Skip to main content
ICD-10/S72.90XE

S72.90XE ICD-10-CM Code: Unspecified fracture of unspecified femur, subsequent encounter for open fracture type I or II 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 (FY2026), 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.

Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.

Official Registry Overview & Definition

Unspecified fracture of unspecified femur, subsequent encounter for open fracture type I or II with routine healing is a billable ICD-10-CM diagnosis code (S72.90E).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S72.90XE in the official ICD-10-CM tabular list.

Excludes1 — Not Coded Here

Conditions that can never be reported with this code; the two are mutually exclusive.

  • fracture of hip NOS (S72.00-, S72.01-)
  • traumatic amputation of hip and thigh (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.-)
  • fracture of foot (S92.-)
  • periprosthetic fracture of prosthetic implant of hip (M97.0-)
  • burns and corrosions (T20-T32)
  • frostbite (T33-T34)
  • snake bite (T63.0-)
  • venomous insect bite or sting (T63.4-)

Frequently Asked Questions (FAQ) & Clinical Guidance

Does S72.90XE 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 S72.90XE in its code family, with their registry titles.

  • S72.90 — Unspecified fracture of unspecified femur
  • S72.90XA — Unspecified fracture of unspecified femur, initial encounter for closed fracture
  • S72.90XB — Unspecified fracture of unspecified femur, initial encounter for open fracture type I or II
  • S72.90XC — Unspecified fracture of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
  • S72.90XD — Unspecified fracture of unspecified femur, subsequent encounter for closed fracture with routine healing
  • S72.90XF — Unspecified fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
  • S72.90XG — Unspecified fracture of unspecified femur, subsequent encounter for closed fracture with delayed healing
  • S72.90XH — Unspecified fracture of unspecified femur, subsequent encounter for open fracture type I or II with delayed healing
  • S72.90XJ — Unspecified fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
  • S72.90XK — Unspecified fracture of unspecified femur, subsequent encounter for closed fracture with nonunion

View all codes in the S72 family