S72.492P
S72.492P: Other fracture of lower end of left femur, subsequent encounter for closed fracture with malunion
Billable / specific codeICD-10-CMPOA exemptleft
S72.492P is a billable, specific ICD-10-CM code for other fracture of lower end of left femur, subsequent encounter for closed fracture with malunion. It is valid for submission on a claim.
Check S72.492P with the rest of the claim: free scrubber7th character "P": subsequent encounter for closed fracture with malunion
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 S72.492P
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S72.492P
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 S72.492P
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
S72.492P is named in 4 Medicare coverage policies: 4 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
- A57685Billing and Coding: Total Knee Arthroplasty
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S72.492
- S72.492AOther fracture of lower end of left femur, initial encounter for closed fracture
- S72.492BOther fracture of lower end of left femur, initial encounter for open fracture type I or II
- S72.492COther fracture of lower end of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.492DOther fracture of lower end of left femur, subsequent encounter for closed fracture with routine healing
- S72.492EOther fracture of lower end of left femur, subsequent encounter for open fracture type I or II with routine healing
- S72.492FOther fracture of lower end of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.492GOther fracture of lower end of left femur, subsequent encounter for closed fracture with delayed healing
- S72.492HOther fracture of lower end of left femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.492JOther fracture of lower end of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.492KOther fracture of lower end of left femur, subsequent encounter for closed fracture with nonunion
- S72.492MOther fracture of lower end of left femur, subsequent encounter for open fracture type I or II with nonunion
- S72.492NOther fracture of lower end of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.492QOther fracture of lower end of left femur, subsequent encounter for open fracture type I or II with malunion
- S72.492ROther fracture of lower end of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.492SOther fracture of lower end of left femur, sequela