S72
Fracture of femur
7th Character Required
The appropriate 7th character is to be added to all codes from category S72
A - initial encounter for closed fracture
B - initial encounter for open fracture type I or II
C - initial encounter for open fracture type IIIA, IIIB, or IIIC
D - subsequent encounter for closed fracture with routine healing
E - subsequent encounter for open fracture type I or II with routine healing
F - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
G - subsequent encounter for closed fracture with delayed healing
H - subsequent encounter for open fracture type I or II with delayed healing
J - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
K - subsequent encounter for closed fracture with nonunion
M - subsequent encounter for open fracture type I or II with nonunion
N - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
P - subsequent encounter for closed fracture with malunion
Q - subsequent encounter for open fracture type I or II with malunion
R - subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
S - sequela
Coding Guidelines
Excludes1 (Mutually Exclusive)
These codes should never be used together with S72
- traumatic amputation of hip and thigh (S78.-)
Excludes2 (Not Included Here)
These conditions are not part of this code but may be reported additionally if documented
- fracture of lower leg and ankle (S82.-)
- fracture of foot (S92.-)
- periprosthetic fracture of prosthetic implant of hip (M97.0-)
Notes
- A fracture not indicated as displaced or nondisplaced should be coded to displaced
- A fracture not indicated as open or closed should be coded to closed
- The open fracture designations are based on the Gustilo open fracture classification


