Is S72.90XC a billable ICD-10-CM code?

Yes. S72.90XC is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does S72.90XC 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).

S72.90XC

S72.90XC — Unspecified fracture of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC

Billable / specific codeICD-10-CM

S72.90XC is a billable, specific ICD-10-CM code for unspecified fracture of unspecified femur, initial encounter for open fracture type iiia, iiib, or iiic. It is valid for submission on a claim.

7th character "C" — initial encounter for open fracture type IIIA, IIIB, or IIIC

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

S72.90XC risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 402 Hip Fracture/Dislocation0.467 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.

Code history

S72.90XC has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share S72.90. If S72.90XC is not quite right, the correct code is usually one of these.

Questions about S72.90XC

Is S72.90XC a billable ICD-10-CM code?: Yes. S72.90XC is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does S72.90XC 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).