S72.91
Unspecified fracture of right femur
S72.91 is a non-billable ICD-10-CM code header for unspecified fracture of right femur. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. A 7th character is required to complete the code. Its coding notes include a Use additional code instruction, 2 Excludes1 entries and 9 Excludes2 entries.
7th character
Category S72 requires a 7th character. S72.91 has only 5 characters, so a placeholder X fills the 6th position.
Guidelines tips
From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.
A fracture not stated as open or closed is coded closed, and one not stated as displaced or not displaced is coded displaced. Nonunion and malunion have their own 7th characters.
The 7th character depends on whether the patient is in active treatment, not on who sees the patient. An aftercare Z code is not used for injury aftercare.
Each injury gets its own code unless a combination code exists, with the most serious injury first. Superficial injuries at the same site as a more severe injury are not coded. Injuries during medical care are coded as complications.
Use additional code
Add the listed code as a secondary code, if known.
Also from chapter/block level (1 note)
- code to identify any retained foreign body, if applicable (Z18.-)
Excludes1
Not coded here. The listed conditions generally should not be reported together.
Excludes2
Not included here. Both codes may be reported if the patient has both conditions.
Also from chapter/block level (6 notes)
- birth trauma (P10-P15)
- obstetric trauma (O70-O71)
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
Also from chapter/block level (2 notes)
- 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.
7th-character codes under S72.91 16
- 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