1. Home
  2. ICD-10-CM Codes
  3. S00–T88
  4. S70-S79
  5. S72
  6. 2024 ICD-10-CM Code S72.42
Version 2024
Non-Billable Code

2024 ICD-10-CM Diagnosis Code S72.42

Fracture of lateral condyle of femur

ICD-10-CM Code:
S72.42
ICD-10 Code for:
Fracture of lateral condyle 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)

S72.42 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 lateral condyle 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 lateral condyle of femur

Non-specific codes like S72.42 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 lateral condyle of femur:

  • S72.421 for Displaced fracture of lateral condyle of right femur - NON-BILLABLE CODE

  • Use S72.421A for initial encounter for closed fracture - BILLABLE CODE

  • Use S72.421B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S72.421C for or IIIC - BILLABLE CODE

  • Use S72.421D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S72.421E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S72.421F for or IIIC with routine healing - BILLABLE CODE

  • Use S72.421G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S72.421H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S72.421J for or IIIC with delayed healing - BILLABLE CODE

  • Use S72.421K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S72.421M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S72.421N for or IIIC with nonunion - BILLABLE CODE

  • Use S72.421P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S72.421Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S72.421R for or IIIC with malunion - BILLABLE CODE

  • Use S72.421S for sequela - BILLABLE CODE

  • S72.422 for Displaced fracture of lateral condyle of left femur - NON-BILLABLE CODE

  • Use S72.422A for initial encounter for closed fracture - BILLABLE CODE

  • Use S72.422B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S72.422C for or IIIC - BILLABLE CODE

  • Use S72.422D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S72.422E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S72.422F for or IIIC with routine healing - BILLABLE CODE

  • Use S72.422G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S72.422H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S72.422J for or IIIC with delayed healing - BILLABLE CODE

  • Use S72.422K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S72.422M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S72.422N for or IIIC with nonunion - BILLABLE CODE

  • Use S72.422P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S72.422Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S72.422R for or IIIC with malunion - BILLABLE CODE

  • Use S72.422S for sequela - BILLABLE CODE

  • S72.423 for Displaced fracture of lateral condyle of unspecified femur - NON-BILLABLE CODE

  • Use S72.423A for initial encounter for closed fracture - BILLABLE CODE

  • Use S72.423B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S72.423C for or IIIC - BILLABLE CODE

  • Use S72.423D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S72.423E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S72.423F for or IIIC with routine healing - BILLABLE CODE

  • Use S72.423G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S72.423H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S72.423J for or IIIC with delayed healing - BILLABLE CODE

  • Use S72.423K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S72.423M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S72.423N for or IIIC with nonunion - BILLABLE CODE

  • Use S72.423P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S72.423Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S72.423R for or IIIC with malunion - BILLABLE CODE

  • Use S72.423S for sequela - BILLABLE CODE

  • S72.424 for Nondisplaced fracture of lateral condyle of right femur - NON-BILLABLE CODE

  • Use S72.424A for initial encounter for closed fracture - BILLABLE CODE

  • Use S72.424B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S72.424C for or IIIC - BILLABLE CODE

  • Use S72.424D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S72.424E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S72.424F for or IIIC with routine healing - BILLABLE CODE

  • Use S72.424G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S72.424H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S72.424J for or IIIC with delayed healing - BILLABLE CODE

  • Use S72.424K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S72.424M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S72.424N for or IIIC with nonunion - BILLABLE CODE

  • Use S72.424P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S72.424Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S72.424R for or IIIC with malunion - BILLABLE CODE

  • Use S72.424S for sequela - BILLABLE CODE

  • S72.425 for Nondisplaced fracture of lateral condyle of left femur - NON-BILLABLE CODE

  • Use S72.425A for initial encounter for closed fracture - BILLABLE CODE

  • Use S72.425B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S72.425C for or IIIC - BILLABLE CODE

  • Use S72.425D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S72.425E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S72.425F for or IIIC with routine healing - BILLABLE CODE

  • Use S72.425G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S72.425H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S72.425J for or IIIC with delayed healing - BILLABLE CODE

  • Use S72.425K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S72.425M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S72.425N for or IIIC with nonunion - BILLABLE CODE

  • Use S72.425P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S72.425Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S72.425R for or IIIC with malunion - BILLABLE CODE

  • Use S72.425S for sequela - BILLABLE CODE

  • S72.426 for Nondisplaced fracture of lateral condyle of unspecified femur - NON-BILLABLE CODE

  • Use S72.426A for initial encounter for closed fracture - BILLABLE CODE

  • Use S72.426B for initial encounter for open fracture type I or II - BILLABLE CODE

  • Use S72.426C for or IIIC - BILLABLE CODE

  • Use S72.426D for subsequent encounter for closed fracture with routine healing - BILLABLE CODE

  • Use S72.426E for subsequent encounter for open fracture type I or II with routine healing - BILLABLE CODE

  • Use S72.426F for or IIIC with routine healing - BILLABLE CODE

  • Use S72.426G for subsequent encounter for closed fracture with delayed healing - BILLABLE CODE

  • Use S72.426H for subsequent encounter for open fracture type I or II with delayed healing - BILLABLE CODE

  • Use S72.426J for or IIIC with delayed healing - BILLABLE CODE

  • Use S72.426K for subsequent encounter for closed fracture with nonunion - BILLABLE CODE

  • Use S72.426M for subsequent encounter for open fracture type I or II with nonunion - BILLABLE CODE

  • Use S72.426N for or IIIC with nonunion - BILLABLE CODE

  • Use S72.426P for subsequent encounter for closed fracture with malunion - BILLABLE CODE

  • Use S72.426Q for subsequent encounter for open fracture type I or II with malunion - BILLABLE CODE

  • Use S72.426R for or IIIC with malunion - BILLABLE CODE

  • Use S72.426S 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).

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.