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S72.491Non-billableSave

S72.491 - Other fracture of lower end of right femur

ICD-10-CM Chapter 19: Injury, poisoning and certain other consequences of external causes · S70-S79 Injuries to the hip and thigh (S70-S79) · Subcategory of S72.49 · FY2027

Coding Guidance

S72.491 requires a 7th character. Report the code below that matches the documentation, for example A for initial encounter for closed fracture, B for initial encounter for open fracture type I or II, C for initial encounter for open fracture type IIIA, IIIB, or IIIC.

7th Character

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

Includes, Excludes and Coding Notes

Excludes 2 — Not Included HereFrom S72.4

Not part of this code; report both codes when the patient has both conditions.

  • fracture of shaft of femur (S72.3-)
  • physeal fracture of lower end of femur (S79.1-)
Excludes 1 — Not Coded HereFrom S72

Mutually exclusive: these conditions are never reported together with this code.

  • traumatic amputation of hip and thigh (S78.-)
Excludes 2 — Not Included HereFrom S72

Not part of this code; report both codes when the patient has both conditions.

  • fracture of lower leg and ankle (S82.-)
  • fracture of foot (S92.-)
  • periprosthetic fracture of prosthetic implant of hip (M97.0-)
NotesFrom S72

Instructional notes from the ICD-10-CM tabular list.

  • 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
Excludes 2 — Not Included HereFrom S70-S79 Injuries to the hip and thigh (S70-S79)

Not part of this code; report both codes when the patient has both conditions.

  • burns and corrosions (T20-T32)
  • frostbite (T33-T34)
  • snake bite (T63.0-)
  • venomous insect bite or sting (T63.4-)
Excludes 2 — Not Included HereFrom Chapter S00-T88

Not part of this code; report both codes when the patient has both conditions.

  • birth trauma (P10-P15)
  • obstetric trauma (O70-O71)
Use Additional CodeFrom Chapter S00-T88

Add a secondary code to identify the associated condition or cause when it is documented.

  • code to identify any retained foreign body, if applicable (Z18.-)
NotesFrom Chapter S00-T88

Instructional notes from the ICD-10-CM tabular list.

  • 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.

More Specific Codes (16)

S72.491AOther fracture of lower end of right femur, initial encounter for closed fracture→S72.491BOther fracture of lower end of right femur, initial encounter for open fracture type I or II→S72.491COther fracture of lower end of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC→S72.491DOther fracture of lower end of right femur, subsequent encounter for closed fracture with routine healing→S72.491EOther fracture of lower end of right femur, subsequent encounter for open fracture type I or II with routine healing→S72.491FOther fracture of lower end of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing→S72.491GOther fracture of lower end of right femur, subsequent encounter for closed fracture with delayed healing→S72.491HOther fracture of lower end of right femur, subsequent encounter for open fracture type I or II with delayed healing→S72.491JOther fracture of lower end of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing→S72.491KOther fracture of lower end of right femur, subsequent encounter for closed fracture with nonunion→S72.491MOther fracture of lower end of right femur, subsequent encounter for open fracture type I or II with nonunion→S72.491NOther fracture of lower end of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion→S72.491POther fracture of lower end of right femur, subsequent encounter for closed fracture with malunion→S72.491QOther fracture of lower end of right femur, subsequent encounter for open fracture type I or II with malunion→S72.491ROther fracture of lower end of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion→S72.491SOther fracture of lower end of right femur, sequela→

Related condition guides

Documentation requirements, coding pitfalls and FAQs for conditions coded with S72.491.