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S72.301 ICD-10-CM Code: Unspecified fracture of shaft of right 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)

S72.301

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

Unspecified fracture of shaft of right femur

Unspecified fracture of shaft of right 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
S72.3Fracture of shaft of femur
S72.30Unspecified fracture of shaft of femur
S72.301Unspecified fracture of shaft of right femur

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for S72.301 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for S72.301 in this effective period.

Related Child Codes

Official
S72.301AUnspecified fracture of shaft of right femur, initial encounter for closed fracture
S72.301BUnspecified fracture of shaft of right femur, initial encounter for open fracture type I or II
S72.301CUnspecified fracture of shaft of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
S72.301DUnspecified fracture of shaft of right femur, subsequent encounter for closed fracture with routine healing
S72.301EUnspecified fracture of shaft of right femur, subsequent encounter for open fracture type I or II with routine healing

Includes

Official

ICD-10-CM does not list Includes notes for S72.301 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for S72.301 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for S72.301 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for S72.301 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for S72.301 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

S72.301 is the ICD-10-CM diagnosis code for unspecified fracture of shaft of right femur. S72.301 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 S72.301 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 S72.301'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 S72.301 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

S72.301AUnspecified fracture of shaft of right femur, initial encounter for closed fracture
HCC 402
S72.301BUnspecified fracture of shaft of right femur, initial encounter for open fracture type I or II
HCC 402
S72.301CUnspecified fracture of shaft of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
HCC 402
S72.301DUnspecified fracture of shaft of right femur, subsequent encounter for closed fracture with routine healing
S72.301EUnspecified fracture of shaft of right femur, subsequent encounter for open fracture type I or II with routine healing
S72.301FUnspecified fracture of shaft of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
S72.301GUnspecified fracture of shaft of right femur, subsequent encounter for closed fracture with delayed healing
S72.301HUnspecified fracture of shaft of right femur, subsequent encounter for open fracture type I or II with delayed healing
S72.301JUnspecified fracture of shaft of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
S72.301KUnspecified fracture of shaft of right femur, subsequent encounter for closed fracture with nonunion
S72.301MUnspecified fracture of shaft of right femur, subsequent encounter for open fracture type I or II with nonunion
S72.301NUnspecified fracture of shaft of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
S72.301PUnspecified fracture of shaft of right femur, subsequent encounter for closed fracture with malunion
S72.301QUnspecified fracture of shaft of right femur, subsequent encounter for open fracture type I or II with malunion
S72.301RUnspecified fracture of shaft of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
S72.301SUnspecified fracture of shaft of right femur, sequela

Code Hierarchy

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