ICD-10-CM › S72 › S72.1 › S72.13 › S72.131 S72.131B Displaced apophyseal fracture of right femur, initial encounter for open fracture type I or IIBillable ICD-10-CM code, FY2026.
Built from S72.131 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 fractureB — initial encounter for open fracture type I or IIC — initial encounter for open fracture type IIIA, IIIB, or IIICD — subsequent encounter for closed fracture with routine healingE — subsequent encounter for open fracture type I or II with routine healingF — subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healingG — subsequent encounter for closed fracture with delayed healingH — subsequent encounter for open fracture type I or II with delayed healingJ — subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healingK — subsequent encounter for closed fracture with nonunionM — subsequent encounter for open fracture type I or II with nonunionN — subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunionP — subsequent encounter for closed fracture with malunionQ — subsequent encounter for open fracture type I or II with malunionR — subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunionS — sequelaApplies from S72.13 Apophyseal fracture of femur Excludes1 (never code together) chronic (nontraumatic) slipped upper femoral epiphysis (M93.0-) Risk adjustment (HCC) CMS-HCC V28: HCC 402 — Hip Fracture/Dislocation CMS-HCC V22: HCC 170 — Hip Fracture/Dislocation ESRD V24: HCC 170 Code annotations containing back-references to S72.131B Back-references to S72.13 Type 1 Excludes: S79.0 Physeal fracture of upper end of femur ("apophyseal fracture of upper end of femur (S72.13-)") Back-references to S72 Type 1 Excludes: M84.3 Stress fracture ("traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)") 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 S72.126R Nondisplaced fracture of lesser trochanter of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunionS72.126S Nondisplaced fracture of lesser trochanter of unspecified femur, sequelaS72.13 Apophyseal fracture of femurS72.131 Displaced apophyseal fracture of right femurS72.131A Displaced apophyseal fracture of right femur, initial encounter for closed fractureS72.131B Displaced apophyseal fracture of right femur, initial encounter for open fracture type I or II (this code)S72.131C Displaced apophyseal fracture of right femur, initial encounter for open fracture type IIIA, IIIB, or IIICS72.131D Displaced apophyseal fracture of right femur, subsequent encounter for closed fracture with routine healingS72.131E Displaced apophyseal fracture of right femur, subsequent encounter for open fracture type I or II with routine healingS72.131F Displaced apophyseal fracture of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healingS72.131G Displaced apophyseal fracture of right femur, subsequent encounter for closed fracture with delayed healing