Version 2024

2024 ICD-10-CM Diagnosis Code S72.13

Apophyseal fracture of femur

ICD-10-CM Code:
S72.13
ICD-10 Code for:
Apophyseal fracture of femur
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Injury, poisoning and certain other consequences of external causes
    (S00–T88)
    • Injuries to the hip and thigh
      (S70-S79)
      • Fracture of femur
        (S72)

S72.13 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of apophyseal fracture of femur. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding Applicable to Apophyseal fracture of femur

Non-specific codes like S72.13 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for apophyseal fracture of femur:

  • S72.131 for Displaced apophyseal fracture of right femur - NON-BILLABLE CODE

  • Use S72.131A for initial encounter for closed fracture - BILLABLE CODE

  • Use S72.131B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S72.131C for or IIIC - BILLABLE CODE

  • Use S72.131D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S72.131E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S72.131F for or IIIC with routine healing - BILLABLE CODE

  • Use S72.131G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S72.131H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S72.131J for or IIIC with delayed healing - BILLABLE CODE

  • Use S72.131K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S72.131M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S72.131N for or IIIC with nonunion - BILLABLE CODE

  • Use S72.131P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S72.131Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S72.131R for or IIIC with malunion - BILLABLE CODE

  • Use S72.131S for sequela - BILLABLE CODE

  • S72.132 for Displaced apophyseal fracture of left femur - NON-BILLABLE CODE

  • Use S72.132A for initial encounter for closed fracture - BILLABLE CODE

  • Use S72.132B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S72.132C for or IIIC - BILLABLE CODE

  • Use S72.132D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S72.132E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S72.132F for or IIIC with routine healing - BILLABLE CODE

  • Use S72.132G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S72.132H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S72.132J for or IIIC with delayed healing - BILLABLE CODE

  • Use S72.132K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S72.132M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S72.132N for or IIIC with nonunion - BILLABLE CODE

  • Use S72.132P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S72.132Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S72.132R for or IIIC with malunion - BILLABLE CODE

  • Use S72.132S for sequela - BILLABLE CODE

  • S72.133 for Displaced apophyseal fracture of unspecified femur - NON-BILLABLE CODE

  • Use S72.133A for initial encounter for closed fracture - BILLABLE CODE

  • Use S72.133B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S72.133C for or IIIC - BILLABLE CODE

  • Use S72.133D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S72.133E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S72.133F for or IIIC with routine healing - BILLABLE CODE

  • Use S72.133G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S72.133H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S72.133J for or IIIC with delayed healing - BILLABLE CODE

  • Use S72.133K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S72.133M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S72.133N for or IIIC with nonunion - BILLABLE CODE

  • Use S72.133P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S72.133Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S72.133R for or IIIC with malunion - BILLABLE CODE

  • Use S72.133S for sequela - BILLABLE CODE

  • S72.134 for Nondisplaced apophyseal fracture of right femur - NON-BILLABLE CODE

  • Use S72.134A for initial encounter for closed fracture - BILLABLE CODE

  • Use S72.134B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S72.134C for or IIIC - BILLABLE CODE

  • Use S72.134D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S72.134E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S72.134F for or IIIC with routine healing - BILLABLE CODE

  • Use S72.134G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S72.134H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S72.134J for or IIIC with delayed healing - BILLABLE CODE

  • Use S72.134K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S72.134M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S72.134N for or IIIC with nonunion - BILLABLE CODE

  • Use S72.134P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S72.134Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S72.134R for or IIIC with malunion - BILLABLE CODE

  • Use S72.134S for sequela - BILLABLE CODE

  • S72.135 for Nondisplaced apophyseal fracture of left femur - NON-BILLABLE CODE

  • Use S72.135A for initial encounter for closed fracture - BILLABLE CODE

  • Use S72.135B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S72.135C for or IIIC - BILLABLE CODE

  • Use S72.135D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S72.135E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S72.135F for or IIIC with routine healing - BILLABLE CODE

  • Use S72.135G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S72.135H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S72.135J for or IIIC with delayed healing - BILLABLE CODE

  • Use S72.135K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S72.135M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S72.135N for or IIIC with nonunion - BILLABLE CODE

  • Use S72.135P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S72.135Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S72.135R for or IIIC with malunion - BILLABLE CODE

  • Use S72.135S for sequela - BILLABLE CODE

  • S72.136 for Nondisplaced apophyseal fracture of unspecified femur - NON-BILLABLE CODE

  • Use S72.136A for initial encounter for closed fracture - BILLABLE CODE

  • Use S72.136B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S72.136C for or IIIC - BILLABLE CODE

  • Use S72.136D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S72.136E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S72.136F for or IIIC with routine healing - BILLABLE CODE

  • Use S72.136G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S72.136H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S72.136J for or IIIC with delayed healing - BILLABLE CODE

  • Use S72.136K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S72.136M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S72.136N for or IIIC with nonunion - BILLABLE CODE

  • Use S72.136P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S72.136Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S72.136R for or IIIC with malunion - BILLABLE CODE

  • Use S72.136S for sequela - BILLABLE CODE

Coding Guidelines

The principles of multiple coding of injuries should be followed in coding fractures. Fractures of specified sites are coded individually by site nd the level of detail furnished by medical record content.

A fracture not indicated as open or closed should be coded to closed. A fracture not indicated whether displaced or not displaced should be coded to displaced.

Initial vs. Subsequent Encounter for Fractures

Traumatic fractures are coded using the appropriate 7th character for initial encounter (A, B, C) for each encounter where the patient is receiving active treatment for the fracture. The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.

Fractures are coded using the appropriate 7th character for subsequent care for encounters after the patient has completed active treatment of the fracture and is receiving routine care for the fracture during the healing or recovery phase.

Care for complications of surgical treatment for fracture repairs during the healing or recovery phase should be coded with the appropriate complication codes.

Care of complications of fractures, such as malunion and nonunion, should be reported with the appropriate 7th character for subsequent care with nonunion (K, M, N,) or subsequent care with malunion (P, Q, R).

Malunion/nonunion: The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.

The open fracture designations in the assignment of the 7th character for fractures of the forearm, femur and lower leg, including ankle are based on the Gustilo open fracture classification. When the Gustilo classification type is not specified for an open fracture, the 7th character for open fracture type I or II should be assigned (B, E, H, M, Q).

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • chronic nontraumatic slipped upper femoral epiphysis M93.0

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

Patient Education


Fractures

A fracture is a break, usually in a bone. If the broken bone punctures the skin, it is called an open or compound fracture. Fractures commonly happen because of car accidents, falls, or sports injuries. Other causes are low bone density and osteoporosis, which cause weakening of the bones. Overuse can cause stress fractures, which are very small cracks in the bone.

Symptoms of a fracture are:

  • Intense pain
  • Deformity - the limb looks out of place
  • Swelling, bruising, or tenderness around the injury
  • Numbness and tingling
  • Problems moving a limb

You need to get medical care right away for any fracture. An x-ray can tell if your bone is broken. You may need to wear a cast or splint. Sometimes you need surgery to put in plates, pins or screws to keep the bone in place.


[Learn More in MedlinePlus]

Leg Injuries and Disorders

Your legs are made up of bones, blood vessels, muscles, and other connective tissue. They are important for motion and standing. Playing sports, running, falling, or having an accident can damage your legs. Common leg injuries include sprains and strains, joint dislocations, and fractures (broken bones).

These injuries can affect the entire leg, or just the foot, ankle, knee, or hip. Certain diseases also lead to leg problems. For example, knee osteoarthritis, common in older people, can cause pain and limited motion. Problems in your veins in your legs can lead to varicose veins or deep vein thrombosis.


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.