S72.491P — Other fracture of lower end of right femur, subsequent encounter for closed fracture with malunion

BillableCC

Is S72.491P billable?

Yes — S72.491P is billable for FY2027. S72.491P is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. S72.491P may be submitted for encounters from October 1, 2026 through September 30, 2027.

S72.491P at a glance

Code	S72.491P
Description	Other fracture of lower end of right femur, subsequent encounter for closed fracture with malunion
Billable	Yes
Code set	ICD-10-CM FY2027
Valid for encounters	October 1, 2026 – September 30, 2027
7th character "P"	subsequent encounter for closed fracture with malunion

What does the 7th character "P" mean in S72.491P?

In S72.491P, the 7th character P means subsequent encounter for closed fracture with malunion. The 7th character is required for S72.491P to be a valid, complete code.

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

Which MS-DRGs does S72.491P group to?

S72.491P 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.

564Other Musculoskeletal System and Connective Tissue Diagnoses with MCCmedical
565Other Musculoskeletal System and Connective Tissue Diagnoses with CCmedical
566Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCCmedical

As a secondary diagnosis, S72.491P is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.

How is S72.491P listed in the Alphabetic Index?

The Alphabetic Index lists these routes under S72.49, the nearest indexed parent of S72.491P. Use them to find the family, then select the specific code.

Fracture, traumatic › femur, femoral › lower end › specified NEC (abduction) (adduction) (separation)

Excludes1 — never code together — inherited from S72

The conditions below can never be reported together with S72.491P 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 S72.491P to fully describe the condition. S72.491P 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 S72.491P, but a patient may have both at the same time. When documentation supports it, S72.491P 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 S72.491P, but a patient may have both at the same time. When documentation supports it, S72.491P 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 S72.491P, but a patient may have both at the same time. When documentation supports it, S72.491P 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 S72.491P, but a patient may have both at the same time. When documentation supports it, S72.491P 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 S72.491P existed?

S72.491P 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.