S72.479A: Torus fracture of lower end of unspecified femur, initial encounter for closed fracture
S72.479A is a billable, specific ICD-10-CM code for torus fracture of lower end of unspecified femur, initial encounter for closed fracture. It is valid for submission on a claim.
Check S72.479A with the rest of the claim: free scrubber7th character "A": initial encounter for closed fracture
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 S72.479A
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S72.479A
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 S72.479A
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
S72.479A risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 402 Hip Fracture/Dislocation0.467 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S72.479
- S72.479DTorus fracture of lower end of unspecified femur, subsequent encounter for fracture with routine healing
- S72.479GTorus fracture of lower end of unspecified femur, subsequent encounter for fracture with delayed healing
- S72.479KTorus fracture of lower end of unspecified femur, subsequent encounter for fracture with nonunion
- S72.479PTorus fracture of lower end of unspecified femur, subsequent encounter for fracture with malunion
- S72.479STorus fracture of lower end of unspecified femur, sequela