S72.499
S72.499: Other fracture of lower end of unspecified femur
Non-billable headerICD-10-CM
S72.499 is a non-billable header ICD-10-CM code for other fracture of lower end of unspecified 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 S72.499
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S72.499
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 S72.499
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 S72.499
16 child codes. Green means billable.
- S72.499AOther fracture of lower end of unspecified femur, initial encounter for closed fracture
- S72.499BOther fracture of lower end of unspecified femur, initial encounter for open fracture type I or II
- S72.499COther fracture of lower end of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.499DOther fracture of lower end of unspecified femur, subsequent encounter for closed fracture with routine healing
- S72.499EOther fracture of lower end of unspecified femur, subsequent encounter for open fracture type I or II with routine healing
- S72.499FOther fracture of lower end of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.499GOther fracture of lower end of unspecified femur, subsequent encounter for closed fracture with delayed healing
- S72.499HOther fracture of lower end of unspecified femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.499JOther fracture of lower end of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.499KOther fracture of lower end of unspecified femur, subsequent encounter for closed fracture with nonunion
- S72.499MOther fracture of lower end of unspecified femur, subsequent encounter for open fracture type I or II with nonunion
- S72.499NOther fracture of lower end of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.499POther fracture of lower end of unspecified femur, subsequent encounter for closed fracture with malunion
- S72.499QOther fracture of lower end of unspecified femur, subsequent encounter for open fracture type I or II with malunion
- S72.499ROther fracture of lower end of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.499SOther fracture of lower end of unspecified femur, sequela