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

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

Fracture encounter status that also distinguishes an initial encounter for a closed fracture (A) from an open fracture (B). In FY 2027 6 categories use this set, covering 5,019 complete codes.

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

Values

What Each Value Means 7 values

Character	Meaning
A	initial encounter for closed fracture
B	initial encounter for open 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 6 categories

Category	Title	Chapter	Codes
S42	Fracture of shoulder and upper arm	Ch. 19	1,344
S62	Fracture at wrist and hand level	Ch. 19	1,911
S92	Fracture of foot and toe, except ankle	Ch. 19	1,386
S99.0	Physeal fracture of calcaneus	Ch. 19	126
S99.1	Physeal fracture of metatarsal	Ch. 19	126
S99.2	Physeal fracture of phalanx of toe	Ch. 19	126

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 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 Closed Fracture Encounter Fetus Identification Glaucoma Stage Pathological 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, B, D, G, K, P, S mean?

In this set: A (initial encounter for closed fracture); B (initial encounter for open 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 Open or Closed Fracture Encounter 7th characters?

6 categories and subcategories use them in FY 2027, covering 5,019 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.