S72.023B Displaced fracture of epiphysis (separation) (upper) of unspecified femur, initial encounter for open fracture type I or II
Billable ICD-10-CM code, FY2026.
Built from S72.023 with 7th character B (initial encounter for open fracture type I or II).
Applies from S72 Fracture of femur
Excludes1 (never code together)
traumatic amputation of hip and thigh (S78.-)
Excludes2 (not included here)
fracture of lower leg and ankle (S82.-)
fracture of foot (S92.-)
periprosthetic fracture of prosthetic implant of hip (M97.0-)
7th character note
The appropriate 7th character is to be added to all codes from category S72
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
7th character required
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
Applies from S72.0 Fracture of head and neck of femur
Excludes2 (not included here)
physeal fracture of lower end of femur (S79.1-)
physeal fracture of upper end of femur (S79.0-)
Applies from S72.02 Fracture of epiphysis (separation) (upper) of femur
Applicable to
Transepiphyseal fracture of femur
Excludes1 (never code together)
capital femoral epiphyseal fracture (pediatric) of femur (S79.01-)
Salter-Harris Type I physeal fracture of upper end of femur (S79.01-)
Risk adjustment (HCC)
CMS-HCC V28: HCC 402 — Hip Fracture/Dislocation
CMS-HCC V22: HCC 170 — Hip Fracture/Dislocation
ESRD V24: HCC 170
Medicare Code Edits (MCE v43.1 (April 2026))
Unspecified code (laterality): Unspecified codes for which a more specific code identifying laterality (right, left, bilateral) exists within the same code family.
Code annotations containing back-references to S72.023B
Back-references to S72.0
Type 2 Excludes: S32 Fracture of lumbar spine and pelvis ("fracture of hip NOS (S72.0-)")
Type 1 Excludes: M84.4 Pathological fracture, not elsewhere classified ("traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)")
Type 1 Excludes: S71 Open wound of hip and thigh ("open fracture of hip and thigh (S72.-)")
Nearby codes
S72.022Q Displaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for open fracture type I or II with malunion
S72.022R Displaced fracture of epiphysis (separation) (upper) of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
S72.022S Displaced fracture of epiphysis (separation) (upper) of left femur, sequela
S72.023 Displaced fracture of epiphysis (separation) (upper) of unspecified femur
S72.023A Displaced fracture of epiphysis (separation) (upper) of unspecified femur, initial encounter for closed fracture
S72.023B Displaced fracture of epiphysis (separation) (upper) of unspecified femur, initial encounter for open fracture type I or II (this code)
S72.023C Displaced fracture of epiphysis (separation) (upper) of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
S72.023D Displaced fracture of epiphysis (separation) (upper) of unspecified femur, subsequent encounter for closed fracture with routine healing
S72.023E Displaced fracture of epiphysis (separation) (upper) of unspecified femur, subsequent encounter for open fracture type I or II with routine healing
S72.023F Displaced fracture of epiphysis (separation) (upper) of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
S72.023G Displaced fracture of epiphysis (separation) (upper) of unspecified femur, subsequent encounter for closed fracture with delayed healing