ICDcodes.org
FY2027

S72.26XS — Nondisplaced subtrochanteric fracture of unspecified femur, sequela

BillableUnspecified

Is S72.26XS billable?

Yes, but S72.26XS is an unspecified code. S72.26XS is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S72.26XS is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting S72.26XS — the more specific alternatives are listed below.

S72.26XS at a glance

CodeS72.26XS
DescriptionNondisplaced subtrochanteric fracture of unspecified femur, sequela
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027
7th character "S"sequela

What does the 7th character "S" mean in S72.26XS?

In S72.26XS, the 7th character S means sequela. The 7th character is required for S72.26XS to be a valid, complete code.

Same condition, different episode of care — switch the 7th character:

Which MS-DRGs does S72.26XS group to?

S72.26XS sits in MDC 08 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 559Aftercare, Musculoskeletal System and Connective Tissue with MCCmedical
  • 560Aftercare, Musculoskeletal System and Connective Tissue with CCmedical
  • 561Aftercare, Musculoskeletal System and Connective Tissue without CC/MCCmedical

How is S72.26XS listed in the Alphabetic Index?

The Alphabetic Index lists these routes under S72.2, the nearest indexed parent of S72.26XS. Use them to find the family, then select the specific code.

  • Fracture, traumatic › femur, femoral › subtrochanteric (abduction) (adduction) (separation)
  • Fracture, traumatic › femur, femoral › subtrochanteric › nondisplaced (abduction) (adduction) (separation)
  • Fracture, traumatic › femur, femoral › upper end › subtrochanteric (abduction) (adduction) (separation)
  • Fracture, traumatic › femur, femoral › upper end › subtrochanteric › nondisplaced (abduction) (adduction) (separation)

Excludes1 — never code together — inherited from S72

The conditions below can never be reported together with S72.26XS on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • traumatic amputation of hip and thigh (S78.-)

Use additional code — inherited from Chapter 19

Report an additional code alongside S72.26XS to fully describe the condition. S72.26XS is sequenced first.

  • code to identify any retained foreign body, if applicable (Z18.-)

Excludes2 — not included here — inherited from Chapter 19

The conditions below are not part of S72.26XS, but a patient may have both at the same time. When documentation supports it, S72.26XS and the excluded code may both be reported.

  • birth trauma (P10-P15)
  • obstetric trauma (O70-O71)

Excludes2 — not included here — inherited from S70-S79

The conditions below are not part of S72.26XS, but a patient may have both at the same time. When documentation supports it, S72.26XS and the excluded code may both be reported.

  • burns and corrosions (T20-T32)
  • frostbite (T33-T34)
  • snake bite (T63.0-)
  • venomous insect bite or sting (T63.4-)

Excludes2 — not included here — inherited from S72

The conditions below are not part of S72.26XS, but a patient may have both at the same time. When documentation supports it, S72.26XS and the excluded code may both be reported.

  • fracture of lower leg and ankle (S82.-)
  • fracture of foot (S92.-)
  • periprosthetic fracture of prosthetic implant of hip (M97.0-)

How long has S72.26XS existed?

S72.26XS has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.