2020 ICD-10-CM Diagnosis Code S72

Fracture of femur

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • S72 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2020 edition of ICD-10-CM S72 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of S72 - other international versions of ICD-10 S72 may differ.
Note
  • A fracture not indicated as displaced or nondisplaced should be coded to displaced
  • A fracture not indicated as open or closed should be coded to closed
  • The open fracture designations are based on the Gustilo open fracture classification
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as S72. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • traumatic amputation of hip and thigh (
    ICD-10-CM Diagnosis Code S78
    • S78 Traumatic amputation of hip and thigh
      • S78.0 Traumatic amputation at hip joint
        • S78.01 Complete traumatic amputation at hip joint
          • S78.011 Complete traumatic amputation at right hip jo...
            • S78.011A Complete traumatic amputation at right hip jo...
            • S78.011D Complete traumatic amputation at right hip jo...
            • S78.011S Complete traumatic amputation at right hip jo...
          • S78.012 Complete traumatic amputation at left hip joi...
            • S78.012A Complete traumatic amputation at left hip joi...
            • S78.012D Complete traumatic amputation at left hip joi...
            • S78.012S Complete traumatic amputation at left hip joi...
          • S78.019 Complete traumatic amputation at unspecified ...
            • S78.019A Complete traumatic amputation at unspecified ...
            • S78.019D Complete traumatic amputation at unspecified ...
            • S78.019S Complete traumatic amputation at unspecified ...
        • S78.02 Partial traumatic amputation at hip joint
          • S78.021 Partial traumatic amputation at right hip joi...
            • S78.021A Partial traumatic amputation at right hip joi...
            • S78.021D Partial traumatic amputation at right hip joi...
            • S78.021S Partial traumatic amputation at right hip joi...
          • S78.022 Partial traumatic amputation at left hip join...
            • S78.022A Partial traumatic amputation at left hip join...
            • S78.022D Partial traumatic amputation at left hip join...
            • S78.022S Partial traumatic amputation at left hip join...
          • S78.029 Partial traumatic amputation at unspecified h...
            • S78.029A Partial traumatic amputation at unspecified h...
            • S78.029D Partial traumatic amputation at unspecified h...
            • S78.029S Partial traumatic amputation at unspecified h...
      • S78.1 Traumatic amputation at level between hip and...
        • S78.11 Complete traumatic amputation at level betwee...
          • S78.111 Complete traumatic amputation at level betwee...
            • S78.111A Complete traumatic amputation at level betwee...
            • S78.111D Complete traumatic amputation at level betwee...
            • S78.111S Complete traumatic amputation at level betwee...
          • S78.112 Complete traumatic amputation at level betwee...
            • S78.112A Complete traumatic amputation at level betwee...
            • S78.112D Complete traumatic amputation at level betwee...
            • S78.112S Complete traumatic amputation at level betwee...
          • S78.119 Complete traumatic amputation at level betwee...
            • S78.119A Complete traumatic amputation at level betwee...
            • S78.119D Complete traumatic amputation at level betwee...
            • S78.119S Complete traumatic amputation at level betwee...
        • S78.12 Partial traumatic amputation at level between...
          • S78.121 Partial traumatic amputation at level between...
            • S78.121A Partial traumatic amputation at level between...
            • S78.121D Partial traumatic amputation at level between...
            • S78.121S Partial traumatic amputation at level between...
          • S78.122 Partial traumatic amputation at level between...
            • S78.122A Partial traumatic amputation at level between...
            • S78.122D Partial traumatic amputation at level between...
            • S78.122S Partial traumatic amputation at level between...
          • S78.129 Partial traumatic amputation at level between...
            • S78.129A Partial traumatic amputation at level between...
            • S78.129D Partial traumatic amputation at level between...
            • S78.129S Partial traumatic amputation at level between...
      • S78.9 Traumatic amputation of hip and thigh, level ...
        • S78.91 Complete traumatic amputation of hip and thig...
          • S78.911 Complete traumatic amputation of right hip an...
            • S78.911A Complete traumatic amputation of right hip an...
            • S78.911D Complete traumatic amputation of right hip an...
            • S78.911S Complete traumatic amputation of right hip an...
          • S78.912 Complete traumatic amputation of left hip and...
            • S78.912A Complete traumatic amputation of left hip and...
            • S78.912D Complete traumatic amputation of left hip and...
            • S78.912S Complete traumatic amputation of left hip and...
          • S78.919 Complete traumatic amputation of unspecified ...
            • S78.919A Complete traumatic amputation of unspecified ...
            • S78.919D Complete traumatic amputation of unspecified ...
            • S78.919S Complete traumatic amputation of unspecified ...
        • S78.92 Partial traumatic amputation of hip and thigh...
          • S78.921 Partial traumatic amputation of right hip and...
            • S78.921A Partial traumatic amputation of right hip and...
            • S78.921D Partial traumatic amputation of right hip and...
            • S78.921S Partial traumatic amputation of right hip and...
          • S78.922 Partial traumatic amputation of left hip and ...
            • S78.922A Partial traumatic amputation of left hip and ...
            • S78.922D Partial traumatic amputation of left hip and ...
            • S78.922S Partial traumatic amputation of left hip and ...
          • S78.929 Partial traumatic amputation of unspecified h...
            • S78.929A Partial traumatic amputation of unspecified h...
            • S78.929D Partial traumatic amputation of unspecified h...
            • S78.929S Partial traumatic amputation of unspecified h...
    S78.-
    )
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (S72) and the excluded code together.
  • fracture of lower leg and ankle (
    ICD-10-CM Diagnosis Code S82
    • S82.0 Fracture of patella
    • S82.1 Fracture of upper end of tibia
    • S82.2 Fracture of shaft of tibia
    • S82.3 Fracture of lower end of tibia
    • S82.4 Fracture of shaft of fibula
    • S82.5 Fracture of medial malleolus
    • S82.6 Fracture of lateral malleolus
    • S82.8 Other fractures of lower leg
    • S82.9 Unspecified fracture of lower leg
    S82.-
    )
  • fracture of foot (
    ICD-10-CM Diagnosis Code S92
    • S92.0 Fracture of calcaneus
    • S92.1 Fracture of talus
    • S92.2 Fracture of other and unspecified tarsal bone(s)
    • S92.3 Fracture of metatarsal bone(s)
    • S92.4 Fracture of great toe
    • S92.5 Fracture of lesser toe(s)
    • S92.8 Other fracture of foot, except ankle
    • S92.9 Unspecified fracture of foot and toe
    S92.-
    )
  • periprosthetic fracture of prosthetic implant of hip (
    ICD-10-CM Diagnosis Code M97.0

    Periprosthetic fracture around internal prosthetic hip joint

      2017 - New Code 2018 2019 2020 Non-Billable/Non-Specific Code
    M97.0-
    )
The following code(s) above S72 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to S72:
  • S00-T88
    2020 ICD-10-CM Range S00-T88

    Injury, poisoning and certain other consequences of external causes

    Note
    • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
    Type 1 Excludes
    Use Additional
    • code to identify any retained foreign body, if applicable (Z18.-)
    Injury, poisoning and certain other consequences of external causes
  • S70-S79
    2020 ICD-10-CM Range S70-S79

    Injuries to the hip and thigh

    Type 2 Excludes
    Injuries to the hip and thigh
Clinical Information
  • A traumatic or pathologic injury to the femur in which the continuity of the femur is broken.
  • Breaks or rupture in bone situated between the hip and the knee, the femur.
  • Fractures of the femur.
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
Code annotations containing back-references to S72:
  • Type 1 Excludes: S71
    , M84.3
    , M84.4
    ICD-10-CM Diagnosis Code S71

    Open wound of hip and thigh

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Code Also
    • any associated wound infection
    Type 1 Excludes
    • open fracture of hip and thigh (S72.-)
    • traumatic amputation of hip and thigh (S78.-)
    Type 2 Excludes
    • bite of venomous animal (T63.-)
    • open wound of ankle, foot and toes (S91.-)
    • open wound of knee and lower leg (S81.-)
    ICD-10-CM Diagnosis Code M84.3

    Stress fracture

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Fatigue fracture
    • March fracture
    • Stress fracture NOS
    • Stress reaction
    Type 1 Excludes
    Type 2 Excludes
    • personal history of (healed) stress (fatigue) fracture (Z87.312)
    • stress fracture of vertebra (M48.4-)
    Use Additional
    • external cause code(s) to identify the cause of the stress fracture
    ICD-10-CM Diagnosis Code M84.4

    Pathological fracture, not elsewhere classified

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Chronic fracture
    • Pathological fracture NOS
    Type 1 Excludes
    Type 2 Excludes
    • personal history of (healed) pathological fracture (Z87.311)
ICD-10-CM Codes Adjacent To S72
S71.151D …… subsequent encounter
S71.151S …… sequela
S71.152 Open bite, left thigh
S71.152A …… initial encounter
S71.152D …… subsequent encounter
S71.152S …… sequela
S71.159 Open bite, unspecified thigh
S71.159A …… initial encounter
S71.159D …… subsequent encounter
S71.159S …… sequela
S72 Fracture of femur
S72.0 Fracture of head and neck of femur
S72.00 Fracture of unspecified part of neck of femur
S72.001 Fracture of unspecified part of neck of right femur
S72.001A …… initial encounter for closed fracture
S72.001B …… initial encounter for open fracture type I or II
S72.001C …… initial encounter for open fracture type IIIA, IIIB, or IIIC
S72.001D …… subsequent encounter for closed fracture with routine healing
S72.001E …… subsequent encounter for open fracture type I or II with routine healing
S72.001F …… subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
S72.001G …… subsequent encounter for closed fracture with delayed healing

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.