S72.45 vs S78
S72.45 (Supracondylar fracture without intracondylar extension of lower end of femur) compared with S78 (Traumatic amputation of hip and thigh), 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 S78: “traumatic amputation of hip and thigh (S78.-)”
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 | S78Traumatic amputation of hip and thigh | |
|---|---|---|
| Billing status | Non-billable header Report instead: S72.451A, S72.451B, S72.451C, S72.451D, S72.451E | Non-billable header Report instead: S78.011A, S78.011D, S78.011S, S78.012A, S78.012D |
| 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). | Traumatic amputation of hip and thigh is a non-billable ICD-10-CM category code (S78). |
| 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 each code from category S78 |
| Includes | Supracondylar fracture of lower end of femur NOS | An amputation not identified as partial or complete should be coded to complete |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources