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S72.445 ICD-10-CM Code: Nondisplaced fracture of lower epiphysis (separation) 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)

S72.445

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

Nondisplaced fracture of lower epiphysis (separation) of left femur

Nondisplaced fracture of lower epiphysis (separation) 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

Basket needed

Code Book Path

Official
S72.4Fracture of lower end of femur
S72.44Fracture of lower epiphysis (separation) of femur
S72.445Nondisplaced fracture of lower epiphysis (separation) of left femur

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for S72.445 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for S72.445 in this effective period.

Related Child Codes

Official
S72.445ANondisplaced fracture of lower epiphysis (separation) of left femur, initial encounter for closed fracture
S72.445BNondisplaced fracture of lower epiphysis (separation) of left femur, initial encounter for open fracture type I or II
S72.445CNondisplaced fracture of lower epiphysis (separation) of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
S72.445DNondisplaced fracture of lower epiphysis (separation) of left femur, subsequent encounter for closed fracture with routine healing
S72.445ENondisplaced fracture of lower epiphysis (separation) 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 S72.445 in this effective period.

Excludes 1

Official
  • Salter-Harris Type I physeal fracture of lower end of femur (S79.11-)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for S72.445 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for S72.445 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for S72.445 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

S72.445 is the ICD-10-CM diagnosis code for nondisplaced fracture of lower epiphysis (separation) of left femur. S72.445 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 S72.445 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 S72.445'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 S72.445 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

S72.445ANondisplaced fracture of lower epiphysis (separation) of left femur, initial encounter for closed fracture
HCC 402
S72.445BNondisplaced fracture of lower epiphysis (separation) of left femur, initial encounter for open fracture type I or II
HCC 402
S72.445CNondisplaced fracture of lower epiphysis (separation) of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC
HCC 402
S72.445DNondisplaced fracture of lower epiphysis (separation) of left femur, subsequent encounter for closed fracture with routine healing
S72.445ENondisplaced fracture of lower epiphysis (separation) of left femur, subsequent encounter for open fracture type I or II with routine healing
S72.445FNondisplaced fracture of lower epiphysis (separation) of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing
S72.445GNondisplaced fracture of lower epiphysis (separation) of left femur, subsequent encounter for closed fracture with delayed healing
S72.445HNondisplaced fracture of lower epiphysis (separation) of left femur, subsequent encounter for open fracture type I or II with delayed healing
S72.445JNondisplaced fracture of lower epiphysis (separation) of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing
S72.445KNondisplaced fracture of lower epiphysis (separation) of left femur, subsequent encounter for closed fracture with nonunion
S72.445MNondisplaced fracture of lower epiphysis (separation) of left femur, subsequent encounter for open fracture type I or II with nonunion
S72.445NNondisplaced fracture of lower epiphysis (separation) of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion
S72.445PNondisplaced fracture of lower epiphysis (separation) of left femur, subsequent encounter for closed fracture with malunion
S72.445QNondisplaced fracture of lower epiphysis (separation) of left femur, subsequent encounter for open fracture type I or II with malunion
S72.445RNondisplaced fracture of lower epiphysis (separation) of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion
S72.445SNondisplaced fracture of lower epiphysis (separation) of left femur, sequela

Code Hierarchy

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