S72.472S
S72.472S — Torus fracture of lower end of left femur, sequela
Billable / specific codeICD-10-CMPOA exemptleft
S72.472S is a billable, specific ICD-10-CM code for torus fracture of lower end of left femur, sequela. It is valid for submission on a claim.
7th character "S" — sequela
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
S72.472S 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
S72.472S is named in 8 Medicare coverage policies — 8 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
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Related codes at this level
Codes that share S72.472. If S72.472S is not quite right, the correct code is usually one of these.
- 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
- S72.472PTorus fracture of lower end of left femur, subsequent encounter for fracture with malunion
Questions about S72.472S
- Is S72.472S a billable ICD-10-CM code?
- Yes. S72.472S is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S72.472S 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).