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S72.101 vs S72.109

S72.101 (Unspecified trochanteric fracture of right femur) compared with S72.109 (Unspecified trochanteric fracture of unspecified femur), from the official CMS tabular data. S72.101 and S72.109 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

S72.101
Right
Unspecified trochanteric fracture of right femur
S72.109
Unspecified
Unspecified trochanteric fracture of unspecified femur

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. S72.101 and S72.109 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

S72.101Unspecified trochanteric fracture of right femurS72.109Unspecified trochanteric fracture of unspecified femur
Billing statusNon-billable header

Report instead: S72.101A, S72.101B, S72.101C, S72.101D, S72.101E

Non-billable header

Report instead: S72.109A, S72.109B, S72.109C, S72.109D, S72.109E

ClassificationS00-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)
DefinitionUnspecified trochanteric fracture of right femur is a non-billable ICD-10-CM category code (S72.101).Unspecified trochanteric fracture of unspecified femur is a non-billable ICD-10-CM category code (S72.109).
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