S72.364C — Nondisplaced segmental fracture of shaft of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC

BillableMCC

Is S72.364C billable?

Yes — S72.364C is billable for FY2027. S72.364C is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. S72.364C may be submitted for encounters from October 1, 2026 through September 30, 2027.

S72.364C at a glance

Code	S72.364C
Description	Nondisplaced segmental fracture of shaft of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
Billable	Yes
Code set	ICD-10-CM FY2027
Valid for encounters	October 1, 2026 – September 30, 2027
7th character "C"	initial encounter for open fracture type IIIA, IIIB, or IIIC

What does the 7th character "C" mean in S72.364C?

In S72.364C, the 7th character C means initial encounter for open fracture type IIIA, IIIB, or IIIC. The 7th character is required for S72.364C to be a valid, complete code.

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

Which MS-DRGs does S72.364C group to?

S72.364C sits in MDC 08 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

533Fractures of Femur with MCCmedical
534Fractures of Femur without MCCmedical

As a secondary diagnosis, S72.364C is a major complication or comorbidity (MCC), which can move a stay into a higher-paying DRG. It also carries Hospital-Acquired Condition category 05.

How is S72.364C listed in the Alphabetic Index?

The Alphabetic Index lists these routes under S72.36, the nearest indexed parent of S72.364C. Use them to find the family, then select the specific code.

Fracture, traumatic › femur, femoral › shaft › segmental (abduction) (adduction) (separation)
Fracture, traumatic › femur, femoral › shaft › segmental › nondisplaced (abduction) (adduction) (separation)

Excludes1 — never code together — inherited from S72

The conditions below can never be reported together with S72.364C 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 S72.364C to fully describe the condition. S72.364C 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 S72.364C, but a patient may have both at the same time. When documentation supports it, S72.364C 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 S72.364C, but a patient may have both at the same time. When documentation supports it, S72.364C 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 S72.364C, but a patient may have both at the same time. When documentation supports it, S72.364C 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 S72.364C existed?

S72.364C 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.