S79.199A
S79.199A: Other physeal fracture of lower end of unspecified femur, initial encounter for closed fracture
Billable / specific codeICD-10-CM
S79.199A is a billable, specific ICD-10-CM code for other physeal fracture of lower end of unspecified femur, initial encounter for closed fracture. It is valid for submission on a claim.
Check S79.199A with the rest of the claim: free scrubber7th 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
S79.199A 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 S79.199
- S79.199DOther physeal fracture of lower end of unspecified femur, subsequent encounter for fracture with routine healing
- S79.199GOther physeal fracture of lower end of unspecified femur, subsequent encounter for fracture with delayed healing
- S79.199KOther physeal fracture of lower end of unspecified femur, subsequent encounter for fracture with nonunion
- S79.199POther physeal fracture of lower end of unspecified femur, subsequent encounter for fracture with malunion
- S79.199SOther physeal fracture of lower end of unspecified femur, sequela