S72.8X9C: Other fracture of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
S72.8X9C is a billable, specific ICD-10-CM code for other fracture of unspecified femur, initial encounter for open fracture type iiia, iiib, or iiic. It is valid for submission on a claim.
Check S72.8X9C with the rest of the claim: free scrubber7th character "C": initial encounter for open fracture type IIIA, IIIB, or IIIC
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 S72.8X9C
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S72.8X9C
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S72.8X9C
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
S72.8X9C 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.
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S72.8X9
- S72.8X9AOther fracture of unspecified femur, initial encounter for closed fracture
- S72.8X9BOther fracture of unspecified femur, initial encounter for open fracture type I or II
- S72.8X9DOther fracture of unspecified femur, subsequent encounter for closed fracture with routine healing
- S72.8X9EOther fracture of unspecified femur, subsequent encounter for open fracture type I or II with routine healing
- S72.8X9FOther fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.8X9GOther fracture of unspecified femur, subsequent encounter for closed fracture with delayed healing
- S72.8X9HOther fracture of unspecified femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.8X9JOther fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.8X9KOther fracture of unspecified femur, subsequent encounter for closed fracture with nonunion
- S72.8X9MOther fracture of unspecified femur, subsequent encounter for open fracture type I or II with nonunion
- S72.8X9NOther fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.8X9POther fracture of unspecified femur, subsequent encounter for closed fracture with malunion
- S72.8X9QOther fracture of unspecified femur, subsequent encounter for open fracture type I or II with malunion
- S72.8X9ROther fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.8X9SOther fracture of unspecified femur, sequela