ICD-10-CM Code S72.499
Other fracture of lower end of unspecified femur
NON-BILLABLE
7th Character Required
|
ICD-10 from 2011 - 2016
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
Code requires 7th Character Extension identifier. This 7th Character usually captures Episode of Care information, such as "Initial Encounter," "Subsquent Encounter," or "Sequela."ICD Code S72.499 is a non-billable code. To code a diagnosis of this type, you must use specify a 7th character that describes the diagnosis 'other fracture of lower end 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 | S72.499A | initial encounter |
| B | S72.499B | initial encounter for open fracture type I or II |
| C | S72.499C | initial encounter for open fracture type IIIA, IIIB, or IIIC |
| D | S72.499D | subsequent encounter |
| E | S72.499E | subsequent encounter for open fracture type I or II with routine healing |
| F | S72.499F | subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing |
| G | S72.499G | subsequent encounter for closed fracture with delayed healing |
| H | S72.499H | subsequent encounter for open fracture type I or II with delayed healing |
| J | S72.499J | subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing |
| K | S72.499K | subsequent encounter for closed fracture with nonunion |
| M | S72.499M | subsequent encounter for open fracture type I or II with nonunion |
| N | S72.499N | subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion |
| P | S72.499P | subsequent encounter for closed fracture with malunion |
| Q | S72.499Q | subsequent encounter for open fracture type I or II with malunion |
| R | S72.499R | subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion |
| S | S72.499S | 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 InfoThe 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.
Coding Advice SNOMET-CT
- Episode of care information needed
- Possible requirement for an external cause code
- Consider laterality specification
Parent Code: S72.49 - Other fracture of lower end of femur