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S72.91XC vs S72.92XC

S72.91XC (Unspecified fracture of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC) compared with S72.92XC (Unspecified fracture of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC), from the official CMS tabular data. S72.91XC and S72.92XC code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S72.91XC
Right
Unspecified fracture of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
↔
S72.92XC
Left
Unspecified fracture of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC

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. S72.91XC and S72.92XC 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

S72.91XCUnspecified fracture of right femur, initial encounter for open fracture type IIIA, IIIB, or IIICS72.92XCUnspecified fracture of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
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 right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC is a billable ICD-10-CM diagnosis code (S72.91C).Unspecified fracture of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC is a billable ICD-10-CM diagnosis code (S72.92C).
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
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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources