S72.45 vs S72.46
S72.45 (Supracondylar fracture without intracondylar extension of lower end of femur) compared with S72.46 (Supracondylar fracture with intracondylar extension of lower end of femur), 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. S72.45 carries an Excludes1 note covering S72.46: “supracondylar fracture with intracondylar extension of lower end of femur (S72.46-)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
No — do not report together. S72.46 carries an Excludes1 note covering S72.45: “supracondylar fracture without intracondylar extension of lower end of femur (S72.45-)”
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
| S72.45Supracondylar fracture without intracondylar extension of lower end of femur | S72.46Supracondylar fracture with intracondylar extension of lower end of femur | |
|---|---|---|
| Billing status | Non-billable header Report instead: S72.451A, S72.451B, S72.451C, S72.451D, S72.451E | Non-billable header Report instead: S72.461A, S72.461B, S72.461C, S72.461D, S72.461E |
| Classification | S00-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) |
| Definition | Supracondylar fracture without intracondylar extension of lower end of femur is a non-billable ICD-10-CM category code (S72.45). | Supracondylar fracture with intracondylar extension of lower end of femur is a non-billable ICD-10-CM category code (S72.46). |
| 7th character | The appropriate 7th character is to be added to all codes from category S72 | The appropriate 7th character is to be added to all codes from category S72 |
| Includes | Supracondylar fracture of lower end of femur NOS | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources