S72.13 vs S79.0
S72.13 (Apophyseal fracture of femur) compared with S79.0 (Physeal fracture of upper end of femur), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. S79.0 carries an Excludes1 note covering S72.13: “apophyseal fracture of upper end of femur (S72.13-)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| S72.13Apophyseal fracture of femur | S79.0Physeal fracture of upper end of femur | |
|---|---|---|
| Billing status | Non-billable header Report instead: S72.131A, S72.131B, S72.131C, S72.131D, S72.131E | 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 | Apophyseal fracture of femur is a non-billable ICD-10-CM category code (S72.13). | 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