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  2. ICD-10-CM Codes
  3. S00–T88
  4. S70-S79
  5. S72
  6. 2024 ICD-10-CM Code S72.1
Version 2024
Non-Billable Code

2024 ICD-10-CM Diagnosis Code S72.1

Pertrochanteric fracture

ICD-10-CM Code:
S72.1
ICD-10 Code for:
Pertrochanteric fracture
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)

S72.1 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of pertrochanteric fracture. 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 Pertrochanteric fracture

Non-specific codes like S72.1 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 pertrochanteric fracture:

  • S72.10 for Unspecified trochanteric fracture of femur - NON-BILLABLE CODE

  • S72.101 for Unspecified trochanteric fracture of right femur - NON-BILLABLE CODE

  • Use S72.101A for initial encounter for closed fracture - BILLABLE CODE

  • Use S72.101B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S72.101C for or IIIC - BILLABLE CODE

  • Use S72.101D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S72.101E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S72.101F for or IIIC with routine healing - BILLABLE CODE

  • Use S72.101G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S72.101H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S72.101J for or IIIC with delayed healing - BILLABLE CODE

  • Use S72.101K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S72.101M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S72.101N for or IIIC with nonunion - BILLABLE CODE

  • Use S72.101P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S72.101Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S72.101R for or IIIC with malunion - BILLABLE CODE

  • Use S72.101S for sequela - BILLABLE CODE

  • S72.102 for Unspecified trochanteric fracture of left femur - NON-BILLABLE CODE

  • Use S72.102A for initial encounter for closed fracture - BILLABLE CODE

  • Use S72.102B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S72.102C for or IIIC - BILLABLE CODE

  • Use S72.102D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S72.102E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S72.102F for or IIIC with routine healing - BILLABLE CODE

  • Use S72.102G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S72.102H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S72.102J for or IIIC with delayed healing - BILLABLE CODE

  • Use S72.102K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S72.102M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S72.102N for or IIIC with nonunion - BILLABLE CODE

  • Use S72.102P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S72.102Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S72.102R for or IIIC with malunion - BILLABLE CODE

  • Use S72.102S for sequela - BILLABLE CODE

  • S72.109 for Unspecified trochanteric fracture of unspecified femur - NON-BILLABLE CODE

  • Use S72.109A for initial encounter for closed fracture - BILLABLE CODE

  • Use S72.109B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S72.109C for or IIIC - BILLABLE CODE

  • Use S72.109D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S72.109E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S72.109F for or IIIC with routine healing - BILLABLE CODE

  • Use S72.109G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S72.109H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S72.109J for or IIIC with delayed healing - BILLABLE CODE

  • Use S72.109K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S72.109M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S72.109N for or IIIC with nonunion - BILLABLE CODE

  • Use S72.109P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S72.109Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S72.109R for or IIIC with malunion - BILLABLE CODE

  • Use S72.109S for sequela - BILLABLE CODE

  • S72.11 for Fracture of greater trochanter of femur - NON-BILLABLE CODE

  • S72.111 for Displaced fracture of greater trochanter of right femur - NON-BILLABLE CODE

  • Use S72.111A for initial encounter for closed fracture - BILLABLE CODE

  • Use S72.111B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S72.111C for or IIIC - BILLABLE CODE

  • Use S72.111D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S72.111E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S72.111F for or IIIC with routine healing - BILLABLE CODE

  • Use S72.111G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S72.111H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S72.111J for or IIIC with delayed healing - BILLABLE CODE

  • Use S72.111K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S72.111M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S72.111N for or IIIC with nonunion - BILLABLE CODE

  • Use S72.111P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S72.111Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S72.111R for or IIIC with malunion - BILLABLE CODE

  • Use S72.111S for sequela - BILLABLE CODE

  • S72.112 for Displaced fracture of greater trochanter of left femur - NON-BILLABLE CODE

  • Use S72.112A for initial encounter for closed fracture - BILLABLE CODE

  • Use S72.112B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S72.112C for or IIIC - BILLABLE CODE

  • Use S72.112D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S72.112E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S72.112F for or IIIC with routine healing - BILLABLE CODE

  • Use S72.112G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S72.112H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S72.112J for or IIIC with delayed healing - BILLABLE CODE

  • Use S72.112K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S72.112M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S72.112N for or IIIC with nonunion - BILLABLE CODE

  • Use S72.112P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S72.112Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S72.112R for or IIIC with malunion - BILLABLE CODE

  • Use S72.112S for sequela - BILLABLE CODE

  • S72.113 for Displaced fracture of greater trochanter of unspecified femur - NON-BILLABLE CODE

  • Use S72.113A for initial encounter for closed fracture - BILLABLE CODE

  • Use S72.113B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S72.113C for or IIIC - BILLABLE CODE

  • Use S72.113D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S72.113E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S72.113F for or IIIC with routine healing - BILLABLE CODE

  • Use S72.113G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S72.113H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S72.113J for or IIIC with delayed healing - BILLABLE CODE

  • Use S72.113K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S72.113M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S72.113N for or IIIC with nonunion - BILLABLE CODE

  • Use S72.113P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S72.113Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S72.113R for or IIIC with malunion - BILLABLE CODE

  • Use S72.113S for sequela - BILLABLE CODE

  • S72.114 for Nondisplaced fracture of greater trochanter of right femur - NON-BILLABLE CODE

  • Use S72.114A for initial encounter for closed fracture - BILLABLE CODE

  • Use S72.114B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S72.114C for or IIIC - BILLABLE CODE

  • Use S72.114D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S72.114E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S72.114F for or IIIC with routine healing - BILLABLE CODE

  • Use S72.114G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S72.114H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S72.114J for or IIIC with delayed healing - BILLABLE CODE

  • Use S72.114K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S72.114M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S72.114N for or IIIC with nonunion - BILLABLE CODE

  • Use S72.114P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S72.114Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S72.114R for or IIIC with malunion - BILLABLE CODE

  • Use S72.114S for sequela - BILLABLE CODE

  • S72.115 for Nondisplaced fracture of greater trochanter of left femur - NON-BILLABLE CODE

  • Use S72.115A for initial encounter for closed fracture - BILLABLE CODE

  • Use S72.115B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S72.115C for or IIIC - BILLABLE CODE

  • Use S72.115D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S72.115E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S72.115F for or IIIC with routine healing - BILLABLE CODE

  • Use S72.115G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S72.115H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S72.115J for or IIIC with delayed healing - BILLABLE CODE

  • Use S72.115K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S72.115M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S72.115N for or IIIC with nonunion - BILLABLE CODE

  • Use S72.115P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S72.115Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S72.115R for or IIIC with malunion - BILLABLE CODE

  • Use S72.115S for sequela - BILLABLE CODE

  • S72.116 for Nondisplaced fracture of greater trochanter of unspecified femur - NON-BILLABLE CODE

  • Use S72.116A for initial encounter for closed fracture - BILLABLE CODE

  • Use S72.116B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S72.116C for or IIIC - BILLABLE CODE

  • Use S72.116D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S72.116E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S72.116F for or IIIC with routine healing - BILLABLE CODE

  • Use S72.116G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S72.116H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S72.116J for or IIIC with delayed healing - BILLABLE CODE

  • Use S72.116K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S72.116M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S72.116N for or IIIC with nonunion - BILLABLE CODE

  • Use S72.116P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S72.116Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S72.116R for or IIIC with malunion - BILLABLE CODE

  • Use S72.116S for sequela - BILLABLE CODE

  • S72.12 for Fracture of lesser trochanter of femur - NON-BILLABLE CODE

  • S72.121 for Displaced fracture of lesser trochanter of right femur - NON-BILLABLE CODE

  • Use S72.121A for initial encounter for closed fracture - BILLABLE CODE

  • Use S72.121B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S72.121C for or IIIC - BILLABLE CODE

  • Use S72.121D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S72.121E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S72.121F for or IIIC with routine healing - BILLABLE CODE

  • Use S72.121G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S72.121H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S72.121J for or IIIC with delayed healing - BILLABLE CODE

  • Use S72.121K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S72.121M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S72.121N for or IIIC with nonunion - BILLABLE CODE

  • Use S72.121P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S72.121Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S72.121R for or IIIC with malunion - BILLABLE CODE

  • Use S72.121S for sequela - BILLABLE CODE

  • S72.122 for Displaced fracture of lesser trochanter of left femur - NON-BILLABLE CODE

  • Use S72.122A for initial encounter for closed fracture - BILLABLE CODE

  • Use S72.122B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S72.122C for or IIIC - BILLABLE CODE

  • Use S72.122D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S72.122E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S72.122F for or IIIC with routine healing - BILLABLE CODE

  • Use S72.122G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S72.122H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S72.122J for or IIIC with delayed healing - BILLABLE CODE

  • Use S72.122K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S72.122M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S72.122N for or IIIC with nonunion - BILLABLE CODE

  • Use S72.122P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S72.122Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S72.122R for or IIIC with malunion - BILLABLE CODE

  • Use S72.122S for sequela - BILLABLE CODE

  • S72.123 for Displaced fracture of lesser trochanter of unspecified femur - NON-BILLABLE CODE

  • Use S72.123A for initial encounter for closed fracture - BILLABLE CODE

  • Use S72.123B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S72.123C for or IIIC - BILLABLE CODE

  • Use S72.123D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S72.123E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S72.123F for or IIIC with routine healing - BILLABLE CODE

  • Use S72.123G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S72.123H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S72.123J for or IIIC with delayed healing - BILLABLE CODE

  • Use S72.123K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S72.123M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S72.123N for or IIIC with nonunion - BILLABLE CODE

  • Use S72.123P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S72.123Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S72.123R for or IIIC with malunion - BILLABLE CODE

  • Use S72.123S for sequela - BILLABLE CODE

  • S72.124 for Nondisplaced fracture of lesser trochanter of right femur - NON-BILLABLE CODE

  • Use S72.124A for initial encounter for closed fracture - BILLABLE CODE

  • Use S72.124B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S72.124C for or IIIC - BILLABLE CODE

  • Use S72.124D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S72.124E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S72.124F for or IIIC with routine healing - BILLABLE CODE

  • Use S72.124G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S72.124H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S72.124J for or IIIC with delayed healing - BILLABLE CODE

  • Use S72.124K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S72.124M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S72.124N for or IIIC with nonunion - BILLABLE CODE

  • Use S72.124P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S72.124Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S72.124R for or IIIC with malunion - BILLABLE CODE

  • Use S72.124S for sequela - BILLABLE CODE

  • S72.125 for Nondisplaced fracture of lesser trochanter of left femur - NON-BILLABLE CODE

  • Use S72.125A for initial encounter for closed fracture - BILLABLE CODE

  • Use S72.125B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S72.125C for or IIIC - BILLABLE CODE

  • Use S72.125D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S72.125E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S72.125F for or IIIC with routine healing - BILLABLE CODE

  • Use S72.125G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S72.125H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S72.125J for or IIIC with delayed healing - BILLABLE CODE

  • Use S72.125K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S72.125M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S72.125N for or IIIC with nonunion - BILLABLE CODE

  • Use S72.125P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S72.125Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S72.125R for or IIIC with malunion - BILLABLE CODE

  • Use S72.125S for sequela - BILLABLE CODE

  • S72.126 for Nondisplaced fracture of lesser trochanter of unspecified femur - NON-BILLABLE CODE

  • Use S72.126A for initial encounter for closed fracture - BILLABLE CODE

  • Use S72.126B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S72.126C for or IIIC - BILLABLE CODE

  • Use S72.126D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S72.126E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S72.126F for or IIIC with routine healing - BILLABLE CODE

  • Use S72.126G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S72.126H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S72.126J for or IIIC with delayed healing - BILLABLE CODE

  • Use S72.126K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S72.126M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S72.126N for or IIIC with nonunion - BILLABLE CODE

  • Use S72.126P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S72.126Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S72.126R for or IIIC with malunion - BILLABLE CODE

  • Use S72.126S for sequela - BILLABLE CODE

  • S72.13 for Apophyseal fracture of femur - NON-BILLABLE CODE

  • 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

  • S72.14 for Intertrochanteric fracture of femur - NON-BILLABLE CODE

  • S72.141 for Displaced intertrochanteric fracture of right femur - NON-BILLABLE CODE

  • Use S72.141A for initial encounter for closed fracture - BILLABLE CODE

  • Use S72.141B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S72.141C for or IIIC - BILLABLE CODE

  • Use S72.141D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S72.141E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S72.141F for or IIIC with routine healing - BILLABLE CODE

  • Use S72.141G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S72.141H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S72.141J for or IIIC with delayed healing - BILLABLE CODE

  • Use S72.141K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S72.141M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S72.141N for or IIIC with nonunion - BILLABLE CODE

  • Use S72.141P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S72.141Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S72.141R for or IIIC with malunion - BILLABLE CODE

  • Use S72.141S for sequela - BILLABLE CODE

  • S72.142 for Displaced intertrochanteric fracture of left femur - NON-BILLABLE CODE

  • Use S72.142A for initial encounter for closed fracture - BILLABLE CODE

  • Use S72.142B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S72.142C for or IIIC - BILLABLE CODE

  • Use S72.142D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S72.142E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S72.142F for or IIIC with routine healing - BILLABLE CODE

  • Use S72.142G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S72.142H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S72.142J for or IIIC with delayed healing - BILLABLE CODE

  • Use S72.142K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S72.142M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S72.142N for or IIIC with nonunion - BILLABLE CODE

  • Use S72.142P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S72.142Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S72.142R for or IIIC with malunion - BILLABLE CODE

  • Use S72.142S for sequela - BILLABLE CODE

  • S72.143 for Displaced intertrochanteric fracture of unspecified femur - NON-BILLABLE CODE

  • Use S72.143A for initial encounter for closed fracture - BILLABLE CODE

  • Use S72.143B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S72.143C for or IIIC - BILLABLE CODE

  • Use S72.143D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S72.143E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S72.143F for or IIIC with routine healing - BILLABLE CODE

  • Use S72.143G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S72.143H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S72.143J for or IIIC with delayed healing - BILLABLE CODE

  • Use S72.143K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S72.143M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S72.143N for or IIIC with nonunion - BILLABLE CODE

  • Use S72.143P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S72.143Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S72.143R for or IIIC with malunion - BILLABLE CODE

  • Use S72.143S for sequela - BILLABLE CODE

  • S72.144 for Nondisplaced intertrochanteric fracture of right femur - NON-BILLABLE CODE

  • Use S72.144A for initial encounter for closed fracture - BILLABLE CODE

  • Use S72.144B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S72.144C for or IIIC - BILLABLE CODE

  • Use S72.144D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S72.144E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S72.144F for or IIIC with routine healing - BILLABLE CODE

  • Use S72.144G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S72.144H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S72.144J for or IIIC with delayed healing - BILLABLE CODE

  • Use S72.144K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S72.144M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S72.144N for or IIIC with nonunion - BILLABLE CODE

  • Use S72.144P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S72.144Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S72.144R for or IIIC with malunion - BILLABLE CODE

  • Use S72.144S for sequela - BILLABLE CODE

  • S72.145 for Nondisplaced intertrochanteric fracture of left femur - NON-BILLABLE CODE

  • Use S72.145A for initial encounter for closed fracture - BILLABLE CODE

  • Use S72.145B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S72.145C for or IIIC - BILLABLE CODE

  • Use S72.145D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S72.145E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S72.145F for or IIIC with routine healing - BILLABLE CODE

  • Use S72.145G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S72.145H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S72.145J for or IIIC with delayed healing - BILLABLE CODE

  • Use S72.145K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S72.145M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S72.145N for or IIIC with nonunion - BILLABLE CODE

  • Use S72.145P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S72.145Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S72.145R for or IIIC with malunion - BILLABLE CODE

  • Use S72.145S for sequela - BILLABLE CODE

  • S72.146 for Nondisplaced intertrochanteric fracture of unspecified femur - NON-BILLABLE CODE

  • Use S72.146A for initial encounter for closed fracture - BILLABLE CODE

  • Use S72.146B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S72.146C for or IIIC - BILLABLE CODE

  • Use S72.146D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S72.146E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S72.146F for or IIIC with routine healing - BILLABLE CODE

  • Use S72.146G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S72.146H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S72.146J for or IIIC with delayed healing - BILLABLE CODE

  • Use S72.146K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S72.146M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S72.146N for or IIIC with nonunion - BILLABLE CODE

  • Use S72.146P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S72.146Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S72.146R for or IIIC with malunion - BILLABLE CODE

  • Use S72.146S 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).

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.