S72.0 vs S79.0
S72.0 (Fracture of head and neck of femur) compared with S79.0 (Physeal fracture of upper end of femur), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. S72.0 carries an Excludes2 note covering S79.0: “physeal fracture of upper end of femur (S79.0-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| S72.0Fracture of head and neck of femur | S79.0Physeal fracture of upper end of femur | |
|---|---|---|
| Billing status | Non-billable header Report instead: S72.001A, S72.001B, S72.001C, S72.001D, S72.001E | Non-billable header Report instead: S79.001A, S79.001D, S79.001G, S79.001K, S79.001P |
| Classification | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) |
| Definition | Fracture of head and neck of femur is a non-billable ICD-10-CM category code (S72.0). | Physeal fracture of upper end of femur is a non-billable ICD-10-CM category code (S79.0). |
| 7th character | The appropriate 7th character is to be added to all codes from category S72 | The appropriate 7th character is to be added to each code from subcategories S79.0 and S79.1 |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources