S79.191A Other physeal fracture of lower end of right femur, initial encounter for closed fracture

Billable ICD-10-CM code, FY2026.

Built from S79.191 with 7th character A (initial encounter for closed fracture).

Applies from S79 Other and unspecified injuries of hip and thigh

7th character note

• The appropriate 7th character is to be added to each code from subcategories S79.0 and S79.1

Notes

• A fracture not indicated as open or closed should be coded to closed

7th character required

• A — initial encounter for closed fracture
• D — subsequent encounter for fracture with routine healing
• G — subsequent encounter for fracture with delayed healing
• K — subsequent encounter for fracture with nonunion
• P — subsequent encounter for fracture with malunion
• S — sequela

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 S79.191A

Back-references to S79.1

• Type 2 Excludes: S72.0 Fracture of head and neck of femur ("physeal fracture of lower end of femur (S79.1-)")
• Type 2 Excludes: S72.4 Fracture of lower end of femur ("physeal fracture of lower end of femur (S79.1-)")

Nearby codes

• S79.149K Salter-Harris Type IV physeal fracture of lower end of unspecified femur, subsequent encounter for fracture with nonunion
• S79.149P Salter-Harris Type IV physeal fracture of lower end of unspecified femur, subsequent encounter for fracture with malunion
• S79.149S Salter-Harris Type IV physeal fracture of lower end of unspecified femur, sequela
• S79.19 Other physeal fracture of lower end of femur
• S79.191 Other physeal fracture of lower end of right femur
• S79.191A Other physeal fracture of lower end of right femur, initial encounter for closed fracture (this code)
• S79.191D Other physeal fracture of lower end of right femur, subsequent encounter for fracture with routine healing
• S79.191G Other physeal fracture of lower end of right femur, subsequent encounter for fracture with delayed healing
• S79.191K Other physeal fracture of lower end of right femur, subsequent encounter for fracture with nonunion
• S79.191P Other physeal fracture of lower end of right femur, subsequent encounter for fracture with malunion
• S79.191S Other physeal fracture of lower end of right femur, sequela