S72.499M
S72.499M: Other fracture of lower end of unspecified femur, subsequent encounter for open fracture type I or II with nonunion
Billable / specific codeICD-10-CMPOA exempt
S72.499M is a billable, specific ICD-10-CM code for other fracture of lower end of unspecified femur, subsequent encounter for open fracture type i or ii with nonunion. It is valid for submission on a claim.
Check S72.499M with the rest of the claim: free scrubber7th character "M": subsequent encounter for open fracture type I or II with nonunion
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 S72.499M
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S72.499M
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 S72.499M
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.
Other codes under S72.499
- 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
- S72.499NOther 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