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S72 ICD-10-CM Code: Fracture of femur

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FY 2026 Apr update / Injury, poisoning and certain other consequences of external causes (S00-T88) / Injuries to the hip and thigh (S70-S79)

S72

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Fracture of femur

Fracture of femur

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
S7Injuries to the hip and thigh (S70-S79)
S72Fracture of femur

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for S72 in this effective period.

Excludes 2

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

Related Child Codes

Official
S72.0Fracture of head and neck of femur
S72.1Pertrochanteric fracture
S72.2Subtrochanteric fracture of femur
S72.3Fracture of shaft of femur
S72.4Fracture of lower end of femur

Includes

Official

ICD-10-CM does not list Includes notes for S72 in this effective period.

Excludes 1

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

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for S72 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for S72 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for S72 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

S72 is the ICD-10-CM diagnosis code for fracture of femur. S72 sits in the ICD-10-CM chapter for injury, poisoning and certain other consequences of external causes (s00-t88), within the section covering injuries to the hip and thigh (s70-s79).

Header codes like S72 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at S72's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for S72 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

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

Excludes 2, Not included here, may code separately

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

Child Codes

Code Hierarchy

S72Fracture of femur
S72Fracture of femur

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