S72.90XJ
S72.90XJ: Unspecified fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
Billable / specific codeICD-10-CMPOA exempt
S72.90XJ is a billable, specific ICD-10-CM code for unspecified fracture of unspecified femur, subsequent encounter for open fracture type iiia, iiib, or iiic with delayed healing. It is valid for submission on a claim.
Check S72.90XJ with the rest of the claim: free scrubber7th character "J": subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
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 S72.90XJ
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S72.90XJ
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S72.90XJ
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.
Medicare coverage
S72.90XJ is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S72.90
- S72.90XAUnspecified fracture of unspecified femur, initial encounter for closed fracture
- S72.90XBUnspecified fracture of unspecified femur, initial encounter for open fracture type I or II
- S72.90XCUnspecified fracture of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.90XDUnspecified fracture of unspecified femur, subsequent encounter for closed fracture with routine healing
- S72.90XEUnspecified fracture of unspecified femur, subsequent encounter for open fracture type I or II with routine healing
- S72.90XFUnspecified fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.90XGUnspecified fracture of unspecified femur, subsequent encounter for closed fracture with delayed healing
- S72.90XHUnspecified fracture of unspecified femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.90XKUnspecified fracture of unspecified femur, subsequent encounter for closed fracture with nonunion
- S72.90XMUnspecified fracture of unspecified femur, subsequent encounter for open fracture type I or II with nonunion
- S72.90XNUnspecified fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.90XPUnspecified fracture of unspecified femur, subsequent encounter for closed fracture with malunion
- S72.90XQUnspecified fracture of unspecified femur, subsequent encounter for open fracture type I or II with malunion
- S72.90XRUnspecified fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.90XSUnspecified fracture of unspecified femur, sequela