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S72.135A vs S72.135S

S72.135A (Nondisplaced apophyseal fracture of left femur, initial encounter for closed fracture) compared with S72.135S (Nondisplaced apophyseal fracture of left femur, sequela), from the official CMS tabular data. S72.135A and S72.135S code the same injury at a different phase of treatment. MedCoder-derived

Can these codes be reported together?

Review

Encounter relationship

S72.135A
Initial encounter
Nondisplaced apophyseal fracture of left femur, initial encounter for closed fracture
S72.135S
Sequela
Nondisplaced apophyseal fracture of left femur, sequela

What we found

Same injury, other encounter phase.S72.135A and S72.135S 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, sequelaCheck 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

S72.135ANondisplaced apophyseal fracture of left femur, initial encounter for closed fractureS72.135SNondisplaced apophyseal fracture of left femur, sequela
Billing statusBillableBillable
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)
DefinitionNondisplaced apophyseal fracture of left femur, initial encounter for closed fracture is a billable ICD-10-CM diagnosis code (S72.135A).Nondisplaced apophyseal fracture of left femur, sequela is a billable ICD-10-CM diagnosis code (S72.135S).
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
Excludes1
chronic (nontraumatic) slipped upper femoral epiphysis (M93.0-)
traumatic amputation of hip and thigh (S78.-)
chronic (nontraumatic) slipped upper femoral epiphysis (M93.0-)
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.

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