2027 ICD-10-CM Diagnosis Code S72Fracture of femur
S72 is a non-billable ICD-10-CM category code for fracture of femur, so it cannot be submitted on claims. Use a more specific code from this category instead, such as S72.001A, S72.001B, S72.001C, and S72.001D.
Code Identity
Code Classification
Specific Coding for Fracture of femurOverview
Non-specific codes like S72 require more characters. Use one of these billable codes instead:
S72.0 for Fracture of head and neck of femur
S72.00 for Fracture of unspecified part of neck of femur
S72.01 for Unspecified intracapsular fracture of femur
S72.02 for Fracture of epiphysis (separation) (upper) of femur
S72.03 for Midcervical fracture of femur
S72.04 for Fracture of base of neck of femur
S72.05 for Unspecified fracture of head of femur
S72.06 for Articular fracture of head of femur
S72.09 for Other fracture of head and neck of femur
S72.1 for Pertrochanteric fracture
S72.10 for Unspecified trochanteric fracture of femur
S72.11 for Fracture of greater trochanter of femur
S72.12 for Fracture of lesser trochanter of femur
S72.13 for Apophyseal fracture of femur
S72.14 for Intertrochanteric fracture of femur
S72.2 for Subtrochanteric fracture of femur
S72.21 for Displaced subtrochanteric fracture of right femur
S72.22 for Displaced subtrochanteric fracture of left femur
S72.23 for Displaced subtrochanteric fracture of unspecified femur
S72.24 for Nondisplaced subtrochanteric fracture of right femur
S72.25 for Nondisplaced subtrochanteric fracture of left femur
S72.26 for Nondisplaced subtrochanteric fracture of unspecified femur
S72.3 for Fracture of shaft of femur
S72.30 for Unspecified fracture of shaft of femur
S72.32 for Transverse fracture of shaft of femur
S72.33 for Oblique fracture of shaft of femur
S72.34 for Spiral fracture of shaft of femur
S72.35 for Comminuted fracture of shaft of femur
S72.36 for Segmental fracture of shaft of femur
S72.39 for Other fracture of shaft of femur
S72.4 for Fracture of lower end of femur
S72.40 for Unspecified fracture of lower end of femur
S72.41 for Unspecified condyle fracture of lower end of femur
S72.42 for Fracture of lateral condyle of femur
S72.43 for Fracture of medial condyle of femur
S72.44 for Fracture of lower epiphysis (separation) of femur
S72.45 for Supracondylar fracture without intracondylar extension of lower end of femur
S72.46 for Supracondylar fracture with intracondylar extension of lower end of femur
S72.47 for Torus fracture of lower end of femur
S72.49 for Other fracture of lower end of femur
S72.8 for Other fracture of femur
S72.8X for Other fracture of femur
S72.9 for Unspecified fracture of femur
S72.90 for Unspecified fracture of unspecified femur
S72.91 for Unspecified fracture of right femur
S72.92 for Unspecified fracture of left femur
Coding GuidelinesGuidance
The principles of multiple coding of injuries should be followed in coding fractures. Fractures of specified sites are coded individually by site, to 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) while 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).
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).
Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027, published by CMS and the National Center for Health Statistics.
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to S72: its own notes plus those printed at block S70-S79 and Chapter 19. A note printed at a category, block or chapter applies to every code under it.
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
- traumatic amputation of hip and thigh (S78.-)
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Use Additional Code
Add a second code, after this one, to fully describe the condition.
- code to identify any retained foreign body, if applicable (Z18.-)
Notes
General instructions on how these codes are used.
- 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
- 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
- The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.
7th Character
Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.
- The appropriate 7th character is to be added to all codes from category S72
- Ainitial encounter for closed fracture
- Binitial encounter for open fracture type I or II
- Cinitial encounter for open fracture type IIIA, IIIB, or IIIC
- Dsubsequent encounter for closed fracture with routine healing
- Esubsequent encounter for open fracture type I or II with routine healing
- Fsubsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
- Gsubsequent encounter for closed fracture with delayed healing
- Hsubsequent encounter for open fracture type I or II with delayed healing
- Jsubsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- Ksubsequent encounter for closed fracture with nonunion
- Msubsequent encounter for open fracture type I or II with nonunion
- Nsubsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
- Psubsequent encounter for closed fracture with malunion
- Qsubsequent encounter for open fracture type I or II with malunion
- Rsubsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
- Ssequela
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name S72, its category, or a range that includes it.
Excludes1 3
These codes carry an Excludes1 note naming S72: they are not reported together with it, unless the two conditions are unrelated.
- M84.3 Stress fracturetraumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)
- M84.4 Pathological fracture, not elsewhere classifiedtraumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)
- S71 Open wound of hip and thighopen fracture of hip and thigh (S72.-)
Clinical InformationClinical
Femur Fracture
a traumatic or pathologic injury to the femur in which the continuity of the femur is broken.
Patient EducationClinical
Fractures
A fracture is a break in a bone. Fractures are usually caused by injuries. Since they can sometimes be serious, it's important to get medical care right away if you think you have a fracture.
The full article covers:
- What is a fracture?
- What are the different types of fractures?
- What causes fractures?
- What are the symptoms of a fracture?
- How are fractures diagnosed?
- What are the treatments for fractures?
- Can fractures be prevented?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Code HistoryHistory
Questions About S72Overview
What is the ICD-10 code for fracture of femur?
S72 is the ICD-10-CM category for fracture of femur, but it is a non-billable header: claims need a more specific code from this category, listed on this page.
Is S72 (Fracture of femur) a billable code?
No. This is a category header that groups the codes for fracture of femur, and headers cannot be submitted on claims. Claims for fracture of femur need a more specific code from this category, such as S72.001A, S72.001B, and S72.001C.
Can S72 be reported with a code from S78?
Not as a rule. The Excludes1 note on S72 lists "traumatic amputation of hip and thigh (S78.-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).