ICD-10-CM 7th Character Values · FY 2027 6 Values

7th Character Values: Closed Fracture Encounter ICD-10-CM

Encounter and healing status for fractures coded as closed: initial encounter, subsequent encounter with routine healing, delayed healing, nonunion or malunion, and sequela. In FY 2027 18 categories use this set, covering 1,314 complete codes.

✓ From the official FY 2027 ICD-10-CM Tabular ListDefinitions follow the Official Guidelines, Section I.A

Values

What Each Value Means 6 values

Character	Meaning
A	initial encounter for closed fracture
D	subsequent encounter for fracture with routine healing
G	subsequent encounter for fracture with delayed healing
K	subsequent encounter for fracture with nonunion
P	subsequent encounter for fracture with malunion
S	sequela

ICD-10-CM

Categories That Use These Values 18 categories

18 of 18 shown

Category	Title	Chapter	Codes
S42.27	Torus fracture of upper end of humerus	Ch. 19	18
S42.31	Greenstick fracture of shaft of humerus	Ch. 19	18
S42.48	Torus fracture of lower end of humerus	Ch. 19	18
S49	Other and unspecified injuries of shoulder and upper arm	Ch. 19	216
S52.01	Torus fracture of upper end of ulna	Ch. 19	18
S52.11	Torus fracture of upper end of radius	Ch. 19	18
S52.21	Greenstick fracture of shaft of ulna	Ch. 19	18
S52.31	Greenstick fracture of shaft of radius	Ch. 19	18
S52.52	Torus fracture of lower end of radius	Ch. 19	18
S52.62	Torus fracture of lower end of ulna	Ch. 19	18
S59	Other and unspecified injuries of elbow and forearm	Ch. 19	324
S72.47	Torus fracture of lower end of femur	Ch. 19	18
S79	Other and unspecified injuries of hip and thigh	Ch. 19	162
S82.16	Torus fracture of upper end of tibia	Ch. 19	18
S82.31	Torus fracture of lower end of tibia	Ch. 19	18
S82.81	Torus fracture of upper end of fibula	Ch. 19	18
S82.82	Torus fracture of lower end of fibula	Ch. 19	18
S89	Other and unspecified injuries of lower leg	Ch. 19	360

Every code under these categories takes one of the values above in the seventh position, with X placeholders when the code is shorter than six characters. For example, a code under S42.27 ends in A for initial encounter for closed fracture. “Codes” counts the complete 7-character codes.

Other 7th Character Value Sets

Encounter: Initial, Subsequent, Sequela Eye Laterality Fetus Identification Glaucoma Stage Pathological Fracture Encounter Open or Closed Fracture Encounter Coma Scale Timing Skull, Spine and Pelvis Fracture Encounter Open Fracture Type Encounter Retinal Vein Occlusion Status Vertebral Fracture Encounter Dry Macular Degeneration Stage Wet Macular Degeneration Stage Chronic Gout Tophus

Questions About These 7th Characters

What do the 7th characters A, D, G, K, P, S mean?

In this set: A (initial encounter for closed fracture); D (subsequent encounter for fracture with routine healing); G (subsequent encounter for fracture with delayed healing); K (subsequent encounter for fracture with nonunion); P (subsequent encounter for fracture with malunion); S (sequela).

Which ICD-10-CM categories use the Closed Fracture Encounter 7th characters?

18 categories and subcategories use them in FY 2027, covering 1,314 codes. The table above lists each one with its chapter and code count.

What if the code is shorter than six characters?

Fill the empty positions with the placeholder X so the 7th character is in the seventh position. A code that requires a 7th character is invalid without it (Sections I.A.4 and I.A.5).

Related References

ICD-10-CM Official Guidelines ICD-10-CM Code Lookup ICD-10-CM Codes List Code Lists by Tag

Source: FY 2027 ICD-10-CM Tabular List (CMS and NCHS) and the ICD-10-CM Official Guidelines for Coding and Reporting FY 2027, Section I.A. ICD List is not affiliated with CMS or NCHS.