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S72.435 ICD-10-CM Code: Nondisplaced fracture of medial condyle of left 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)

S72.435

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

Nondisplaced fracture of medial condyle of left femur

Nondisplaced fracture of medial condyle of left 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
S72.43Fracture of medial condyle of femur
S72.435Nondisplaced fracture of medial condyle of left femur

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for S72.435 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for S72.435 in this effective period.

Related Child Codes

Official
S72.435ANondisplaced fracture of medial condyle of left femur, initial encounter for closed fracture
S72.435BNondisplaced fracture of medial condyle of left femur, initial encounter for open fracture type I or II
S72.435CNondisplaced fracture of medial condyle of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
S72.435DNondisplaced fracture of medial condyle of left femur, subsequent encounter for closed fracture with routine healing
S72.435ENondisplaced fracture of medial condyle of left femur, subsequent encounter for open fracture type I or II with routine healing

Includes

Official

ICD-10-CM does not list Includes notes for S72.435 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for S72.435 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for S72.435 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for S72.435 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for S72.435 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

S72.435 is the ICD-10-CM diagnosis code for nondisplaced fracture of medial condyle of left femur. S72.435 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 S72.435 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 S72.435'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 S72.435 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

S72.435ANondisplaced fracture of medial condyle of left femur, initial encounter for closed fracture
HCC 402
S72.435BNondisplaced fracture of medial condyle of left femur, initial encounter for open fracture type I or II
HCC 402
S72.435CNondisplaced fracture of medial condyle of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
HCC 402
S72.435DNondisplaced fracture of medial condyle of left femur, subsequent encounter for closed fracture with routine healing
S72.435ENondisplaced fracture of medial condyle of left femur, subsequent encounter for open fracture type I or II with routine healing
S72.435FNondisplaced fracture of medial condyle of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
S72.435GNondisplaced fracture of medial condyle of left femur, subsequent encounter for closed fracture with delayed healing
S72.435HNondisplaced fracture of medial condyle of left femur, subsequent encounter for open fracture type I or II with delayed healing
S72.435JNondisplaced fracture of medial condyle of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
S72.435KNondisplaced fracture of medial condyle of left femur, subsequent encounter for closed fracture with nonunion
S72.435MNondisplaced fracture of medial condyle of left femur, subsequent encounter for open fracture type I or II with nonunion
S72.435NNondisplaced fracture of medial condyle of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
S72.435PNondisplaced fracture of medial condyle of left femur, subsequent encounter for closed fracture with malunion
S72.435QNondisplaced fracture of medial condyle of left femur, subsequent encounter for open fracture type I or II with malunion
S72.435RNondisplaced fracture of medial condyle of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
S72.435SNondisplaced fracture of medial condyle of left femur, sequela

Code Hierarchy

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