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S72.362H vs S72.363H

S72.362H (Displaced segmental fracture of shaft of left femur, subsequent encounter for open fracture type I or II with delayed healing) compared with S72.363H (Displaced segmental fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with delayed healing), from the official CMS tabular data. S72.362H and S72.363H code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S72.362H
Left
Displaced segmental fracture of shaft of left femur, subsequent encounter for open fracture type I or II with delayed healing
S72.363H
Unspecified
Displaced segmental fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with delayed healing

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. S72.362H and S72.363H 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

S72.362HDisplaced segmental fracture of shaft of left femur, subsequent encounter for open fracture type I or II with delayed healingS72.363HDisplaced segmental fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with delayed healing
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)
DefinitionDisplaced segmental fracture of shaft of left femur, subsequent encounter for open fracture type I or II with delayed healing is a billable ICD-10-CM diagnosis code (S72.362H).Displaced segmental fracture of shaft of unspecified femur, subsequent encounter for open fracture type I or II with delayed healing is a billable ICD-10-CM diagnosis code (S72.363H).
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