S72.23XF ICD-10-CM Code: Displaced subtrochanteric fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Inpatient Payment Groups (MS-DRG)
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.
- MS-DRG 559 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC (MDC 08)
- MS-DRG 560 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC (MDC 08)
- MS-DRG 561 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC (MDC 08)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for S72.23XF in the official ICD-10-CM tabular list.
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- traumatic amputation of hip and thigh (S78.-) Compare S72.23XF vs S78 →
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- fracture of lower leg and ankle (S82.-) Compare S72.23XF vs S82 →
- fracture of foot (S92.-) Compare S72.23XF vs S92 →
- periprosthetic fracture of prosthetic implant of hip (M97.0-) Compare S72.23XF vs M97.0 →
- burns and corrosions (T20-T32) Compare S72.23XF vs T20 →
- frostbite (T33-T34) Compare S72.23XF vs T33 →
- snake bite (T63.0-) Compare S72.23XF vs T63.0 →
- venomous insect bite or sting (T63.4-) Compare S72.23XF vs T63.4 →
Frequently Compared Codes
The official Excludes notes on S72.23XF name these codes. Each comparison page covers when the two can — or must not — be reported together.
Change history
No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.
Verify Before Coding
- No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.
Relationships & Classification
Other codes that name S72.23XF or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
3 Excludes1 notes across 2 chapters: M84.3 (via S72.-), M84.4 (via S72.-), S71 (via S72.-).
Potential MS-DRG Relationships (FY2026)
Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.
Named in the grouper logic of 3 MS-DRGs: DRG 559 (MDC 08), DRG 560 (MDC 08), DRG 561 (MDC 08).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Clinical classification (AHRQ CCSR):INJ043 — Fracture of the neck of the femur (hip), subsequent encounter (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Related Codes
Same condition, opposite side
Same category and title, differing only in which side of the body is affected.
S72.21XF — Displaced subtrochanteric fracture of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing (right), S72.22XF — Displaced subtrochanteric fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing (left)
Same injury, other encounter phase
Same injury, coded at a different phase of treatment via the 7th character.
S72.23XA — Displaced subtrochanteric fracture of unspecified femur, initial encounter for closed fracture, S72.23XB — Displaced subtrochanteric fracture of unspecified femur, initial encounter for open fracture type I or II, S72.23XC — Displaced subtrochanteric fracture of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC, S72.23XD — Displaced subtrochanteric fracture of unspecified femur, subsequent encounter for closed fracture with routine healing, S72.23XE — Displaced subtrochanteric fracture of unspecified femur, subsequent encounter for open fracture type I or II with routine healing, S72.23XG — Displaced subtrochanteric fracture of unspecified femur, subsequent encounter for closed fracture with delayed healing, S72.23XH — Displaced subtrochanteric fracture of unspecified femur, subsequent encounter for open fracture type I or II with delayed healing, S72.23XJ — Displaced subtrochanteric fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing, S72.23XK — Displaced subtrochanteric fracture of unspecified femur, subsequent encounter for closed fracture with nonunion, S72.23XM — Displaced subtrochanteric fracture of unspecified femur, subsequent encounter for open fracture type I or II with nonunion, S72.23XN — Displaced subtrochanteric fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion, S72.23XP — Displaced subtrochanteric fracture of unspecified femur, subsequent encounter for closed fracture with malunion, S72.23XQ — Displaced subtrochanteric fracture of unspecified femur, subsequent encounter for open fracture type I or II with malunion, S72.23XR — Displaced subtrochanteric fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion, S72.23XS — Displaced subtrochanteric fracture of unspecified femur, sequela
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Fracture of the neck of the femur (hip), subsequent encounter).
Contextual Map
Every relationship of S72.23XF in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
- S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88) [Hierarchy]
- S70-S79 — Injuries to the hip and thigh [Hierarchy]
Referenced by Excludes1 notes
- M84.3 — Stress fracture [Excludes1](via S72.-): “traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)” · check together
- M84.4 — Pathological fracture, not elsewhere classified [Excludes1](via S72.-): “traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)” · check together
- S71 — Open wound of hip and thigh [Excludes1](via S72.-): “open fracture of hip and thigh (S72.-)” · check together
Clinical classification (CCSR)
- INJ043 — Fracture of the neck of the femur (hip), subsequent encounter [CCSR]
Potential MS-DRG
- DRG 559 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC [MS-DRG]: “AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC (MDC 08)”
- DRG 560 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC [MS-DRG]: “AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC (MDC 08)”
- DRG 561 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC [MS-DRG]: “AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC (MDC 08)”
MDC crossing · procedures (18508)
- MDC 08 — Diseases and Disorders of the Musculoskeletal System and Connective Tissue [MDC crossing]: “Diseases and Disorders of the Musculoskeletal System and Connective Tissue — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
- 005T0ZZ — Destruction of Spinal Meninges, Open Approach [Same-MDC procedure]: “Destruction of Spinal Meninges, Open Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
- 005T3ZZ — Destruction of Spinal Meninges, Percutaneous Approach [Same-MDC procedure]: “Destruction of Spinal Meninges, Percutaneous Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
- 005T4ZZ — Destruction of Spinal Meninges, Percutaneous Endoscopic Approach [Same-MDC procedure]: “Destruction of Spinal Meninges, Percutaneous Endoscopic Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
- 005W0Z3 — Destruction of Cervical Spinal Cord using Laser Interstitial Thermal Therapy, Open Approach [Same-MDC procedure]: “Destruction of Cervical Spinal Cord using Laser Interstitial Thermal Therapy, Open Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
- 005W0ZZ — Destruction of Cervical Spinal Cord, Open Approach [Same-MDC procedure]: “Destruction of Cervical Spinal Cord, Open Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
- and 18503 more
Nearest codes (40)
- S72 — Fracture of femur [Sibling]
- S72.22XC — Displaced subtrochanteric fracture of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC [Sibling]
- S72.22XD — Displaced subtrochanteric fracture of left femur, subsequent encounter for closed fracture with routine healing [Sibling]
- S72.22XE — Displaced subtrochanteric fracture of left femur, subsequent encounter for open fracture type I or II with routine healing [Sibling]
- S72.22XF — Displaced subtrochanteric fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing [Sibling]
- S72.22XG — Displaced subtrochanteric fracture of left femur, subsequent encounter for closed fracture with delayed healing [Sibling]
- S72.22XH — Displaced subtrochanteric fracture of left femur, subsequent encounter for open fracture type I or II with delayed healing [Sibling]
- S72.22XJ — Displaced subtrochanteric fracture of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing [Sibling]
- and 32 more
Frequently Asked Questions (FAQ) & Clinical Guidance
Does S72.23XF require a 7th character?
Yes. The appropriate 7th character is to be added to all codes from category S72.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to S72.23XF in its code family, with their registry titles.
- S72.23XA — Displaced subtrochanteric fracture of unspecified femur, initial encounter for closed fracture
- S72.23XB — Displaced subtrochanteric fracture of unspecified femur, initial encounter for open fracture type I or II
- S72.23XC — Displaced subtrochanteric fracture of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
- S72.23XD — Displaced subtrochanteric fracture of unspecified femur, subsequent encounter for closed fracture with routine healing
- S72.23XE — Displaced subtrochanteric fracture of unspecified femur, subsequent encounter for open fracture type I or II with routine healing
- S72.23XG — Displaced subtrochanteric fracture of unspecified femur, subsequent encounter for closed fracture with delayed healing
- S72.23XH — Displaced subtrochanteric fracture of unspecified femur, subsequent encounter for open fracture type I or II with delayed healing
- S72.23XJ — Displaced subtrochanteric fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
- S72.23XK — Displaced subtrochanteric fracture of unspecified femur, subsequent encounter for closed fracture with nonunion
- S72.23XM — Displaced subtrochanteric fracture of unspecified femur, subsequent encounter for open fracture type I or II with nonunion