MCMedicalCodingSoftware
S72.499Q

S72.499Q: Other fracture of lower end of unspecified femur, subsequent encounter for open fracture type I or II with malunion

Billable / specific codeICD-10-CMPOA exempt

S72.499Q 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 malunion. It is valid for submission on a claim.

Check S72.499Q with the rest of the claim: free scrubber

7th character "Q": subsequent encounter for open fracture type I or II 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 S72.499Q

A category’s note binds every code beneath it.

Written on S72: Fracture of femur

  • traumatic amputation of hip and thigh (S78.-)

Excludes2 inherited from the categories above S72.499Q

Not part of this code, but both may be coded when both are present.

Written on S72.4: Fracture of lower end of femur

  • fracture of shaft of femur (S72.3-)
  • physeal fracture of lower end of femur (S79.1-)

Written on S72: Fracture of femur

  • fracture of lower leg and ankle (S82.-)
  • fracture of foot (S92.-)
  • periprosthetic fracture of prosthetic implant of hip (M97.0-)

Other codes that can never be billed with S72.499Q

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • M84.3Stress fracture
  • M84.4Pathological fracture, not elsewhere classified
  • S71Open wound of hip and thigh

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

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.