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S72.445F vs S72.446F

S72.445F (Nondisplaced fracture of lower epiphysis (separation) of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing) compared with S72.446F (Nondisplaced fracture of lower epiphysis (separation) of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing), from the official CMS tabular data. S72.445F and S72.446F code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S72.445F
Left
Nondisplaced fracture of lower epiphysis (separation) of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
S72.446F
Unspecified
Nondisplaced fracture of lower epiphysis (separation) of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine 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. S72.445F and S72.446F 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

S72.445FNondisplaced fracture of lower epiphysis (separation) of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healingS72.446FNondisplaced fracture of lower epiphysis (separation) of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine 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)
DefinitionNondisplaced fracture of lower epiphysis (separation) of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing is a billable ICD-10-CM diagnosis code (S72.445F).Nondisplaced fracture of lower epiphysis (separation) of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing is a billable ICD-10-CM diagnosis code (S72.446F).
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