S72.491
S72.491: Other fracture of lower end of right femur
Non-billable headerICD-10-CMright
S72.491 is a non-billable header ICD-10-CM code for other fracture of lower end of right 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 from category S72
- A
- initial encounter for closed fracture
- B
- initial encounter for open fracture type I or II
- C
- initial encounter for open fracture type IIIA, IIIB, or IIIC
- D
- subsequent encounter for closed fracture with routine healing
- E
- subsequent encounter for open fracture type I or II with routine healing
- F
- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- G
- subsequent encounter for closed fracture with delayed healing
- H
- subsequent encounter for open fracture type I or II with delayed healing
- J
- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- K
- subsequent encounter for closed fracture with nonunion
- M
- subsequent encounter for open fracture type I or II with nonunion
- N
- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- P
- subsequent encounter for closed fracture with malunion
- Q
- subsequent encounter for open fracture type I or II with malunion
- R
- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S
- sequela
Excludes1 inherited from the categories above S72.491
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S72.491
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 S72.491
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.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead S72.491
16 child codes. Green means billable.
- S72.491AOther fracture of lower end of right femur, initial encounter for closed fracture
- S72.491BOther fracture of lower end of right femur, initial encounter for open fracture type I or II
- S72.491COther fracture of lower end of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.491DOther fracture of lower end of right femur, subsequent encounter for closed fracture with routine healing
- S72.491EOther fracture of lower end of right femur, subsequent encounter for open fracture type I or II with routine healing
- S72.491FOther fracture of lower end of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.491GOther fracture of lower end of right femur, subsequent encounter for closed fracture with delayed healing
- S72.491HOther fracture of lower end of right femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.491JOther fracture of lower end of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.491KOther fracture of lower end of right femur, subsequent encounter for closed fracture with nonunion
- S72.491MOther fracture of lower end of right femur, subsequent encounter for open fracture type I or II with nonunion
- S72.491NOther fracture of lower end of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.491POther fracture of lower end of right femur, subsequent encounter for closed fracture with malunion
- S72.491QOther fracture of lower end of right femur, subsequent encounter for open fracture type I or II with malunion
- S72.491ROther fracture of lower end of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.491SOther fracture of lower end of right femur, sequela