S72.35 Comminuted fracture of shaft of femur

Non-billable header with 6 child codes.

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

Codes under S72.35

• S72.351 Displaced comminuted fracture of shaft of right femur
• S72.352 Displaced comminuted fracture of shaft of left femur
• S72.353 Displaced comminuted fracture of shaft of unspecified femur
• S72.354 Nondisplaced comminuted fracture of shaft of right femur
• S72.355 Nondisplaced comminuted fracture of shaft of left femur
• S72.356 Nondisplaced comminuted fracture of shaft of unspecified femur

Code annotations containing back-references to S72.35

Back-references to S72.3

• Type 2 Excludes: S72.4 Fracture of lower end of femur ("fracture of shaft of femur (S72.3-)")

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.-)")

Diagnosis Index entries for S72.35

• Fracture, traumatic (abduction) (adduction) (separation) › femur, femoral › shaft (lower third) (middle third) (upper third) › comminuted (displaced)
• Fracture, traumatic (abduction) (adduction) (separation) › femur, femoral › shaft (lower third) (middle third) (upper third) › comminuted (displaced) › nondisplaced

Nearby codes

• S72.346N Nondisplaced spiral fracture of shaft of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
• S72.346P Nondisplaced spiral fracture of shaft of unspecified femur, subsequent encounter for closed fracture with malunion
• S72.346Q Nondisplaced spiral fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with malunion
• S72.346R Nondisplaced spiral fracture of shaft of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
• S72.346S Nondisplaced spiral fracture of shaft of unspecified femur, sequela
• S72.35 Comminuted fracture of shaft of femur (this code)
• S72.351 Displaced comminuted fracture of shaft of right femur
• S72.351A Displaced comminuted fracture of shaft of right femur, initial encounter for closed fracture
• S72.351B Displaced comminuted fracture of shaft of right femur, initial encounter for open fracture type I or II
• S72.351C Displaced comminuted fracture of shaft of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
• S72.351D Displaced comminuted fracture of shaft of right femur, subsequent encounter for closed fracture with routine healing