S72.111A vs S72.111Q

S72.111A (Displaced fracture of greater trochanter of right femur, initial encounter for closed fracture) compared with S72.111Q (Displaced fracture of greater trochanter of right femur, subsequent encounter for open fracture type I or II with malunion), from the official CMS tabular data. S72.111A and S72.111Q code the same injury at a different phase of treatment. MedCoder-derived

Can these codes be reported together?

Review

Encounter relationship

S72.111A

Initial encounter

Displaced fracture of greater trochanter of right femur, initial encounter for closed fracture

↔

S72.111Q

Subsequent encounter

Displaced fracture of greater trochanter of right femur, subsequent encounter for open fracture type I or II with malunion

What we found

Same injury, other encounter phase.S72.111A and S72.111Q code the same injury at a different phase of treatment, set by the 7th character.

The 7th character records the type of care given at the encounter being coded (ICD-10-CM Official Guidelines, Section I.C.19.a), so one encounter takes one of these, not both.

What to review

Use the 7th character that matches the encounter being coded (initial, subsequent or sequela); one encounter takes one of them.

Guide: 7th characters: initial, subsequent, sequela Check these on a claim

Why it matters

The 7th character records the phase of care for the encounter being coded, so a single encounter takes one of these characters, not several. Review whether both phases belong on the same episode of care.

Source / rule

ICD-10-CM Official Guidelines, Section I.C.19.a

Side by side

	S72.111ADisplaced fracture of greater trochanter of right femur, initial encounter for closed fracture	S72.111QDisplaced fracture of greater trochanter of right femur, subsequent encounter for open fracture type I or II with malunion
Billing status	Billable	Billable
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	Displaced fracture of greater trochanter of right femur, initial encounter for closed fracture is a billable ICD-10-CM diagnosis code (S72.111A).	Displaced fracture of greater trochanter of right femur, subsequent encounter for open fracture type I or II with malunion is a billable ICD-10-CM diagnosis code (S72.111Q).
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 all codes from category S72
Excludes1	traumatic amputation of hip and thigh (S78.-)	traumatic amputation of hip and thigh (S78.-)
Excludes2	fracture of lower leg and ankle (S82.-) fracture of foot (S92.-) periprosthetic fracture of prosthetic implant of hip (M97.0-) burns and corrosions (T20-T32) frostbite (T33-T34) snake bite (T63.0-) venomous insect bite or sting (T63.4-)	fracture of lower leg and ankle (S82.-) fracture of foot (S92.-) periprosthetic fracture of prosthetic implant of hip (M97.0-) burns and corrosions (T20-T32) frostbite (T33-T34) snake bite (T63.0-) venomous insect bite or sting (T63.4-)

Notes are the code’s own tabular entry, quoted as published. A note that names the other code is the one the verdict above rests on.

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Derived from the official CMS ICD-10-CM tabular data (FY2026). A coding-rule comparison, not billing advice: payer-specific edits and medical-necessity policy are outside its scope. All data sources