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S72.414 ICD-10-CM Code: Nondisplaced unspecified condyle fracture of lower end 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)

S72.414

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

Nondisplaced unspecified condyle fracture of lower end of right femur

Nondisplaced unspecified condyle fracture of lower end 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
S72.4Fracture of lower end of femur
S72.41Unspecified condyle fracture of lower end of femur
S72.414Nondisplaced unspecified condyle fracture of lower end of right femur

Inclusion Terms

Official
  • Condyle fracture of femur NOS

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for S72.414 in this effective period.

Related Child Codes

Official
S72.414ANondisplaced unspecified condyle fracture of lower end of right femur, initial encounter for closed fracture
S72.414BNondisplaced unspecified condyle fracture of lower end of right femur, initial encounter for open fracture type I or II
S72.414CNondisplaced unspecified condyle fracture of lower end of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
S72.414DNondisplaced unspecified condyle fracture of lower end of right femur, subsequent encounter for closed fracture with routine healing
S72.414ENondisplaced unspecified condyle fracture of lower end 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 S72.414 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for S72.414 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for S72.414 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for S72.414 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for S72.414 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

S72.414 is the ICD-10-CM diagnosis code for nondisplaced unspecified condyle fracture of lower end of right femur. S72.414 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 S72.414 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 S72.414'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 S72.414 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

S72.414ANondisplaced unspecified condyle fracture of lower end of right femur, initial encounter for closed fracture
HCC 402
S72.414BNondisplaced unspecified condyle fracture of lower end of right femur, initial encounter for open fracture type I or II
HCC 402
S72.414CNondisplaced unspecified condyle fracture of lower end of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
HCC 402
S72.414DNondisplaced unspecified condyle fracture of lower end of right femur, subsequent encounter for closed fracture with routine healing
S72.414ENondisplaced unspecified condyle fracture of lower end of right femur, subsequent encounter for open fracture type I or II with routine healing
S72.414FNondisplaced unspecified condyle fracture of lower end of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
S72.414GNondisplaced unspecified condyle fracture of lower end of right femur, subsequent encounter for closed fracture with delayed healing
S72.414HNondisplaced unspecified condyle fracture of lower end of right femur, subsequent encounter for open fracture type I or II with delayed healing
S72.414JNondisplaced unspecified condyle fracture of lower end of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
S72.414KNondisplaced unspecified condyle fracture of lower end of right femur, subsequent encounter for closed fracture with nonunion
S72.414MNondisplaced unspecified condyle fracture of lower end of right femur, subsequent encounter for open fracture type I or II with nonunion
S72.414NNondisplaced unspecified condyle fracture of lower end of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
S72.414PNondisplaced unspecified condyle fracture of lower end of right femur, subsequent encounter for closed fracture with malunion
S72.414QNondisplaced unspecified condyle fracture of lower end of right femur, subsequent encounter for open fracture type I or II with malunion
S72.414RNondisplaced unspecified condyle fracture of lower end of right femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
S72.414SNondisplaced unspecified condyle fracture of lower end of right femur, sequela

Code Hierarchy

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