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S72.355 vs S72.356

S72.355 (Nondisplaced comminuted fracture of shaft of left femur) compared with S72.356 (Nondisplaced comminuted fracture of shaft of unspecified femur), from the official CMS tabular data. S72.355 and S72.356 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S72.355
Left
Nondisplaced comminuted fracture of shaft of left femur
S72.356
Unspecified
Nondisplaced comminuted fracture of shaft 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. S72.355 and S72.356 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

S72.355Nondisplaced comminuted fracture of shaft of left femurS72.356Nondisplaced comminuted fracture of shaft of unspecified femur
Billing statusNon-billable header

Report instead: S72.355A, S72.355B, S72.355C, S72.355D, S72.355E

Non-billable header

Report instead: S72.356A, S72.356B, S72.356C, S72.356D, S72.356E

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 comminuted fracture of shaft of left femur is a non-billable ICD-10-CM category code (S72.355).Nondisplaced comminuted fracture of shaft of unspecified femur is a non-billable ICD-10-CM category code (S72.356).
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