S72.91XF
S72.91XF — Unspecified fracture of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
Billable / specific codeICD-10-CMPOA exemptright
S72.91XF is a billable, specific ICD-10-CM code for unspecified fracture of right femur, subsequent encounter for open fracture type iiia, iiib, or iiic with routine healing. It is valid for submission on a claim.
7th character "F" — subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine 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
Risk adjustment
S72.91XF does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
S72.91XF is named in 8 Medicare coverage policies — 8 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52465Knee Orthoses - Policy Article
- A52465Knee Orthoses - Policy Article
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Related codes at this level
Codes that share S72.91. If S72.91XF is not quite right, the correct code is usually one of these.
- S72.91XAUnspecified fracture of right femur, initial encounter for closed fracture
- S72.91XBUnspecified fracture of right femur, initial encounter for open fracture type I or II
- S72.91XCUnspecified fracture of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.91XDUnspecified fracture of right femur, subsequent encounter for closed fracture with routine healing
- S72.91XEUnspecified fracture of right femur, subsequent encounter for open fracture type I or II with routine healing
- S72.91XGUnspecified fracture of right femur, subsequent encounter for closed fracture with delayed healing
- S72.91XHUnspecified fracture of right femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.91XJUnspecified fracture of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.91XKUnspecified fracture of right femur, subsequent encounter for closed fracture with nonunion
- S72.91XMUnspecified fracture of right femur, subsequent encounter for open fracture type I or II with nonunion
- S72.91XNUnspecified fracture of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.91XPUnspecified fracture of right femur, subsequent encounter for closed fracture with malunion
- S72.91XQUnspecified fracture of right femur, subsequent encounter for open fracture type I or II with malunion
- S72.91XRUnspecified fracture of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.91XSUnspecified fracture of right femur, sequela
Questions about S72.91XF
- Is S72.91XF a billable ICD-10-CM code?
- Yes. S72.91XF is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S72.91XF sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the hip and thigh (S70-S79).