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S72.499E

✓ Billable

Other fracture of lower end of unspecified femur, subsequent encounter for open fracture type I or II with routine healing

Injury, poisoning and certain other consequences of external causes (S00-T88)

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❌ Excludes1

inherited

Rules inherited from parent codes in the hierarchy.

S72
  • • traumatic amputation of hip and thigh (S78.-)

⚠️ Excludes2

inherited

Rules inherited from parent codes.

S72.4
  • • fracture of shaft of femur (S72.3-)
  • • physeal fracture of lower end of femur (S79.1-)
S72
  • • fracture of lower leg and ankle (S82.-)
  • • fracture of foot (S92.-)
  • • periprosthetic fracture of prosthetic implant of hip (M97.0-)

Clinical Description

ICD-10-CM code S72.499E represents other fracture of lower end of unspecified femur, subsequent encounter for open fracture type i or ii with routine healing. This code falls under the Injury, poisoning and certain other consequences of external causes (S00-T88) classification. It is a billable/specific code valid for HIPAA-covered transactions as of October 1, 2025 (FY2026). This code can be used to indicate a diagnosis for reimbursement purposes on insurance claims.

This is a 8-character code at the 7th level of specificity. This is the most specific code available in this subcategory. Coders should note that S72.499E has 1 Excludes1 restriction(s) — codes that cannot be reported together on the same claim.

Frequently Asked Questions

What is ICD-10 code S72.499E?

ICD-10-CM code S72.499E is "Other fracture of lower end of unspecified femur, subsequent encounter for open fracture type I or II with routine healing". It belongs to the category: Injury, poisoning and certain other consequences of external causes (S00-T88).

Is S72.499E a billable ICD-10 code?

Yes, S72.499E is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What codes are excluded with S72.499E?

S72.499E has 1 Excludes1 rule(s). These codes are mutually exclusive and cannot be coded together on the same claim.

Can S72.499E be coded with other codes?

S72.499E has 5 Excludes2 note(s). These conditions can be coded together if both are documented in the patient record.

Related Codes in S72.499

Other codes in the same category that may be relevant for differential coding:

S72.499AOther fracture of lower end of unspecified femur, initial encounter for closed fractureS72.499BOther fracture of lower end of unspecified femur, initial encounter for open fracture type I or IIS72.499COther fracture of lower end of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIICS72.499DOther fracture of lower end of unspecified femur, subsequent encounter for closed fracture with routine healingS72.499FOther fracture of lower end of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healingS72.499GOther fracture of lower end of unspecified femur, subsequent encounter for closed fracture with delayed healingS72.499HOther fracture of lower end of unspecified femur, subsequent encounter for open fracture type I or II with delayed healingS72.499JOther fracture of lower end of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healingS72.499KOther fracture of lower end of unspecified femur, subsequent encounter for closed fracture with nonunionS72.499MOther fracture of lower end of unspecified femur, subsequent encounter for open fracture type I or II with nonunionS72.499NOther fracture of lower end of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunionS72.499POther fracture of lower end of unspecified femur, subsequent encounter for closed fracture with malunion

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Code Information

CodeS72.499E
BillableYes
ParentS72.499
CategoryInjury, poisoning and certain other consequences of external causes (S00-T88)
Excludes11 rule(s)
Excludes25 note(s)

Data Source

CMS ICD-10-CM 2026 Tabular List

Updated October 1, 2025 (FY2026)