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S72.22XS vs S78

S72.22XS (Displaced subtrochanteric fracture of left femur, sequela) compared with S78 (Traumatic amputation of hip and thigh), 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. S72.22XS carries an Excludes1 note covering S78: “traumatic amputation of hip and thigh (S78.-)”

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

S72.22XSDisplaced subtrochanteric fracture of left femur, sequelaS78Traumatic amputation of hip and thigh
Billing statusBillableNon-billable header

Report instead: S78.011A, S78.011D, S78.011S, S78.012A, S78.012D

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)
DefinitionDisplaced subtrochanteric fracture of left femur, sequela is a billable ICD-10-CM diagnosis code (S72.22S).Traumatic amputation of hip and thigh is a non-billable ICD-10-CM category code (S78).
7th characterThe appropriate 7th character is to be added to all codes from category S72The appropriate 7th character is to be added to each code from category S78
Includes
An amputation not identified as partial or complete should be coded to complete

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