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  6. 2024 ICD-10-CM Code S72.02
Version 2024
Non-Billable Code

2024 ICD-10-CM Diagnosis Code S72.02

Fracture of epiphysis (separation) (upper) of femur

ICD-10-CM Code:
S72.02
ICD-10 Code for:
Fracture of epiphysis (separation) (upper) 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)

S72.02 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of fracture of epiphysis (separation) (upper) 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 Fracture of epiphysis (separation) (upper) of femur

Non-specific codes like S72.02 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 fracture of epiphysis (separation) (upper) of femur:

  • S72.021 for Displaced fracture of epiphysis (separation) (upper) of right femur - NON-BILLABLE CODE

  • Use S72.021A for initial encounter for closed fracture - BILLABLE CODE

  • Use S72.021B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S72.021C for or IIIC - BILLABLE CODE

  • Use S72.021D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S72.021E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S72.021F for or IIIC with routine healing - BILLABLE CODE

  • Use S72.021G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S72.021H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S72.021J for or IIIC with delayed healing - BILLABLE CODE

  • Use S72.021K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S72.021M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S72.021N for or IIIC with nonunion - BILLABLE CODE

  • Use S72.021P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S72.021Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S72.021R for or IIIC with malunion - BILLABLE CODE

  • Use S72.021S for sequela - BILLABLE CODE

  • S72.022 for Displaced fracture of epiphysis (separation) (upper) of left femur - NON-BILLABLE CODE

  • Use S72.022A for initial encounter for closed fracture - BILLABLE CODE

  • Use S72.022B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S72.022C for or IIIC - BILLABLE CODE

  • Use S72.022D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S72.022E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S72.022F for or IIIC with routine healing - BILLABLE CODE

  • Use S72.022G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S72.022H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S72.022J for or IIIC with delayed healing - BILLABLE CODE

  • Use S72.022K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S72.022M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S72.022N for or IIIC with nonunion - BILLABLE CODE

  • Use S72.022P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S72.022Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S72.022R for or IIIC with malunion - BILLABLE CODE

  • Use S72.022S for sequela - BILLABLE CODE

  • S72.023 for Displaced fracture of epiphysis (separation) (upper) of unspecified femur - NON-BILLABLE CODE

  • Use S72.023A for initial encounter for closed fracture - BILLABLE CODE

  • Use S72.023B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S72.023C for or IIIC - BILLABLE CODE

  • Use S72.023D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S72.023E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S72.023F for or IIIC with routine healing - BILLABLE CODE

  • Use S72.023G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S72.023H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S72.023J for or IIIC with delayed healing - BILLABLE CODE

  • Use S72.023K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S72.023M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S72.023N for or IIIC with nonunion - BILLABLE CODE

  • Use S72.023P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S72.023Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S72.023R for or IIIC with malunion - BILLABLE CODE

  • Use S72.023S for sequela - BILLABLE CODE

  • S72.024 for Nondisplaced fracture of epiphysis (separation) (upper) of right femur - NON-BILLABLE CODE

  • Use S72.024A for initial encounter for closed fracture - BILLABLE CODE

  • Use S72.024B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S72.024C for or IIIC - BILLABLE CODE

  • Use S72.024D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S72.024E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S72.024F for or IIIC with routine healing - BILLABLE CODE

  • Use S72.024G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S72.024H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S72.024J for or IIIC with delayed healing - BILLABLE CODE

  • Use S72.024K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S72.024M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S72.024N for or IIIC with nonunion - BILLABLE CODE

  • Use S72.024P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S72.024Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S72.024R for or IIIC with malunion - BILLABLE CODE

  • Use S72.024S for sequela - BILLABLE CODE

  • S72.025 for Nondisplaced fracture of epiphysis (separation) (upper) of left femur - NON-BILLABLE CODE

  • Use S72.025A for initial encounter for closed fracture - BILLABLE CODE

  • Use S72.025B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S72.025C for or IIIC - BILLABLE CODE

  • Use S72.025D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S72.025E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S72.025F for or IIIC with routine healing - BILLABLE CODE

  • Use S72.025G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S72.025H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S72.025J for or IIIC with delayed healing - BILLABLE CODE

  • Use S72.025K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S72.025M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S72.025N for or IIIC with nonunion - BILLABLE CODE

  • Use S72.025P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S72.025Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S72.025R for or IIIC with malunion - BILLABLE CODE

  • Use S72.025S for sequela - BILLABLE CODE

  • S72.026 for Nondisplaced fracture of epiphysis (separation) (upper) of unspecified femur - NON-BILLABLE CODE

  • Use S72.026A for initial encounter for closed fracture - BILLABLE CODE

  • Use S72.026B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S72.026C for or IIIC - BILLABLE CODE

  • Use S72.026D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S72.026E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S72.026F for or IIIC with routine healing - BILLABLE CODE

  • Use S72.026G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S72.026H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S72.026J for or IIIC with delayed healing - BILLABLE CODE

  • Use S72.026K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S72.026M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S72.026N for or IIIC with nonunion - BILLABLE CODE

  • Use S72.026P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S72.026Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S72.026R for or IIIC with malunion - BILLABLE CODE

  • Use S72.026S 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.


Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Transepiphyseal fracture of femur

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.
  • capital femoral epiphyseal fracture pediatric of femur S79.01
  • Salter-Harris Type I physeal fracture of upper end of femur S79.01

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.