ICDcodes.org
FY2027

S72.434ENondisplaced fracture of medial condyle of right femur, subsequent encounter for open fracture type I or II with routine healing

Billable

Is S72.434E billable?

Yes — S72.434E is billable for FY2027. S72.434E is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. S72.434E may be submitted for encounters from October 1, 2026 through September 30, 2027.

S72.434E at a glance

CodeS72.434E
DescriptionNondisplaced fracture of medial condyle of right femur, subsequent encounter for open fracture type I or II with routine healing
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027
7th character "E"subsequent encounter for open fracture type I or II with routine healing

What does the 7th character "E" mean in S72.434E?

In S72.434E, the 7th character E means subsequent encounter for open fracture type I or II with routine healing. The 7th character is required for S72.434E to be a valid, complete code.

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

Which MS-DRGs does S72.434E group to?

S72.434E 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 S72.434E listed in the Alphabetic Index?

The Alphabetic Index lists these routes under S72.43, the nearest indexed parent of S72.434E. Use them to find the family, then select the specific code.

  • Fracture, traumaticfemur, femorallower endcondylemedial (abduction) (adduction) (separation)
  • Fracture, traumaticfemur, femorallower endcondylemedialnondisplaced (abduction) (adduction) (separation)

Excludes1 — never code together — inherited from S72

The conditions below can never be reported together with S72.434E 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 S72.434E to fully describe the condition. S72.434E 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 S72.434E, but a patient may have both at the same time. When documentation supports it, S72.434E 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 S72.434E, but a patient may have both at the same time. When documentation supports it, S72.434E 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 S72.434E, but a patient may have both at the same time. When documentation supports it, S72.434E 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-)

Excludes2 — not included here — inherited from S72.4

The conditions below are not part of S72.434E, but a patient may have both at the same time. When documentation supports it, S72.434E and the excluded code may both be reported.

  • fracture of shaft of femur (S72.3-)
  • physeal fracture of lower end of femur (S79.1-)

How long has S72.434E existed?

S72.434E 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.