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ICD-10-CM Codes
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S00-T88
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S70-S79
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S72-
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2023 ICD-10-CM Diagnosis Code S72
2023 ICD-10-CM Diagnosis Code S72
Fracture of femur
2016 2017 2018 2019 2020 2021 2022 2023 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 2023 edition of ICD-10-CM S72 became effective on October 1, 2022.
- 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 ExcludesType 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.
Type 2 ExcludesType 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 2021 2022 2023 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:
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
- 2021 (effective 10/1/2020): No change
- 2022 (effective 10/1/2021): No change
- 2023 (effective 10/1/2022): No change
Code annotations containing back-references to S72:
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Type 1 Excludes: M84.3, M84.4, S71
ICD-10-CM Diagnosis Code M84.3
Stress fracture
2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
Applicable To- Fatigue fracture
- March fracture
- Stress fracture NOS
- Stress reaction
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 2021 2022 2023 Non-Billable/Non-Specific Code
Applicable To- Chronic fracture
- Pathological fracture NOS
Type 2 Excludes- personal history of (healed) pathological fracture (Z87.311)
ICD-10-CM Diagnosis Code S71
Open wound of hip and thigh
2016 2017 2018 2019 2020 2021 2022 2023 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 Codes Adjacent To S72
S71.159 Open bite, unspecified thigh
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.