S72.499

Other fracture of lower end of unspecified femur

Header / non-billable

Choose the additional character

S72.499 needs more characters to be billable. Pick the specific code below.

S72.499AOther fracture of lower end of unspecified femur, initial encounter for closed fractureBillable
S72.499BOther fracture of lower end of unspecified femur, initial encounter for open fracture type I or IIBillable
S72.499COther fracture of lower end of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIICBillable
S72.499DOther fracture of lower end of unspecified femur, subsequent encounter for closed fracture with routine healingBillable
S72.499EOther fracture of lower end of unspecified femur, subsequent encounter for open fracture type I or II with routine healingBillable
S72.499FOther fracture of lower end of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healingBillable
S72.499GOther fracture of lower end of unspecified femur, subsequent encounter for closed fracture with delayed healingBillable
S72.499HOther fracture of lower end of unspecified femur, subsequent encounter for open fracture type I or II with delayed healingBillable
S72.499JOther fracture of lower end of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healingBillable
S72.499KOther fracture of lower end of unspecified femur, subsequent encounter for closed fracture with nonunionBillable
S72.499MOther fracture of lower end of unspecified femur, subsequent encounter for open fracture type I or II with nonunionBillable
S72.499NOther fracture of lower end of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunionBillable
S72.499POther fracture of lower end of unspecified femur, subsequent encounter for closed fracture with malunionBillable
S72.499QOther fracture of lower end of unspecified femur, subsequent encounter for open fracture type I or II with malunionBillable
S72.499ROther fracture of lower end of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunionBillable
S72.499SOther fracture of lower end of unspecified femur, sequelaBillable

This code does not map to a risk-adjusting HCC in the loaded models.

Coding notes

Excludes 1 never coded together · Excludes 2 may co-exist

Inherited from S72.4Fracture of lower end of femur

Excludes 2

fracture of shaft of femur (S72.3-) physeal fracture of lower end of femur (S79.1-)

Synonyms

Fracture of distal end of femur

Inherited from S72Fracture of femur

Excludes 1

traumatic amputation of hip and thigh (S78.-)

Excludes 2

fracture of lower leg and ankle (S82.-) fracture of foot (S92.-) periprosthetic fracture of prosthetic implant of hip (M97.0-)

7th character

The appropriate 7th character is to be added to all codes from category S72

Valid 7th characters and their meanings
Character	Meaning
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

Note

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

Inherited from S70-S79Injuries to the hip and thigh

Excludes 2

burns and corrosions (T20-T32) frostbite (T33-T34) snake bite (T63.0-) venomous insect bite or sting (T63.4-)

Inherited from chapter 19Injury, poisoning and certain other consequences of external causes

Excludes 2

birth trauma (P10-P15) obstetric trauma (O70-O71)

Use additional

code to identify any retained foreign body, if applicable (Z18.-)

Note

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. (T07-T88) Injury, poisoning and certain other consequences of external causes (T07-T88) (T20-T32) Burns and corrosions (T20-T32) Includes: burns (thermal) from electrical heating appliances burns (thermal) from electricity burns (thermal) from flame burns (thermal) from friction burns (thermal) from hot air and hot gases burns (thermal) from hot objects burns (thermal) from lightning burns (thermal) from radiation chemical burn [corrosion] (external) (internal) scalds Excludes2: erythema [dermatitis] ab igne (L59.0) radiation-related disorders of the skin and subcutaneous tissue (L55-L59) sunburn (L55.-)

Official Guidelines for S72.499

FY 2026 ›

I.C.19Chapter-specific guidanceChapter 19: Injury, poisoning, and certain other consequences of external causes (S00-T88)

Subsections

Sections that reference S72.499

Sections whose FY 2026 text names S72.499, its S72 category, or a range containing it — the chapter guidance above is the authoritative source.