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ICD-10-CM Code S72.423
Displaced fracture of lateral condyle of unspecified femur

NON-BILLABLE
Non-Billable Code
Non-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail.
7th Character Required
7th Character Required
Code requires 7th Character Extension identifier. This 7th Character usually captures Episode of Care information, such as "Initial Encounter," "Subsquent Encounter," or "Sequela."
| ICD-10 from 2011 - 2016

ICD Code S72.423 is a non-billable code. To code a diagnosis of this type, you must use specify a 7th character that describes the diagnosis 'displaced fracture of lateral condyle of unspecified femur' in more detail. The 7th characters that can be added, and the resulting billable codes, are as follows:


7th Digit Billable Code 7th Digit Specifies
A S72.423A initial encounter
B S72.423B initial encounter for open fracture type I or II
C S72.423C initial encounter for open fracture type IIIA, IIIB, or IIIC
D S72.423D subsequent encounter
E S72.423E subsequent encounter for open fracture type I or II with routine healing
F S72.423F subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
G S72.423G subsequent encounter for closed fracture with delayed healing
H S72.423H subsequent encounter for open fracture type I or II with delayed healing
J S72.423J subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
K S72.423K subsequent encounter for closed fracture with nonunion
M S72.423M subsequent encounter for open fracture type I or II with nonunion
N S72.423N subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
P S72.423P subsequent encounter for closed fracture with malunion
Q S72.423Q subsequent encounter for open fracture type I or II with malunion
R S72.423R subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
S S72.423S sequela

What is 7th Character Extension?

For codes less than 6 characters that require a 7th character a placeholder 'X' should be assigned for all characters less than 6. The 7th character must always be the 7th position of a code. E.g. The ICD-10-CM code T67.4 (Heat exhaustion due to salt depletion) requires an Episode of Care identifier. T67.4XXA Initial Encounter or T67.4XXD Subsequent Encounter. More Info

The ICD code S724 is used to code Hoffa fracture

a hoffa fracture is an intra-articular supracondylar distal femoral fracture, characterized by a fracture in the coronal plane.

Source: Wikipedia

Related Concepts SNOMET-CT

  • Open fracture distal femur, lateral condyle (disorder)
  • Closed fracture distal femur, lateral condyle (disorder)

Coding Advice SNOMET-CT

  • Episode of care information needed
  • Possible requirement for an external cause code
  • Consider laterality specification

Parent Code: S72.42 - Fracture of lateral condyle of femur

** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/S72423