ICD-10 CM Code S72.446
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S72 Fracture of femur
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S72.4 Fracture of lower end of femur
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S72.44 Fracture of lower epiphysis (separation) of femur
S72.446
Nondisplaced fracture of lower epiphysis (separation) of unspecified femur
Inclusion Term
- Fracture of distal end of femur
Excludes Type 1
- Salter-Harris Type I physeal fracture of lower end of femur (S79.11-)
- traumatic amputation of hip and thigh (S78.-)
Excludes Type 2
- fracture of shaft of femur (S72.3-)
- physeal fracture of lower end of femur (S79.1-)
- 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
- 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
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