S72.91
Unspecified fracture of right femur
Choose the additional character
S72.91 needs more characters to be billable. Pick the specific code below.
- S72.91XAUnspecified fracture of right femur, initial encounter for closed fractureBillable
- S72.91XBUnspecified fracture of right femur, initial encounter for open fracture type I or IIBillable
- S72.91XCUnspecified fracture of right femur, initial encounter for open fracture type IIIA, IIIB, or IIICBillable
- S72.91XDUnspecified fracture of right femur, subsequent encounter for closed fracture with routine healingBillable
- S72.91XEUnspecified fracture of right femur, subsequent encounter for open fracture type I or II with routine healingBillable
- S72.91XFUnspecified fracture of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healingBillable
- S72.91XGUnspecified fracture of right femur, subsequent encounter for closed fracture with delayed healingBillable
- S72.91XHUnspecified fracture of right femur, subsequent encounter for open fracture type I or II with delayed healingBillable
- S72.91XJUnspecified fracture of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healingBillable
- S72.91XKUnspecified fracture of right femur, subsequent encounter for closed fracture with nonunionBillable
- S72.91XMUnspecified fracture of right femur, subsequent encounter for open fracture type I or II with nonunionBillable
- S72.91XNUnspecified fracture of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunionBillable
- S72.91XPUnspecified fracture of right femur, subsequent encounter for closed fracture with malunionBillable
- S72.91XQUnspecified fracture of right femur, subsequent encounter for open fracture type I or II with malunionBillable
- S72.91XRUnspecified fracture of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunionBillable
- S72.91XSUnspecified fracture of right 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
traumatic amputation of hip and thigh (S78.-)
fracture of lower leg and ankle (S82.-) fracture of foot (S92.-) periprosthetic fracture of prosthetic implant of hip (M97.0-)
The appropriate 7th character is to be added to all codes from category S72
| 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 |
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
code to identify any retained foreign body, if applicable (Z18.-)
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 S72.91
FY 2026 ›Subsections
- I.C.19.aApplication of 7th Characters in Chapter 19
- I.C.19.bCoding of Injuries
- I.C.19.cCoding of Traumatic Fractures
- I.C.19.dCoding of Burns and Corrosions
- I.C.19.eAdverse Effects, Poisoning, Underdosing and Toxic Effects
- I.C.19.fAdult and child abuse, neglect and other maltreatment
- I.C.19.gComplications of care
Sections that reference S72.91
- I.C.19.cCoding of Traumatic Fractures
… individually by site in accordance with both the provisions within categories S02, S12, S22, S32, S42, S49, S52, S59, S62, S72, S79, S82, S89, S92 and the level of detail furnished by medical record content. …
- II.KAdmissions/Encounters for RehabilitationSelection of principal diagnosis
… If the patient requires rehabilitation post hip replacement for right intertrochanteric femur fracture, report code S72.141D, Displaced intertrochanteric fracture of right femur, subsequent encounter for closed fracture with routine healing, as the …
- I.C.19.bCoding of Injuries
… Traumatic injury codes (S00- T14.9) are not to be used for normal, healing surgical wounds or to identify complications of surgical wounds. …
Sections whose FY 2026 text names S72.91, its S72 category, or a range containing it — the chapter guidance above is the authoritative source.