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S72.413C

Displaced unspecified condyle fracture of lower end of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC

Billable FY2026 2025-10-01 → 2026-09-30
This is the unspecified option. 15 more specific codes sit alongside it. Worth checking whether the documentation supports one of them.
Exclusions 12 never code together
S72.4code
Excludes2
  • fracture of shaft of femur (S72.3-)S72.3-
  • physeal fracture of lower end of femur (S79.1-)S79.1-
S72code
Excludes1
  • traumatic amputation of hip and thigh (S78.-)S78.-
Excludes2
  • fracture of lower leg and ankle (S82.-)S82.-
  • fracture of foot (S92.-)S92.-
  • periprosthetic fracture of prosthetic implant of hip (M97.0-)M97.0-
S70-S79block
Excludes2
  • burns and corrosions (T20-T32)T20-T32
  • frostbite (T33-T34)T33-T34
  • snake bite (T63.0-)T63.0-
  • venomous insect bite or sting (T63.4-)T63.4-
S00-T88chapter
Excludes2

Excludes1 — never code together. The excluded condition and this one are mutually exclusive.

Excludes2 — not included here, but the patient may have both. Code both when documented.

7th character 16
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 this code
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
Instructional notes 7
S72code
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
S72.4code
Inclusion terms
  • Fracture of distal end of femur
S00-T88chapter
Notes
  • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
  • The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.
Use additional code
  • code to identify any retained foreign body, if applicable (Z18.-)Z18.-
Index entries leading here 1
  • Fracture, traumatic (abduction) (adduction) (separation) T14.8
Alongside this code 15 same parent — S72.413
Additional references
AHA Coding Clinic® Licence required

Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.

Risk adjustment

CMS22HCC170 CMS28HCC402 ESRD21HCC170 ESRD24HCC170

Presence is a property of the code. Untick a model to hide it everywhere.

This code

Billable
yes
Code set
FY2026
Parent
S72.413
Block
S70-S79
Siblings
15

Present FY2024–FY2027.