S79.091K

S79.091K: Other physeal fracture of upper end of right femur, subsequent encounter for fracture with nonunion

Billable / specific codeICD-10-CMPOA exemptright

S79.091K is a billable, specific ICD-10-CM code for other physeal fracture of upper end of right femur, subsequent encounter for fracture with nonunion. It is valid for submission on a claim.

Check S79.091K with the rest of the claim: free scrubber

7th character "K": subsequent encounter for fracture with nonunion

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

Excludes1 inherited from the categories above S79.091K

A category’s note binds every code beneath it.

Written on S79.0: Physeal fracture of upper end of femur

apophyseal fracture of upper end of femur (S72.13-)
nontraumatic slipped upper femoral epiphysis (M93.0-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

S79.091K is named in 9 Medicare coverage policies: 9 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

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A53058Billing and Coding: Home Health Physical Therapy
A53065Billing and Coding: Outpatient Physical Therapy
A56777Billing and Coding: Total Joint Arthroplasty

Code history

Unchanged in every release from FY2024 to FY2027.