S79.002A — Unspecified physeal fracture of upper end of left femur, initial encounter for closed fracture
S79.002A is a billable, specific ICD-10-CM code for unspecified physeal fracture of upper end of left femur, initial encounter for closed fracture. It is valid for submission on a claim.
7th character "A" — initial encounter for closed fracture
The appropriate 7th character is to be added to each code from subcategories S79.0 and S79.1
- A
- initial encounter for closed fracture
- D
- subsequent encounter for fracture with routine healing
- G
- subsequent encounter for fracture with delayed healing
- K
- subsequent encounter for fracture with nonunion
- P
- subsequent encounter for fracture with malunion
- S
- sequela
Risk adjustment
S79.002A 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.
Medicare coverage
S79.002A is named in 7 Medicare coverage policies — 7 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
- A56777Billing and Coding: Total Joint Arthroplasty
- A56796Billing and Coding: Lower Extremity Major Joint Replacement (Hip and Knee)
Related codes at this level
Codes that share S79.002. If S79.002A is not quite right, the correct code is usually one of these.
- S79.002DUnspecified physeal fracture of upper end of left femur, subsequent encounter for fracture with routine healing
- S79.002GUnspecified physeal fracture of upper end of left femur, subsequent encounter for fracture with delayed healing
- S79.002KUnspecified physeal fracture of upper end of left femur, subsequent encounter for fracture with nonunion
- S79.002PUnspecified physeal fracture of upper end of left femur, subsequent encounter for fracture with malunion
- S79.002SUnspecified physeal fracture of upper end of left femur, sequela
Questions about S79.002A
- Is S79.002A a billable ICD-10-CM code?
- Yes. S79.002A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S79.002A 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).