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S72.091B vs S72.099B

S72.091B (Other fracture of head and neck of right femur, initial encounter for open fracture type I or II) compared with S72.099B (Other fracture of head and neck of unspecified femur, initial encounter for open fracture type I or II), from the official CMS tabular data. S72.091B and S72.099B code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

S72.091B
Right
Other fracture of head and neck of right femur, initial encounter for open fracture type I or II
S72.099B
Unspecified
Other fracture of head and neck of unspecified femur, initial encounter for open fracture type I or II

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. S72.091B and S72.099B name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

S72.091BOther fracture of head and neck of right femur, initial encounter for open fracture type I or IIS72.099BOther fracture of head and neck of unspecified femur, initial encounter for open fracture type I or II
Billing statusBillableBillable
ClassificationS00-T88 — Injury, poisoning and certain other consequences of external causesS00-T88 — Injury, poisoning and certain other consequences of external causes
DefinitionOther fracture of head and neck of right femur, initial encounter for open fracture type I or II is a billable ICD-10-CM diagnosis code (S72.091B).Other fracture of head and neck of unspecified femur, initial encounter for open fracture type I or II is a billable ICD-10-CM diagnosis code (S72.099B).
7th characterThe appropriate 7th character is to be added to all codes from category S72The appropriate 7th character is to be added to all codes from category S72

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources