S72.8X2B: Other fracture of left femur, initial encounter for open fracture type I or II
S72.8X2B is a billable, specific ICD-10-CM code for other fracture of left femur, initial encounter for open fracture type i or ii. It is valid for submission on a claim.
Check S72.8X2B with the rest of the claim: free scrubber7th character "B": initial encounter for open fracture type I or II
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 S72.8X2B
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S72.8X2B
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S72.8X2B
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
S72.8X2B risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 402 Hip Fracture/Dislocation0.467 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
S72.8X2B is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52465Knee Orthoses - Policy Article
- A56900Billing and Coding: Immunizations
- A57683Billing and Coding: Total Hip Arthroplasty
- A57685Billing and Coding: Total Knee Arthroplasty
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S72.8X2
- S72.8X2AOther fracture of left femur, initial encounter for closed fracture
- S72.8X2COther fracture of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.8X2DOther fracture of left femur, subsequent encounter for closed fracture with routine healing
- S72.8X2EOther fracture of left femur, subsequent encounter for open fracture type I or II with routine healing
- S72.8X2FOther fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.8X2GOther fracture of left femur, subsequent encounter for closed fracture with delayed healing
- S72.8X2HOther fracture of left femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.8X2JOther fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.8X2KOther fracture of left femur, subsequent encounter for closed fracture with nonunion
- S72.8X2MOther fracture of left femur, subsequent encounter for open fracture type I or II with nonunion
- S72.8X2NOther fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.8X2POther fracture of left femur, subsequent encounter for closed fracture with malunion
- S72.8X2QOther fracture of left femur, subsequent encounter for open fracture type I or II with malunion
- S72.8X2ROther fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.8X2SOther fracture of left femur, sequela