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S72.90XN ICD-10-CM Code: Unspecified fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion

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 564 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC (MDC 08)
  • MS-DRG 565 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC (MDC 08)
  • MS-DRG 566 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES 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

Unspecified fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion is a billable ICD-10-CM diagnosis code (S72.90N).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S72.90XN 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).

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Frequently Compared Codes

The official Excludes notes on S72.90XN 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 S72.90XN 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 564 (MDC 08), DRG 565 (MDC 08), DRG 566 (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):INJ042 — Fracture of lower limb (except 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 injury, other encounter phase

Same injury, coded at a different phase of treatment via the 7th character.

S72.90XA — Unspecified fracture of unspecified femur, initial encounter for closed fracture Compare S72.90XN vs S72.90XA →, 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, S72.90XE — Unspecified fracture of unspecified femur, subsequent encounter for open fracture type I or II 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, S72.90XM — Unspecified fracture of unspecified femur, subsequent encounter for open fracture type I or II with nonunion, S72.90XP — Unspecified fracture of unspecified femur, subsequent encounter for closed fracture with malunion, S72.90XQ — Unspecified fracture of unspecified femur, subsequent encounter for open fracture type I or II with malunion, S72.90XR — Unspecified fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion, S72.90XS — Unspecified fracture of unspecified femur, sequela

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Fracture of lower limb (except hip), subsequent encounter).

+4697 more

Contextual Map

Every relationship of S72.90XN 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)

  • INJ042 — Fracture of lower limb (except hip), subsequent encounter [CCSR]

Potential MS-DRG

  • DRG 564 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC [MS-DRG]: “OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC (MDC 08)”
  • DRG 565 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC [MS-DRG]: “OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC (MDC 08)”
  • DRG 566 — OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC [MS-DRG]: “OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES 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]
  • S72.8X9K — Other fracture of unspecified femur, subsequent encounter for closed fracture with nonunion [Sibling]
  • S72.8X9M — Other fracture of unspecified femur, subsequent encounter for open fracture type I or II with nonunion [Sibling]
  • S72.8X9N — Other fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion [Sibling]
  • S72.8X9P — Other fracture of unspecified femur, subsequent encounter for closed fracture with malunion [Sibling]
  • S72.8X9Q — Other fracture of unspecified femur, subsequent encounter for open fracture type I or II with malunion [Sibling]
  • S72.8X9R — Other fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion [Sibling]
  • S72.8X9S — Other fracture of unspecified femur, sequela [Sibling]
  • and 32 more

Frequently Asked Questions (FAQ) & Clinical Guidance

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

  • 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
  • S72.90XM — Unspecified fracture of unspecified femur, subsequent encounter for open fracture type I or II with nonunion
  • S72.90XP — Unspecified fracture of unspecified femur, subsequent encounter for closed fracture with malunion
  • S72.90XQ — Unspecified fracture of unspecified femur, subsequent encounter for open fracture type I or II with malunion
  • S72.90XR — Unspecified fracture of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
  • S72.90XS — Unspecified fracture of unspecified femur, sequela
  • S72.91 — Unspecified fracture of right femur

View all codes in the S72 family