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S72.401A vs S72.402A

S72.401A (Unspecified fracture of lower end of right femur, initial encounter for closed fracture) compared with S72.402A (Unspecified fracture of lower end of left femur, initial encounter for closed fracture), from the official CMS tabular data. S72.401A and S72.402A code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S72.401A
Right
Unspecified fracture of lower end of right femur, initial encounter for closed fracture
S72.402A
Left
Unspecified fracture of lower end of left femur, initial encounter for closed fracture

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. S72.401A and S72.402A 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

S72.401AUnspecified fracture of lower end of right femur, initial encounter for closed fractureS72.402AUnspecified fracture of lower end of left femur, initial encounter for closed fracture
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)
DefinitionUnspecified fracture of lower end of right femur, initial encounter for closed fracture is a billable ICD-10-CM diagnosis code (S72.401A).Unspecified fracture of lower end of left femur, initial encounter for closed fracture is a billable ICD-10-CM diagnosis code (S72.402A).
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