture with malunion
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 S72.472P
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S72.472P
Not part of this code, but both may be coded when both are present.
Written on S72.4: Fracture of lower end of femur
Other codes that can never be billed with S72.472P
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S72.472P is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52465Knee Orthoses - Policy Article
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A57311Billing and Coding: Physical Therapy - Home Health
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S72.472
- S72.472ATorus fracture of lower end of left femur, initial encounter for closed fracture
- S72.472DTorus fracture of lower end of left femur, subsequent encounter for fracture with routine healing
- S72.472GTorus fracture of lower end of left femur, subsequent encounter for fracture with delayed healing
- S72.472KTorus fracture of lower end of left femur, subsequent encounter for fracture with nonunion
- S72.472STorus fracture of lower end of left femur, sequela