2020 ICD-10-CM Diagnosis Code S72.26XM

Nondisplaced subtrochanteric fracture of unspecified femur, subsequent encounter for open fracture type I or II with nonunion

    2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
  • S72.26XM is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Nondisp subtrochnt fx unsp femr, 7thM
  • The 2020 edition of ICD-10-CM S72.26XM became effective on October 1, 2019.
  • This is the American ICD-10-CM version of S72.26XM - other international versions of ICD-10 S72.26XM may differ.
The following code(s) above S72.26XM 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 S72.26XM:
  • 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
  • S72
    ICD-10-CM Diagnosis Code S72

    Fracture of femur

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    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
    • traumatic amputation of hip and thigh (S78.-)
    Type 2 Excludes
    • fracture of lower leg and ankle (S82.-)
    • fracture of foot (S92.-)
    • periprosthetic fracture of prosthetic implant of hip (M97.0-)
    Fracture of femur
Present On Admission
POA Help
"Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.
  • S72.26XM is considered exempt from POA reporting.
ICD-10-CM S72.26XM is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 564 Other musculoskeletal system and connective tissue diagnoses with mcc
  • 565 Other musculoskeletal system and connective tissue diagnoses with cc
  • 566 Other musculoskeletal system and connective tissue diagnoses without cc/mcc

Convert S72.26XM to ICD-9-CM

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
ICD-10-CM Codes Adjacent To S72.26XM
S72.26XA …… initial encounter for closed fracture
S72.26XB …… initial encounter for open fracture type I or II
S72.26XC …… initial encounter for open fracture type IIIA, IIIB, or IIIC
S72.26XD …… subsequent encounter for closed fracture with routine healing
S72.26XE …… subsequent encounter for open fracture type I or II with routine healing
S72.26XF …… subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
S72.26XG …… subsequent encounter for closed fracture with delayed healing
S72.26XH …… subsequent encounter for open fracture type I or II with delayed healing
S72.26XJ …… subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
S72.26XK …… subsequent encounter for closed fracture with nonunion
S72.26XM …… subsequent encounter for open fracture type I or II with nonunion
S72.26XN …… subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
S72.26XP …… subsequent encounter for closed fracture with malunion
S72.26XQ …… subsequent encounter for open fracture type I or II with malunion
S72.26XR …… subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
S72.26XS …… sequela
S72.3 Fracture of shaft of femur
S72.30 Unspecified fracture of shaft of femur
S72.301 Unspecified fracture of shaft of right femur
S72.301A …… initial encounter for closed fracture
S72.301B …… initial encounter for open fracture type I or II

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