S79.199P
S79.199P — Other physeal fracture of lower end of unspecified femur, subsequent encounter for fracture with malunion
Billable / specific codeICD-10-CMPOA exempt
S79.199P is a billable, specific ICD-10-CM code for other physeal fracture of lower end of unspecified femur, subsequent encounter for fracture with malunion. It is valid for submission on a claim.
7th character "P" — subsequent encounter for fracture with malunion
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
S79.199P 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.
Related codes at this level
Codes that share S79.199. If S79.199P is not quite right, the correct code is usually one of these.
- S79.199AOther physeal fracture of lower end of unspecified femur, initial encounter for closed fracture
- 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
- S79.199SOther physeal fracture of lower end of unspecified femur, sequela
Questions about S79.199P
- Is S79.199P a billable ICD-10-CM code?
- Yes. S79.199P is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S79.199P 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).