S72.099
S72.099 — Other fracture of head and neck of unspecified femur
Non-billable headerICD-10-CM
S72.099 is a non-billable header ICD-10-CM code for other fracture of head and neck of unspecified femur. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
The appropriate 7th character is to be added to all codes from category S72
- A
- initial encounter for closed fracture
- B
- initial encounter for open fracture type I or II
- C
- initial encounter for open fracture type IIIA, IIIB, or IIIC
- D
- subsequent encounter for closed fracture with routine healing
- E
- subsequent encounter for open fracture type I or II with routine healing
- F
- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- G
- subsequent encounter for closed fracture with delayed healing
- H
- subsequent encounter for open fracture type I or II with delayed healing
- J
- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- K
- subsequent encounter for closed fracture with nonunion
- M
- subsequent encounter for open fracture type I or II with nonunion
- N
- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- P
- subsequent encounter for closed fracture with malunion
- Q
- subsequent encounter for open fracture type I or II with malunion
- R
- subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S
- sequela
Risk adjustment
S72.099 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.
Code to one of these instead S72.099
16 child codes. Green means billable.
- S72.099AOther fracture of head and neck of unspecified femur, initial encounter for closed fracture
- S72.099BOther fracture of head and neck of unspecified femur, initial encounter for open fracture type I or II
- S72.099COther fracture of head and neck of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.099DOther fracture of head and neck of unspecified femur, subsequent encounter for closed fracture with routine healing
- S72.099EOther fracture of head and neck of unspecified femur, subsequent encounter for open fracture type I or II with routine healing
- S72.099FOther fracture of head and neck of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- S72.099GOther fracture of head and neck of unspecified femur, subsequent encounter for closed fracture with delayed healing
- S72.099HOther fracture of head and neck of unspecified femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.099JOther fracture of head and neck of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.099KOther fracture of head and neck of unspecified femur, subsequent encounter for closed fracture with nonunion
- S72.099MOther fracture of head and neck of unspecified femur, subsequent encounter for open fracture type I or II with nonunion
- S72.099NOther fracture of head and neck of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- S72.099POther fracture of head and neck of unspecified femur, subsequent encounter for closed fracture with malunion
- S72.099QOther fracture of head and neck of unspecified femur, subsequent encounter for open fracture type I or II with malunion
- S72.099ROther fracture of head and neck of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- S72.099SOther fracture of head and neck of unspecified femur, sequela
Related codes at this level
Codes that share S72.09. If S72.099 is not quite right, the correct code is usually one of these.
Questions about S72.099
- Is S72.099 a billable ICD-10-CM code?
- No. S72.099 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S72.099 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).