Relative factors by segment
Each segment is a separate regression; the factor is added to the beneficiary's demographic factors and other categories, then normalized and reduced by the coding intensity adjustment before it meets the plan's base rate. A factor of 1.000 equals the expected cost of an average beneficiary.
| Segment | Model code | Relative factor |
|---|---|---|
| Community, non-dual, aged | CNA_HCC402 | 0.467 |
| Community, non-dual, disabled | CND_HCC402 | 0.561 |
| Community, full-benefit dual, aged | CFA_HCC402 | 0.561 |
| Community, full-benefit dual, disabled | CFD_HCC402 | 0.570 |
| Community, partial-benefit dual, aged | CPA_HCC402 | 0.499 |
| Community, partial-benefit dual, disabled | CPD_HCC402 | 0.527 |
| Long-term institutional | INS_HCC402 | 0.089 |
Hierarchy
HCC 402 is not part of a hierarchy: it is paid whenever a mapped diagnosis is documented, independently of the beneficiary's other categories.
ICD-10-CM codes that map to HCC 402
729 codes map to this category in the PY2027 initial mapping, concentrated in the S72 (462), S32 (184), S73 (30), S79 (27), M84 (18), M80 (6) code families. Descriptions are the CMS mapping descriptions for the FY2026 code set; a code that is deleted or split in the October code update stays valid for dates of service before the change.
| ICD-10-CM | Description |
|---|---|
| M80051A | Age-related osteoporosis with current pathological fracture, right femur, initial encounter for fracture |
| M80052A | Age-related osteoporosis with current pathological fracture, left femur, initial encounter for fracture |
| M80059A | Age-related osteoporosis with current pathological fracture, unspecified femur, initial encounter for fracture |
| M80851A | Other osteoporosis with current pathological fracture, right femur, initial encounter for fracture |
| M80852A | Other osteoporosis with current pathological fracture, left femur, initial encounter for fracture |
| M80859A | Other osteoporosis with current pathological fracture, unspecified femur, initial encounter for fracture |
| M84451A | Pathological fracture, right femur, initial encounter for fracture |
| M84452A | Pathological fracture, left femur, initial encounter for fracture |
| M84453A | Pathological fracture, unspecified femur, initial encounter for fracture |
| M84459A | Pathological fracture, hip, unspecified, initial encounter for fracture |
| M84551A | Pathological fracture in neoplastic disease, right femur, initial encounter for fracture |
| M84552A | Pathological fracture in neoplastic disease, left femur, initial encounter for fracture |
| M84553A | Pathological fracture in neoplastic disease, unspecified femur, initial encounter for fracture |
| M84559A | Pathological fracture in neoplastic disease, hip, unspecified, initial encounter for fracture |
| M84651A | Pathological fracture in other disease, right femur, initial encounter for fracture |
| M84652A | Pathological fracture in other disease, left femur, initial encounter for fracture |
| M84653A | Pathological fracture in other disease, unspecified femur, initial encounter for fracture |
| M84659A | Pathological fracture in other disease, hip, unspecified, initial encounter for fracture |
| M84754A | Complete transverse atypical femoral fracture, right leg, initial encounter for fracture |
| M84755A | Complete transverse atypical femoral fracture, left leg, initial encounter for fracture |
| M84756A | Complete transverse atypical femoral fracture, unspecified leg, initial encounter for fracture |
| M84757A | Complete oblique atypical femoral fracture, right leg, initial encounter for fracture |
| M84758A | Complete oblique atypical femoral fracture, left leg, initial encounter for fracture |
| M84759A | Complete oblique atypical femoral fracture, unspecified leg, initial encounter for fracture |
| M9701XA | Periprosthetic fracture around internal prosthetic right hip joint, initial encounter |
| M9702XA | Periprosthetic fracture around internal prosthetic left hip joint, initial encounter |
| S32301A | Unspecified fracture of right ilium, initial encounter for closed fracture |
| S32301B | Unspecified fracture of right ilium, initial encounter for open fracture |
| S32302A | Unspecified fracture of left ilium, initial encounter for closed fracture |
| S32302B | Unspecified fracture of left ilium, initial encounter for open fracture |
| S32309A | Unspecified fracture of unspecified ilium, initial encounter for closed fracture |
| S32309B | Unspecified fracture of unspecified ilium, initial encounter for open fracture |
| S32311A | Displaced avulsion fracture of right ilium, initial encounter for closed fracture |
| S32311B | Displaced avulsion fracture of right ilium, initial encounter for open fracture |
| S32312A | Displaced avulsion fracture of left ilium, initial encounter for closed fracture |
| S32312B | Displaced avulsion fracture of left ilium, initial encounter for open fracture |
| S32313A | Displaced avulsion fracture of unspecified ilium, initial encounter for closed fracture |
| S32313B | Displaced avulsion fracture of unspecified ilium, initial encounter for open fracture |
| S32314A | Nondisplaced avulsion fracture of right ilium, initial encounter for closed fracture |
| S32314B | Nondisplaced avulsion fracture of right ilium, initial encounter for open fracture |
| S32315A | Nondisplaced avulsion fracture of left ilium, initial encounter for closed fracture |
| S32315B | Nondisplaced avulsion fracture of left ilium, initial encounter for open fracture |
| S32316A | Nondisplaced avulsion fracture of unspecified ilium, initial encounter for closed fracture |
| S32316B | Nondisplaced avulsion fracture of unspecified ilium, initial encounter for open fracture |
| S32391A | Other fracture of right ilium, initial encounter for closed fracture |
| S32391B | Other fracture of right ilium, initial encounter for open fracture |
| S32392A | Other fracture of left ilium, initial encounter for closed fracture |
| S32392B | Other fracture of left ilium, initial encounter for open fracture |
| S32399A | Other fracture of unspecified ilium, initial encounter for closed fracture |
| S32399B | Other fracture of unspecified ilium, initial encounter for open fracture |
| S32401A | Unspecified fracture of right acetabulum, initial encounter for closed fracture |
| S32401B | Unspecified fracture of right acetabulum, initial encounter for open fracture |
| S32402A | Unspecified fracture of left acetabulum, initial encounter for closed fracture |
| S32402B | Unspecified fracture of left acetabulum, initial encounter for open fracture |
| S32409A | Unspecified fracture of unspecified acetabulum, initial encounter for closed fracture |
| S32409B | Unspecified fracture of unspecified acetabulum, initial encounter for open fracture |
| S32411A | Displaced fracture of anterior wall of right acetabulum, initial encounter for closed fracture |
| S32411B | Displaced fracture of anterior wall of right acetabulum, initial encounter for open fracture |
| S32412A | Displaced fracture of anterior wall of left acetabulum, initial encounter for closed fracture |
| S32412B | Displaced fracture of anterior wall of left acetabulum, initial encounter for open fracture |
| S32413A | Displaced fracture of anterior wall of unspecified acetabulum, initial encounter for closed fracture |
| S32413B | Displaced fracture of anterior wall of unspecified acetabulum, initial encounter for open fracture |
| S32414A | Nondisplaced fracture of anterior wall of right acetabulum, initial encounter for closed fracture |
| S32414B | Nondisplaced fracture of anterior wall of right acetabulum, initial encounter for open fracture |
| S32415A | Nondisplaced fracture of anterior wall of left acetabulum, initial encounter for closed fracture |
| S32415B | Nondisplaced fracture of anterior wall of left acetabulum, initial encounter for open fracture |
| S32416A | Nondisplaced fracture of anterior wall of unspecified acetabulum, initial encounter for closed fracture |
| S32416B | Nondisplaced fracture of anterior wall of unspecified acetabulum, initial encounter for open fracture |
| S32421A | Displaced fracture of posterior wall of right acetabulum, initial encounter for closed fracture |
| S32421B | Displaced fracture of posterior wall of right acetabulum, initial encounter for open fracture |
| S32422A | Displaced fracture of posterior wall of left acetabulum, initial encounter for closed fracture |
| S32422B | Displaced fracture of posterior wall of left acetabulum, initial encounter for open fracture |
| S32423A | Displaced fracture of posterior wall of unspecified acetabulum, initial encounter for closed fracture |
| S32423B | Displaced fracture of posterior wall of unspecified acetabulum, initial encounter for open fracture |
| S32424A | Nondisplaced fracture of posterior wall of right acetabulum, initial encounter for closed fracture |
| S32424B | Nondisplaced fracture of posterior wall of right acetabulum, initial encounter for open fracture |
| S32425A | Nondisplaced fracture of posterior wall of left acetabulum, initial encounter for closed fracture |
| S32425B | Nondisplaced fracture of posterior wall of left acetabulum, initial encounter for open fracture |
| S32426A | Nondisplaced fracture of posterior wall of unspecified acetabulum, initial encounter for closed fracture |
| S32426B | Nondisplaced fracture of posterior wall of unspecified acetabulum, initial encounter for open fracture |
| S32431A | Displaced fracture of anterior column [iliopubic] of right acetabulum, initial encounter for closed fracture |
| S32431B | Displaced fracture of anterior column [iliopubic] of right acetabulum, initial encounter for open fracture |
| S32432A | Displaced fracture of anterior column [iliopubic] of left acetabulum, initial encounter for closed fracture |
| S32432B | Displaced fracture of anterior column [iliopubic] of left acetabulum, initial encounter for open fracture |
| S32433A | Displaced fracture of anterior column [iliopubic] of unspecified acetabulum, initial encounter for closed fracture |
| S32433B | Displaced fracture of anterior column [iliopubic] of unspecified acetabulum, initial encounter for open fracture |
| S32434A | Nondisplaced fracture of anterior column [iliopubic] of right acetabulum, initial encounter for closed fracture |
| S32434B | Nondisplaced fracture of anterior column [iliopubic] of right acetabulum, initial encounter for open fracture |
| S32435A | Nondisplaced fracture of anterior column [iliopubic] of left acetabulum, initial encounter for closed fracture |
| S32435B | Nondisplaced fracture of anterior column [iliopubic] of left acetabulum, initial encounter for open fracture |
| S32436A | Nondisplaced fracture of anterior column [iliopubic] of unspecified acetabulum, initial encounter for closed fracture |
| S32436B | Nondisplaced fracture of anterior column [iliopubic] of unspecified acetabulum, initial encounter for open fracture |
| S32441A | Displaced fracture of posterior column [ilioischial] of right acetabulum, initial encounter for closed fracture |
| S32441B | Displaced fracture of posterior column [ilioischial] of right acetabulum, initial encounter for open fracture |
| S32442A | Displaced fracture of posterior column [ilioischial] of left acetabulum, initial encounter for closed fracture |
| S32442B | Displaced fracture of posterior column [ilioischial] of left acetabulum, initial encounter for open fracture |
| S32443A | Displaced fracture of posterior column [ilioischial] of unspecified acetabulum, initial encounter for closed fracture |
| S32443B | Displaced fracture of posterior column [ilioischial] of unspecified acetabulum, initial encounter for open fracture |
| S32444A | Nondisplaced fracture of posterior column [ilioischial] of right acetabulum, initial encounter for closed fracture |
| S32444B | Nondisplaced fracture of posterior column [ilioischial] of right acetabulum, initial encounter for open fracture |
| S32445A | Nondisplaced fracture of posterior column [ilioischial] of left acetabulum, initial encounter for closed fracture |
| S32445B | Nondisplaced fracture of posterior column [ilioischial] of left acetabulum, initial encounter for open fracture |
| S32446A | Nondisplaced fracture of posterior column [ilioischial] of unspecified acetabulum, initial encounter for closed fracture |
| S32446B | Nondisplaced fracture of posterior column [ilioischial] of unspecified acetabulum, initial encounter for open fracture |
| S32451A | Displaced transverse fracture of right acetabulum, initial encounter for closed fracture |
| S32451B | Displaced transverse fracture of right acetabulum, initial encounter for open fracture |
| S32452A | Displaced transverse fracture of left acetabulum, initial encounter for closed fracture |
| S32452B | Displaced transverse fracture of left acetabulum, initial encounter for open fracture |
| S32453A | Displaced transverse fracture of unspecified acetabulum, initial encounter for closed fracture |
| S32453B | Displaced transverse fracture of unspecified acetabulum, initial encounter for open fracture |
| S32454A | Nondisplaced transverse fracture of right acetabulum, initial encounter for closed fracture |
| S32454B | Nondisplaced transverse fracture of right acetabulum, initial encounter for open fracture |
| S32455A | Nondisplaced transverse fracture of left acetabulum, initial encounter for closed fracture |
| S32455B | Nondisplaced transverse fracture of left acetabulum, initial encounter for open fracture |
| S32456A | Nondisplaced transverse fracture of unspecified acetabulum, initial encounter for closed fracture |
| S32456B | Nondisplaced transverse fracture of unspecified acetabulum, initial encounter for open fracture |
| S32461A | Displaced associated transverse-posterior fracture of right acetabulum, initial encounter for closed fracture |
| S32461B | Displaced associated transverse-posterior fracture of right acetabulum, initial encounter for open fracture |
| S32462A | Displaced associated transverse-posterior fracture of left acetabulum, initial encounter for closed fracture |
| S32462B | Displaced associated transverse-posterior fracture of left acetabulum, initial encounter for open fracture |
| S32463A | Displaced associated transverse-posterior fracture of unspecified acetabulum, initial encounter for closed fracture |
| S32463B | Displaced associated transverse-posterior fracture of unspecified acetabulum, initial encounter for open fracture |
| S32464A | Nondisplaced associated transverse-posterior fracture of right acetabulum, initial encounter for closed fracture |
| S32464B | Nondisplaced associated transverse-posterior fracture of right acetabulum, initial encounter for open fracture |
| S32465A | Nondisplaced associated transverse-posterior fracture of left acetabulum, initial encounter for closed fracture |
| S32465B | Nondisplaced associated transverse-posterior fracture of left acetabulum, initial encounter for open fracture |
| S32466A | Nondisplaced associated transverse-posterior fracture of unspecified acetabulum, initial encounter for closed fracture |
| S32466B | Nondisplaced associated transverse-posterior fracture of unspecified acetabulum, initial encounter for open fracture |
| S32471A | Displaced fracture of medial wall of right acetabulum, initial encounter for closed fracture |
| S32471B | Displaced fracture of medial wall of right acetabulum, initial encounter for open fracture |
| S32472A | Displaced fracture of medial wall of left acetabulum, initial encounter for closed fracture |
| S32472B | Displaced fracture of medial wall of left acetabulum, initial encounter for open fracture |
| S32473A | Displaced fracture of medial wall of unspecified acetabulum, initial encounter for closed fracture |
| S32473B | Displaced fracture of medial wall of unspecified acetabulum, initial encounter for open fracture |
| S32474A | Nondisplaced fracture of medial wall of right acetabulum, initial encounter for closed fracture |
| S32474B | Nondisplaced fracture of medial wall of right acetabulum, initial encounter for open fracture |
| S32475A | Nondisplaced fracture of medial wall of left acetabulum, initial encounter for closed fracture |
| S32475B | Nondisplaced fracture of medial wall of left acetabulum, initial encounter for open fracture |
| S32476A | Nondisplaced fracture of medial wall of unspecified acetabulum, initial encounter for closed fracture |
| S32476B | Nondisplaced fracture of medial wall of unspecified acetabulum, initial encounter for open fracture |
| S32481A | Displaced dome fracture of right acetabulum, initial encounter for closed fracture |
| S32481B | Displaced dome fracture of right acetabulum, initial encounter for open fracture |
| S32482A | Displaced dome fracture of left acetabulum, initial encounter for closed fracture |
| S32482B | Displaced dome fracture of left acetabulum, initial encounter for open fracture |
| S32483A | Displaced dome fracture of unspecified acetabulum, initial encounter for closed fracture |
| S32483B | Displaced dome fracture of unspecified acetabulum, initial encounter for open fracture |
| S32484A | Nondisplaced dome fracture of right acetabulum, initial encounter for closed fracture |
| S32484B | Nondisplaced dome fracture of right acetabulum, initial encounter for open fracture |
| S32485A | Nondisplaced dome fracture of left acetabulum, initial encounter for closed fracture |
| S32485B | Nondisplaced dome fracture of left acetabulum, initial encounter for open fracture |
| S32486A | Nondisplaced dome fracture of unspecified acetabulum, initial encounter for closed fracture |
| S32486B | Nondisplaced dome fracture of unspecified acetabulum, initial encounter for open fracture |
| S32491A | Other specified fracture of right acetabulum, initial encounter for closed fracture |
| S32491B | Other specified fracture of right acetabulum, initial encounter for open fracture |
| S32492A | Other specified fracture of left acetabulum, initial encounter for closed fracture |
| S32492B | Other specified fracture of left acetabulum, initial encounter for open fracture |
| S32499A | Other specified fracture of unspecified acetabulum, initial encounter for closed fracture |
| S32499B | Other specified fracture of unspecified acetabulum, initial encounter for open fracture |
| S32501A | Unspecified fracture of right pubis, initial encounter for closed fracture |
| S32501B | Unspecified fracture of right pubis, initial encounter for open fracture |
| S32502A | Unspecified fracture of left pubis, initial encounter for closed fracture |
| S32502B | Unspecified fracture of left pubis, initial encounter for open fracture |
| S32509A | Unspecified fracture of unspecified pubis, initial encounter for closed fracture |
| S32509B | Unspecified fracture of unspecified pubis, initial encounter for open fracture |
| S32511A | Fracture of superior rim of right pubis, initial encounter for closed fracture |
| S32511B | Fracture of superior rim of right pubis, initial encounter for open fracture |
| S32512A | Fracture of superior rim of left pubis, initial encounter for closed fracture |
| S32512B | Fracture of superior rim of left pubis, initial encounter for open fracture |
| S32519A | Fracture of superior rim of unspecified pubis, initial encounter for closed fracture |
| S32519B | Fracture of superior rim of unspecified pubis, initial encounter for open fracture |
| S32591A | Other specified fracture of right pubis, initial encounter for closed fracture |
| S32591B | Other specified fracture of right pubis, initial encounter for open fracture |
| S32592A | Other specified fracture of left pubis, initial encounter for closed fracture |
| S32592B | Other specified fracture of left pubis, initial encounter for open fracture |
| S32599A | Other specified fracture of unspecified pubis, initial encounter for closed fracture |
| S32599B | Other specified fracture of unspecified pubis, initial encounter for open fracture |
| S32601A | Unspecified fracture of right ischium, initial encounter for closed fracture |
| S32601B | Unspecified fracture of right ischium, initial encounter for open fracture |
| S32602A | Unspecified fracture of left ischium, initial encounter for closed fracture |
| S32602B | Unspecified fracture of left ischium, initial encounter for open fracture |
| S32609A | Unspecified fracture of unspecified ischium, initial encounter for closed fracture |
| S32609B | Unspecified fracture of unspecified ischium, initial encounter for open fracture |
| S32611A | Displaced avulsion fracture of right ischium, initial encounter for closed fracture |
| S32611B | Displaced avulsion fracture of right ischium, initial encounter for open fracture |
| S32612A | Displaced avulsion fracture of left ischium, initial encounter for closed fracture |
| S32612B | Displaced avulsion fracture of left ischium, initial encounter for open fracture |
| S32613A | Displaced avulsion fracture of unspecified ischium, initial encounter for closed fracture |
| S32613B | Displaced avulsion fracture of unspecified ischium, initial encounter for open fracture |
| S32614A | Nondisplaced avulsion fracture of right ischium, initial encounter for closed fracture |
| S32614B | Nondisplaced avulsion fracture of right ischium, initial encounter for open fracture |
| S32615A | Nondisplaced avulsion fracture of left ischium, initial encounter for closed fracture |
| S32615B | Nondisplaced avulsion fracture of left ischium, initial encounter for open fracture |
| S32616A | Nondisplaced avulsion fracture of unspecified ischium, initial encounter for closed fracture |
| S32616B | Nondisplaced avulsion fracture of unspecified ischium, initial encounter for open fracture |
| S32691A | Other specified fracture of right ischium, initial encounter for closed fracture |
| S32691B | Other specified fracture of right ischium, initial encounter for open fracture |
| S32692A | Other specified fracture of left ischium, initial encounter for closed fracture |
| S32692B | Other specified fracture of left ischium, initial encounter for open fracture |
| S32699A | Other specified fracture of unspecified ischium, initial encounter for closed fracture |
| S32699B | Other specified fracture of unspecified ischium, initial encounter for open fracture |
| S32810A | Multiple fractures of pelvis with stable disruption of pelvic ring, initial encounter for closed fracture |
| S32810B | Multiple fractures of pelvis with stable disruption of pelvic ring, initial encounter for open fracture |
| S32811A | Multiple fractures of pelvis with unstable disruption of pelvic ring, initial encounter for closed fracture |
| S32811B | Multiple fractures of pelvis with unstable disruption of pelvic ring, initial encounter for open fracture |
| S3282XA | Multiple fractures of pelvis without disruption of pelvic ring, initial encounter for closed fracture |
| S3282XB | Multiple fractures of pelvis without disruption of pelvic ring, initial encounter for open fracture |
| S3289XA | Fracture of other parts of pelvis, initial encounter for closed fracture |
| S3289XB | Fracture of other parts of pelvis, initial encounter for open fracture |
| S329XXA | Fracture of unspecified parts of lumbosacral spine and pelvis, initial encounter for closed fracture |
| S329XXB | Fracture of unspecified parts of lumbosacral spine and pelvis, initial encounter for open fracture |
| S72001A | Fracture of unspecified part of neck of right femur, initial encounter for closed fracture |
| S72001B | Fracture of unspecified part of neck of right femur, initial encounter for open fracture type I or II |
| S72001C | Fracture of unspecified part of neck of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72002A | Fracture of unspecified part of neck of left femur, initial encounter for closed fracture |
| S72002B | Fracture of unspecified part of neck of left femur, initial encounter for open fracture type I or II |
| S72002C | Fracture of unspecified part of neck of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72009A | Fracture of unspecified part of neck of unspecified femur, initial encounter for closed fracture |
| S72009B | Fracture of unspecified part of neck of unspecified femur, initial encounter for open fracture type I or II |
| S72009C | Fracture of unspecified part of neck of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72011A | Unspecified intracapsular fracture of right femur, initial encounter for closed fracture |
| S72011B | Unspecified intracapsular fracture of right femur, initial encounter for open fracture type I or II |
| S72011C | Unspecified intracapsular fracture of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72012A | Unspecified intracapsular fracture of left femur, initial encounter for closed fracture |
| S72012B | Unspecified intracapsular fracture of left femur, initial encounter for open fracture type I or II |
| S72012C | Unspecified intracapsular fracture of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72019A | Unspecified intracapsular fracture of unspecified femur, initial encounter for closed fracture |
| S72019B | Unspecified intracapsular fracture of unspecified femur, initial encounter for open fracture type I or II |
| S72019C | Unspecified intracapsular fracture of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72021A | Displaced fracture of epiphysis (separation) (upper) of right femur, initial encounter for closed fracture |
| S72021B | Displaced fracture of epiphysis (separation) (upper) of right femur, initial encounter for open fracture type I or II |
| S72021C | Displaced fracture of epiphysis (separation) (upper) of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72022A | Displaced fracture of epiphysis (separation) (upper) of left femur, initial encounter for closed fracture |
| S72022B | Displaced fracture of epiphysis (separation) (upper) of left femur, initial encounter for open fracture type I or II |
| S72022C | Displaced fracture of epiphysis (separation) (upper) of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72023A | Displaced fracture of epiphysis (separation) (upper) of unspecified femur, initial encounter for closed fracture |
| S72023B | Displaced fracture of epiphysis (separation) (upper) of unspecified femur, initial encounter for open fracture type I or II |
| S72023C | Displaced fracture of epiphysis (separation) (upper) of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72024A | Nondisplaced fracture of epiphysis (separation) (upper) of right femur, initial encounter for closed fracture |
| S72024B | Nondisplaced fracture of epiphysis (separation) (upper) of right femur, initial encounter for open fracture type I or II |
| S72024C | Nondisplaced fracture of epiphysis (separation) (upper) of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72025A | Nondisplaced fracture of epiphysis (separation) (upper) of left femur, initial encounter for closed fracture |
| S72025B | Nondisplaced fracture of epiphysis (separation) (upper) of left femur, initial encounter for open fracture type I or II |
| S72025C | Nondisplaced fracture of epiphysis (separation) (upper) of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72026A | Nondisplaced fracture of epiphysis (separation) (upper) of unspecified femur, initial encounter for closed fracture |
| S72026B | Nondisplaced fracture of epiphysis (separation) (upper) of unspecified femur, initial encounter for open fracture type I or II |
| S72026C | Nondisplaced fracture of epiphysis (separation) (upper) of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72031A | Displaced midcervical fracture of right femur, initial encounter for closed fracture |
| S72031B | Displaced midcervical fracture of right femur, initial encounter for open fracture type I or II |
| S72031C | Displaced midcervical fracture of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72032A | Displaced midcervical fracture of left femur, initial encounter for closed fracture |
| S72032B | Displaced midcervical fracture of left femur, initial encounter for open fracture type I or II |
| S72032C | Displaced midcervical fracture of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72033A | Displaced midcervical fracture of unspecified femur, initial encounter for closed fracture |
| S72033B | Displaced midcervical fracture of unspecified femur, initial encounter for open fracture type I or II |
| S72033C | Displaced midcervical fracture of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72034A | Nondisplaced midcervical fracture of right femur, initial encounter for closed fracture |
| S72034B | Nondisplaced midcervical fracture of right femur, initial encounter for open fracture type I or II |
| S72034C | Nondisplaced midcervical fracture of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72035A | Nondisplaced midcervical fracture of left femur, initial encounter for closed fracture |
| S72035B | Nondisplaced midcervical fracture of left femur, initial encounter for open fracture type I or II |
| S72035C | Nondisplaced midcervical fracture of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72036A | Nondisplaced midcervical fracture of unspecified femur, initial encounter for closed fracture |
| S72036B | Nondisplaced midcervical fracture of unspecified femur, initial encounter for open fracture type I or II |
| S72036C | Nondisplaced midcervical fracture of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72041A | Displaced fracture of base of neck of right femur, initial encounter for closed fracture |
| S72041B | Displaced fracture of base of neck of right femur, initial encounter for open fracture type I or II |
| S72041C | Displaced fracture of base of neck of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72042A | Displaced fracture of base of neck of left femur, initial encounter for closed fracture |
| S72042B | Displaced fracture of base of neck of left femur, initial encounter for open fracture type I or II |
| S72042C | Displaced fracture of base of neck of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72043A | Displaced fracture of base of neck of unspecified femur, initial encounter for closed fracture |
| S72043B | Displaced fracture of base of neck of unspecified femur, initial encounter for open fracture type I or II |
| S72043C | Displaced fracture of base of neck of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72044A | Nondisplaced fracture of base of neck of right femur, initial encounter for closed fracture |
| S72044B | Nondisplaced fracture of base of neck of right femur, initial encounter for open fracture type I or II |
| S72044C | Nondisplaced fracture of base of neck of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72045A | Nondisplaced fracture of base of neck of left femur, initial encounter for closed fracture |
| S72045B | Nondisplaced fracture of base of neck of left femur, initial encounter for open fracture type I or II |
| S72045C | Nondisplaced fracture of base of neck of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72046A | Nondisplaced fracture of base of neck of unspecified femur, initial encounter for closed fracture |
| S72046B | Nondisplaced fracture of base of neck of unspecified femur, initial encounter for open fracture type I or II |
| S72046C | Nondisplaced fracture of base of neck of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72051A | Unspecified fracture of head of right femur, initial encounter for closed fracture |
| S72051B | Unspecified fracture of head of right femur, initial encounter for open fracture type I or II |
| S72051C | Unspecified fracture of head of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72052A | Unspecified fracture of head of left femur, initial encounter for closed fracture |
| S72052B | Unspecified fracture of head of left femur, initial encounter for open fracture type I or II |
| S72052C | Unspecified fracture of head of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72059A | Unspecified fracture of head of unspecified femur, initial encounter for closed fracture |
| S72059B | Unspecified fracture of head of unspecified femur, initial encounter for open fracture type I or II |
| S72059C | Unspecified fracture of head of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72061A | Displaced articular fracture of head of right femur, initial encounter for closed fracture |
| S72061B | Displaced articular fracture of head of right femur, initial encounter for open fracture type I or II |
| S72061C | Displaced articular fracture of head of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72062A | Displaced articular fracture of head of left femur, initial encounter for closed fracture |
| S72062B | Displaced articular fracture of head of left femur, initial encounter for open fracture type I or II |
| S72062C | Displaced articular fracture of head of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72063A | Displaced articular fracture of head of unspecified femur, initial encounter for closed fracture |
| S72063B | Displaced articular fracture of head of unspecified femur, initial encounter for open fracture type I or II |
| S72063C | Displaced articular fracture of head of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72064A | Nondisplaced articular fracture of head of right femur, initial encounter for closed fracture |
| S72064B | Nondisplaced articular fracture of head of right femur, initial encounter for open fracture type I or II |
| S72064C | Nondisplaced articular fracture of head of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72065A | Nondisplaced articular fracture of head of left femur, initial encounter for closed fracture |
| S72065B | Nondisplaced articular fracture of head of left femur, initial encounter for open fracture type I or II |
| S72065C | Nondisplaced articular fracture of head of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72066A | Nondisplaced articular fracture of head of unspecified femur, initial encounter for closed fracture |
| S72066B | Nondisplaced articular fracture of head of unspecified femur, initial encounter for open fracture type I or II |
| S72066C | Nondisplaced articular fracture of head of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72091A | Other fracture of head and neck of right femur, initial encounter for closed fracture |
| S72091B | Other fracture of head and neck of right femur, initial encounter for open fracture type I or II |
| S72091C | Other fracture of head and neck of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72092A | Other fracture of head and neck of left femur, initial encounter for closed fracture |
| S72092B | Other fracture of head and neck of left femur, initial encounter for open fracture type I or II |
| S72092C | Other fracture of head and neck of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72099A | Other fracture of head and neck of unspecified femur, initial encounter for closed fracture |
| S72099B | Other fracture of head and neck of unspecified femur, initial encounter for open fracture type I or II |
| S72099C | Other fracture of head and neck of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72101A | Unspecified trochanteric fracture of right femur, initial encounter for closed fracture |
| S72101B | Unspecified trochanteric fracture of right femur, initial encounter for open fracture type I or II |
| S72101C | Unspecified trochanteric fracture of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72102A | Unspecified trochanteric fracture of left femur, initial encounter for closed fracture |
| S72102B | Unspecified trochanteric fracture of left femur, initial encounter for open fracture type I or II |
| S72102C | Unspecified trochanteric fracture of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72109A | Unspecified trochanteric fracture of unspecified femur, initial encounter for closed fracture |
| S72109B | Unspecified trochanteric fracture of unspecified femur, initial encounter for open fracture type I or II |
| S72109C | Unspecified trochanteric fracture of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72111A | Displaced fracture of greater trochanter of right femur, initial encounter for closed fracture |
| S72111B | Displaced fracture of greater trochanter of right femur, initial encounter for open fracture type I or II |
| S72111C | Displaced fracture of greater trochanter of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72112A | Displaced fracture of greater trochanter of left femur, initial encounter for closed fracture |
| S72112B | Displaced fracture of greater trochanter of left femur, initial encounter for open fracture type I or II |
| S72112C | Displaced fracture of greater trochanter of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72113A | Displaced fracture of greater trochanter of unspecified femur, initial encounter for closed fracture |
| S72113B | Displaced fracture of greater trochanter of unspecified femur, initial encounter for open fracture type I or II |
| S72113C | Displaced fracture of greater trochanter of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72114A | Nondisplaced fracture of greater trochanter of right femur, initial encounter for closed fracture |
| S72114B | Nondisplaced fracture of greater trochanter of right femur, initial encounter for open fracture type I or II |
| S72114C | Nondisplaced fracture of greater trochanter of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72115A | Nondisplaced fracture of greater trochanter of left femur, initial encounter for closed fracture |
| S72115B | Nondisplaced fracture of greater trochanter of left femur, initial encounter for open fracture type I or II |
| S72115C | Nondisplaced fracture of greater trochanter of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72116A | Nondisplaced fracture of greater trochanter of unspecified femur, initial encounter for closed fracture |
| S72116B | Nondisplaced fracture of greater trochanter of unspecified femur, initial encounter for open fracture type I or II |
| S72116C | Nondisplaced fracture of greater trochanter of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72121A | Displaced fracture of lesser trochanter of right femur, initial encounter for closed fracture |
| S72121B | Displaced fracture of lesser trochanter of right femur, initial encounter for open fracture type I or II |
| S72121C | Displaced fracture of lesser trochanter of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72122A | Displaced fracture of lesser trochanter of left femur, initial encounter for closed fracture |
| S72122B | Displaced fracture of lesser trochanter of left femur, initial encounter for open fracture type I or II |
| S72122C | Displaced fracture of lesser trochanter of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72123A | Displaced fracture of lesser trochanter of unspecified femur, initial encounter for closed fracture |
| S72123B | Displaced fracture of lesser trochanter of unspecified femur, initial encounter for open fracture type I or II |
| S72123C | Displaced fracture of lesser trochanter of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72124A | Nondisplaced fracture of lesser trochanter of right femur, initial encounter for closed fracture |
| S72124B | Nondisplaced fracture of lesser trochanter of right femur, initial encounter for open fracture type I or II |
| S72124C | Nondisplaced fracture of lesser trochanter of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72125A | Nondisplaced fracture of lesser trochanter of left femur, initial encounter for closed fracture |
| S72125B | Nondisplaced fracture of lesser trochanter of left femur, initial encounter for open fracture type I or II |
| S72125C | Nondisplaced fracture of lesser trochanter of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72126A | Nondisplaced fracture of lesser trochanter of unspecified femur, initial encounter for closed fracture |
| S72126B | Nondisplaced fracture of lesser trochanter of unspecified femur, initial encounter for open fracture type I or II |
| S72126C | Nondisplaced fracture of lesser trochanter of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72131A | Displaced apophyseal fracture of right femur, initial encounter for closed fracture |
| S72131B | Displaced apophyseal fracture of right femur, initial encounter for open fracture type I or II |
| S72131C | Displaced apophyseal fracture of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72132A | Displaced apophyseal fracture of left femur, initial encounter for closed fracture |
| S72132B | Displaced apophyseal fracture of left femur, initial encounter for open fracture type I or II |
| S72132C | Displaced apophyseal fracture of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72133A | Displaced apophyseal fracture of unspecified femur, initial encounter for closed fracture |
| S72133B | Displaced apophyseal fracture of unspecified femur, initial encounter for open fracture type I or II |
| S72133C | Displaced apophyseal fracture of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72134A | Nondisplaced apophyseal fracture of right femur, initial encounter for closed fracture |
| S72134B | Nondisplaced apophyseal fracture of right femur, initial encounter for open fracture type I or II |
| S72134C | Nondisplaced apophyseal fracture of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72135A | Nondisplaced apophyseal fracture of left femur, initial encounter for closed fracture |
| S72135B | Nondisplaced apophyseal fracture of left femur, initial encounter for open fracture type I or II |
| S72135C | Nondisplaced apophyseal fracture of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72136A | Nondisplaced apophyseal fracture of unspecified femur, initial encounter for closed fracture |
| S72136B | Nondisplaced apophyseal fracture of unspecified femur, initial encounter for open fracture type I or II |
| S72136C | Nondisplaced apophyseal fracture of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72141A | Displaced intertrochanteric fracture of right femur, initial encounter for closed fracture |
| S72141B | Displaced intertrochanteric fracture of right femur, initial encounter for open fracture type I or II |
| S72141C | Displaced intertrochanteric fracture of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72142A | Displaced intertrochanteric fracture of left femur, initial encounter for closed fracture |
| S72142B | Displaced intertrochanteric fracture of left femur, initial encounter for open fracture type I or II |
| S72142C | Displaced intertrochanteric fracture of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72143A | Displaced intertrochanteric fracture of unspecified femur, initial encounter for closed fracture |
| S72143B | Displaced intertrochanteric fracture of unspecified femur, initial encounter for open fracture type I or II |
| S72143C | Displaced intertrochanteric fracture of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72144A | Nondisplaced intertrochanteric fracture of right femur, initial encounter for closed fracture |
| S72144B | Nondisplaced intertrochanteric fracture of right femur, initial encounter for open fracture type I or II |
| S72144C | Nondisplaced intertrochanteric fracture of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72145A | Nondisplaced intertrochanteric fracture of left femur, initial encounter for closed fracture |
| S72145B | Nondisplaced intertrochanteric fracture of left femur, initial encounter for open fracture type I or II |
| S72145C | Nondisplaced intertrochanteric fracture of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72146A | Nondisplaced intertrochanteric fracture of unspecified femur, initial encounter for closed fracture |
| S72146B | Nondisplaced intertrochanteric fracture of unspecified femur, initial encounter for open fracture type I or II |
| S72146C | Nondisplaced intertrochanteric fracture of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S7221XA | Displaced subtrochanteric fracture of right femur, initial encounter for closed fracture |
| S7221XB | Displaced subtrochanteric fracture of right femur, initial encounter for open fracture type I or II |
| S7221XC | Displaced subtrochanteric fracture of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S7222XA | Displaced subtrochanteric fracture of left femur, initial encounter for closed fracture |
| S7222XB | Displaced subtrochanteric fracture of left femur, initial encounter for open fracture type I or II |
| S7222XC | Displaced subtrochanteric fracture of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S7223XA | Displaced subtrochanteric fracture of unspecified femur, initial encounter for closed fracture |
| S7223XB | Displaced subtrochanteric fracture of unspecified femur, initial encounter for open fracture type I or II |
| S7223XC | Displaced subtrochanteric fracture of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S7224XA | Nondisplaced subtrochanteric fracture of right femur, initial encounter for closed fracture |
| S7224XB | Nondisplaced subtrochanteric fracture of right femur, initial encounter for open fracture type I or II |
| S7224XC | Nondisplaced subtrochanteric fracture of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S7225XA | Nondisplaced subtrochanteric fracture of left femur, initial encounter for closed fracture |
| S7225XB | Nondisplaced subtrochanteric fracture of left femur, initial encounter for open fracture type I or II |
| S7225XC | Nondisplaced subtrochanteric fracture of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S7226XA | Nondisplaced subtrochanteric fracture of unspecified femur, initial encounter for closed fracture |
| S7226XB | Nondisplaced subtrochanteric fracture of unspecified femur, initial encounter for open fracture type I or II |
| S7226XC | Nondisplaced subtrochanteric fracture of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72301A | Unspecified fracture of shaft of right femur, initial encounter for closed fracture |
| S72301B | Unspecified fracture of shaft of right femur, initial encounter for open fracture type I or II |
| S72301C | Unspecified fracture of shaft of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72302A | Unspecified fracture of shaft of left femur, initial encounter for closed fracture |
| S72302B | Unspecified fracture of shaft of left femur, initial encounter for open fracture type I or II |
| S72302C | Unspecified fracture of shaft of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72309A | Unspecified fracture of shaft of unspecified femur, initial encounter for closed fracture |
| S72309B | Unspecified fracture of shaft of unspecified femur, initial encounter for open fracture type I or II |
| S72309C | Unspecified fracture of shaft of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72321A | Displaced transverse fracture of shaft of right femur, initial encounter for closed fracture |
| S72321B | Displaced transverse fracture of shaft of right femur, initial encounter for open fracture type I or II |
| S72321C | Displaced transverse fracture of shaft of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72322A | Displaced transverse fracture of shaft of left femur, initial encounter for closed fracture |
| S72322B | Displaced transverse fracture of shaft of left femur, initial encounter for open fracture type I or II |
| S72322C | Displaced transverse fracture of shaft of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72323A | Displaced transverse fracture of shaft of unspecified femur, initial encounter for closed fracture |
| S72323B | Displaced transverse fracture of shaft of unspecified femur, initial encounter for open fracture type I or II |
| S72323C | Displaced transverse fracture of shaft of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72324A | Nondisplaced transverse fracture of shaft of right femur, initial encounter for closed fracture |
| S72324B | Nondisplaced transverse fracture of shaft of right femur, initial encounter for open fracture type I or II |
| S72324C | Nondisplaced transverse fracture of shaft of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72325A | Nondisplaced transverse fracture of shaft of left femur, initial encounter for closed fracture |
| S72325B | Nondisplaced transverse fracture of shaft of left femur, initial encounter for open fracture type I or II |
| S72325C | Nondisplaced transverse fracture of shaft of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72326A | Nondisplaced transverse fracture of shaft of unspecified femur, initial encounter for closed fracture |
| S72326B | Nondisplaced transverse fracture of shaft of unspecified femur, initial encounter for open fracture type I or II |
| S72326C | Nondisplaced transverse fracture of shaft of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72331A | Displaced oblique fracture of shaft of right femur, initial encounter for closed fracture |
| S72331B | Displaced oblique fracture of shaft of right femur, initial encounter for open fracture type I or II |
| S72331C | Displaced oblique fracture of shaft of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72332A | Displaced oblique fracture of shaft of left femur, initial encounter for closed fracture |
| S72332B | Displaced oblique fracture of shaft of left femur, initial encounter for open fracture type I or II |
| S72332C | Displaced oblique fracture of shaft of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72333A | Displaced oblique fracture of shaft of unspecified femur, initial encounter for closed fracture |
| S72333B | Displaced oblique fracture of shaft of unspecified femur, initial encounter for open fracture type I or II |
| S72333C | Displaced oblique fracture of shaft of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72334A | Nondisplaced oblique fracture of shaft of right femur, initial encounter for closed fracture |
| S72334B | Nondisplaced oblique fracture of shaft of right femur, initial encounter for open fracture type I or II |
| S72334C | Nondisplaced oblique fracture of shaft of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72335A | Nondisplaced oblique fracture of shaft of left femur, initial encounter for closed fracture |
| S72335B | Nondisplaced oblique fracture of shaft of left femur, initial encounter for open fracture type I or II |
| S72335C | Nondisplaced oblique fracture of shaft of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72336A | Nondisplaced oblique fracture of shaft of unspecified femur, initial encounter for closed fracture |
| S72336B | Nondisplaced oblique fracture of shaft of unspecified femur, initial encounter for open fracture type I or II |
| S72336C | Nondisplaced oblique fracture of shaft of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72341A | Displaced spiral fracture of shaft of right femur, initial encounter for closed fracture |
| S72341B | Displaced spiral fracture of shaft of right femur, initial encounter for open fracture type I or II |
| S72341C | Displaced spiral fracture of shaft of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72342A | Displaced spiral fracture of shaft of left femur, initial encounter for closed fracture |
| S72342B | Displaced spiral fracture of shaft of left femur, initial encounter for open fracture type I or II |
| S72342C | Displaced spiral fracture of shaft of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72343A | Displaced spiral fracture of shaft of unspecified femur, initial encounter for closed fracture |
| S72343B | Displaced spiral fracture of shaft of unspecified femur, initial encounter for open fracture type I or II |
| S72343C | Displaced spiral fracture of shaft of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72344A | Nondisplaced spiral fracture of shaft of right femur, initial encounter for closed fracture |
| S72344B | Nondisplaced spiral fracture of shaft of right femur, initial encounter for open fracture type I or II |
| S72344C | Nondisplaced spiral fracture of shaft of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72345A | Nondisplaced spiral fracture of shaft of left femur, initial encounter for closed fracture |
| S72345B | Nondisplaced spiral fracture of shaft of left femur, initial encounter for open fracture type I or II |
| S72345C | Nondisplaced spiral fracture of shaft of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72346A | Nondisplaced spiral fracture of shaft of unspecified femur, initial encounter for closed fracture |
| S72346B | Nondisplaced spiral fracture of shaft of unspecified femur, initial encounter for open fracture type I or II |
| S72346C | Nondisplaced spiral fracture of shaft of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72351A | Displaced comminuted fracture of shaft of right femur, initial encounter for closed fracture |
| S72351B | Displaced comminuted fracture of shaft of right femur, initial encounter for open fracture type I or II |
| S72351C | Displaced comminuted fracture of shaft of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72352A | Displaced comminuted fracture of shaft of left femur, initial encounter for closed fracture |
| S72352B | Displaced comminuted fracture of shaft of left femur, initial encounter for open fracture type I or II |
| S72352C | Displaced comminuted fracture of shaft of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72353A | Displaced comminuted fracture of shaft of unspecified femur, initial encounter for closed fracture |
| S72353B | Displaced comminuted fracture of shaft of unspecified femur, initial encounter for open fracture type I or II |
| S72353C | Displaced comminuted fracture of shaft of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72354A | Nondisplaced comminuted fracture of shaft of right femur, initial encounter for closed fracture |
| S72354B | Nondisplaced comminuted fracture of shaft of right femur, initial encounter for open fracture type I or II |
| S72354C | Nondisplaced comminuted fracture of shaft of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72355A | Nondisplaced comminuted fracture of shaft of left femur, initial encounter for closed fracture |
| S72355B | Nondisplaced comminuted fracture of shaft of left femur, initial encounter for open fracture type I or II |
| S72355C | Nondisplaced comminuted fracture of shaft of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72356A | Nondisplaced comminuted fracture of shaft of unspecified femur, initial encounter for closed fracture |
| S72356B | Nondisplaced comminuted fracture of shaft of unspecified femur, initial encounter for open fracture type I or II |
| S72356C | Nondisplaced comminuted fracture of shaft of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72361A | Displaced segmental fracture of shaft of right femur, initial encounter for closed fracture |
| S72361B | Displaced segmental fracture of shaft of right femur, initial encounter for open fracture type I or II |
| S72361C | Displaced segmental fracture of shaft of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72362A | Displaced segmental fracture of shaft of left femur, initial encounter for closed fracture |
| S72362B | Displaced segmental fracture of shaft of left femur, initial encounter for open fracture type I or II |
| S72362C | Displaced segmental fracture of shaft of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72363A | Displaced segmental fracture of shaft of unspecified femur, initial encounter for closed fracture |
| S72363B | Displaced segmental fracture of shaft of unspecified femur, initial encounter for open fracture type I or II |
| S72363C | Displaced segmental fracture of shaft of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72364A | Nondisplaced segmental fracture of shaft of right femur, initial encounter for closed fracture |
| S72364B | Nondisplaced segmental fracture of shaft of right femur, initial encounter for open fracture type I or II |
| S72364C | Nondisplaced segmental fracture of shaft of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72365A | Nondisplaced segmental fracture of shaft of left femur, initial encounter for closed fracture |
| S72365B | Nondisplaced segmental fracture of shaft of left femur, initial encounter for open fracture type I or II |
| S72365C | Nondisplaced segmental fracture of shaft of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72366A | Nondisplaced segmental fracture of shaft of unspecified femur, initial encounter for closed fracture |
| S72366B | Nondisplaced segmental fracture of shaft of unspecified femur, initial encounter for open fracture type I or II |
| S72366C | Nondisplaced segmental fracture of shaft of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72391A | Other fracture of shaft of right femur, initial encounter for closed fracture |
| S72391B | Other fracture of shaft of right femur, initial encounter for open fracture type I or II |
| S72391C | Other fracture of shaft of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72392A | Other fracture of shaft of left femur, initial encounter for closed fracture |
| S72392B | Other fracture of shaft of left femur, initial encounter for open fracture type I or II |
| S72392C | Other fracture of shaft of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72399A | Other fracture of shaft of unspecified femur, initial encounter for closed fracture |
| S72399B | Other fracture of shaft of unspecified femur, initial encounter for open fracture type I or II |
| S72399C | Other fracture of shaft of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72401A | Unspecified fracture of lower end of right femur, initial encounter for closed fracture |
| S72401B | Unspecified fracture of lower end of right femur, initial encounter for open fracture type I or II |
| S72401C | Unspecified fracture of lower end of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72402A | Unspecified fracture of lower end of left femur, initial encounter for closed fracture |
| S72402B | Unspecified fracture of lower end of left femur, initial encounter for open fracture type I or II |
| S72402C | Unspecified fracture of lower end of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72409A | Unspecified fracture of lower end of unspecified femur, initial encounter for closed fracture |
| S72409B | Unspecified fracture of lower end of unspecified femur, initial encounter for open fracture type I or II |
| S72409C | Unspecified fracture of lower end of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72411A | Displaced unspecified condyle fracture of lower end of right femur, initial encounter for closed fracture |
| S72411B | Displaced unspecified condyle fracture of lower end of right femur, initial encounter for open fracture type I or II |
| S72411C | Displaced unspecified condyle fracture of lower end of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72412A | Displaced unspecified condyle fracture of lower end of left femur, initial encounter for closed fracture |
| S72412B | Displaced unspecified condyle fracture of lower end of left femur, initial encounter for open fracture type I or II |
| S72412C | Displaced unspecified condyle fracture of lower end of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72413A | Displaced unspecified condyle fracture of lower end of unspecified femur, initial encounter for closed fracture |
| S72413B | Displaced unspecified condyle fracture of lower end of unspecified femur, initial encounter for open fracture type I or II |
| S72413C | Displaced unspecified condyle fracture of lower end of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72414A | Nondisplaced unspecified condyle fracture of lower end of right femur, initial encounter for closed fracture |
| S72414B | Nondisplaced unspecified condyle fracture of lower end of right femur, initial encounter for open fracture type I or II |
| S72414C | Nondisplaced unspecified condyle fracture of lower end of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72415A | Nondisplaced unspecified condyle fracture of lower end of left femur, initial encounter for closed fracture |
| S72415B | Nondisplaced unspecified condyle fracture of lower end of left femur, initial encounter for open fracture type I or II |
| S72415C | Nondisplaced unspecified condyle fracture of lower end of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72416A | Nondisplaced unspecified condyle fracture of lower end of unspecified femur, initial encounter for closed fracture |
| S72416B | Nondisplaced unspecified condyle fracture of lower end of unspecified femur, initial encounter for open fracture type I or II |
| S72416C | Nondisplaced unspecified condyle fracture of lower end of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72421A | Displaced fracture of lateral condyle of right femur, initial encounter for closed fracture |
| S72421B | Displaced fracture of lateral condyle of right femur, initial encounter for open fracture type I or II |
| S72421C | Displaced fracture of lateral condyle of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72422A | Displaced fracture of lateral condyle of left femur, initial encounter for closed fracture |
| S72422B | Displaced fracture of lateral condyle of left femur, initial encounter for open fracture type I or II |
| S72422C | Displaced fracture of lateral condyle of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72423A | Displaced fracture of lateral condyle of unspecified femur, initial encounter for closed fracture |
| S72423B | Displaced fracture of lateral condyle of unspecified femur, initial encounter for open fracture type I or II |
| S72423C | Displaced fracture of lateral condyle of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72424A | Nondisplaced fracture of lateral condyle of right femur, initial encounter for closed fracture |
| S72424B | Nondisplaced fracture of lateral condyle of right femur, initial encounter for open fracture type I or II |
| S72424C | Nondisplaced fracture of lateral condyle of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72425A | Nondisplaced fracture of lateral condyle of left femur, initial encounter for closed fracture |
| S72425B | Nondisplaced fracture of lateral condyle of left femur, initial encounter for open fracture type I or II |
| S72425C | Nondisplaced fracture of lateral condyle of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72426A | Nondisplaced fracture of lateral condyle of unspecified femur, initial encounter for closed fracture |
| S72426B | Nondisplaced fracture of lateral condyle of unspecified femur, initial encounter for open fracture type I or II |
| S72426C | Nondisplaced fracture of lateral condyle of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72431A | Displaced fracture of medial condyle of right femur, initial encounter for closed fracture |
| S72431B | Displaced fracture of medial condyle of right femur, initial encounter for open fracture type I or II |
| S72431C | Displaced fracture of medial condyle of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72432A | Displaced fracture of medial condyle of left femur, initial encounter for closed fracture |
| S72432B | Displaced fracture of medial condyle of left femur, initial encounter for open fracture type I or II |
| S72432C | Displaced fracture of medial condyle of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72433A | Displaced fracture of medial condyle of unspecified femur, initial encounter for closed fracture |
| S72433B | Displaced fracture of medial condyle of unspecified femur, initial encounter for open fracture type I or II |
| S72433C | Displaced fracture of medial condyle of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72434A | Nondisplaced fracture of medial condyle of right femur, initial encounter for closed fracture |
| S72434B | Nondisplaced fracture of medial condyle of right femur, initial encounter for open fracture type I or II |
| S72434C | Nondisplaced fracture of medial condyle of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72435A | Nondisplaced fracture of medial condyle of left femur, initial encounter for closed fracture |
| S72435B | Nondisplaced fracture of medial condyle of left femur, initial encounter for open fracture type I or II |
| S72435C | Nondisplaced fracture of medial condyle of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72436A | Nondisplaced fracture of medial condyle of unspecified femur, initial encounter for closed fracture |
| S72436B | Nondisplaced fracture of medial condyle of unspecified femur, initial encounter for open fracture type I or II |
| S72436C | Nondisplaced fracture of medial condyle of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72441A | Displaced fracture of lower epiphysis (separation) of right femur, initial encounter for closed fracture |
| S72441B | Displaced fracture of lower epiphysis (separation) of right femur, initial encounter for open fracture type I or II |
| S72441C | Displaced fracture of lower epiphysis (separation) of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72442A | Displaced fracture of lower epiphysis (separation) of left femur, initial encounter for closed fracture |
| S72442B | Displaced fracture of lower epiphysis (separation) of left femur, initial encounter for open fracture type I or II |
| S72442C | Displaced fracture of lower epiphysis (separation) of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72443A | Displaced fracture of lower epiphysis (separation) of unspecified femur, initial encounter for closed fracture |
| S72443B | Displaced fracture of lower epiphysis (separation) of unspecified femur, initial encounter for open fracture type I or II |
| S72443C | Displaced fracture of lower epiphysis (separation) of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72444A | Nondisplaced fracture of lower epiphysis (separation) of right femur, initial encounter for closed fracture |
| S72444B | Nondisplaced fracture of lower epiphysis (separation) of right femur, initial encounter for open fracture type I or II |
| S72444C | Nondisplaced fracture of lower epiphysis (separation) of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72445A | Nondisplaced fracture of lower epiphysis (separation) of left femur, initial encounter for closed fracture |
| S72445B | Nondisplaced fracture of lower epiphysis (separation) of left femur, initial encounter for open fracture type I or II |
| S72445C | Nondisplaced fracture of lower epiphysis (separation) of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72446A | Nondisplaced fracture of lower epiphysis (separation) of unspecified femur, initial encounter for closed fracture |
| S72446B | Nondisplaced fracture of lower epiphysis (separation) of unspecified femur, initial encounter for open fracture type I or II |
| S72446C | Nondisplaced fracture of lower epiphysis (separation) of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72451A | Displaced supracondylar fracture without intracondylar extension of lower end of right femur, initial encounter for closed fracture |
| S72451B | Displaced supracondylar fracture without intracondylar extension of lower end of right femur, initial encounter for open fracture type I or II |
| S72451C | Displaced supracondylar fracture without intracondylar extension of lower end of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72452A | Displaced supracondylar fracture without intracondylar extension of lower end of left femur, initial encounter for closed fracture |
| S72452B | Displaced supracondylar fracture without intracondylar extension of lower end of left femur, initial encounter for open fracture type I or II |
| S72452C | Displaced supracondylar fracture without intracondylar extension of lower end of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72453A | Displaced supracondylar fracture without intracondylar extension of lower end of unspecified femur, initial encounter for closed fracture |
| S72453B | Displaced supracondylar fracture without intracondylar extension of lower end of unspecified femur, initial encounter for open fracture type I or II |
| S72453C | Displaced supracondylar fracture without intracondylar extension of lower end of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72454A | Nondisplaced supracondylar fracture without intracondylar extension of lower end of right femur, initial encounter for closed fracture |
| S72454B | Nondisplaced supracondylar fracture without intracondylar extension of lower end of right femur, initial encounter for open fracture type I or II |
| S72454C | Nondisplaced supracondylar fracture without intracondylar extension of lower end of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72455A | Nondisplaced supracondylar fracture without intracondylar extension of lower end of left femur, initial encounter for closed fracture |
| S72455B | Nondisplaced supracondylar fracture without intracondylar extension of lower end of left femur, initial encounter for open fracture type I or II |
| S72455C | Nondisplaced supracondylar fracture without intracondylar extension of lower end of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72456A | Nondisplaced supracondylar fracture without intracondylar extension of lower end of unspecified femur, initial encounter for closed fracture |
| S72456B | Nondisplaced supracondylar fracture without intracondylar extension of lower end of unspecified femur, initial encounter for open fracture type I or II |
| S72456C | Nondisplaced supracondylar fracture without intracondylar extension of lower end of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72461A | Displaced supracondylar fracture with intracondylar extension of lower end of right femur, initial encounter for closed fracture |
| S72461B | Displaced supracondylar fracture with intracondylar extension of lower end of right femur, initial encounter for open fracture type I or II |
| S72461C | Displaced supracondylar fracture with intracondylar extension of lower end of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72462A | Displaced supracondylar fracture with intracondylar extension of lower end of left femur, initial encounter for closed fracture |
| S72462B | Displaced supracondylar fracture with intracondylar extension of lower end of left femur, initial encounter for open fracture type I or II |
| S72462C | Displaced supracondylar fracture with intracondylar extension of lower end of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72463A | Displaced supracondylar fracture with intracondylar extension of lower end of unspecified femur, initial encounter for closed fracture |
| S72463B | Displaced supracondylar fracture with intracondylar extension of lower end of unspecified femur, initial encounter for open fracture type I or II |
| S72463C | Displaced supracondylar fracture with intracondylar extension of lower end of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72464A | Nondisplaced supracondylar fracture with intracondylar extension of lower end of right femur, initial encounter for closed fracture |
| S72464B | Nondisplaced supracondylar fracture with intracondylar extension of lower end of right femur, initial encounter for open fracture type I or II |
| S72464C | Nondisplaced supracondylar fracture with intracondylar extension of lower end of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72465A | Nondisplaced supracondylar fracture with intracondylar extension of lower end of left femur, initial encounter for closed fracture |
| S72465B | Nondisplaced supracondylar fracture with intracondylar extension of lower end of left femur, initial encounter for open fracture type I or II |
| S72465C | Nondisplaced supracondylar fracture with intracondylar extension of lower end of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72466A | Nondisplaced supracondylar fracture with intracondylar extension of lower end of unspecified femur, initial encounter for closed fracture |
| S72466B | Nondisplaced supracondylar fracture with intracondylar extension of lower end of unspecified femur, initial encounter for open fracture type I or II |
| S72466C | Nondisplaced supracondylar fracture with intracondylar extension of lower end of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72471A | Torus fracture of lower end of right femur, initial encounter for closed fracture |
| S72472A | Torus fracture of lower end of left femur, initial encounter for closed fracture |
| S72479A | Torus fracture of lower end of unspecified femur, initial encounter for closed fracture |
| S72491A | Other fracture of lower end of right femur, initial encounter for closed fracture |
| S72491B | Other fracture of lower end of right femur, initial encounter for open fracture type I or II |
| S72491C | Other fracture of lower end of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72492A | Other fracture of lower end of left femur, initial encounter for closed fracture |
| S72492B | Other fracture of lower end of left femur, initial encounter for open fracture type I or II |
| S72492C | Other fracture of lower end of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S72499A | Other fracture of lower end of unspecified femur, initial encounter for closed fracture |
| S72499B | Other fracture of lower end of unspecified femur, initial encounter for open fracture type I or II |
| S72499C | Other fracture of lower end of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S728X1A | Other fracture of right femur, initial encounter for closed fracture |
| S728X1B | Other fracture of right femur, initial encounter for open fracture type I or II |
| S728X1C | Other fracture of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S728X2A | Other fracture of left femur, initial encounter for closed fracture |
| S728X2B | Other fracture of left femur, initial encounter for open fracture type I or II |
| S728X2C | Other fracture of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S728X9A | Other fracture of unspecified femur, initial encounter for closed fracture |
| S728X9B | Other fracture of unspecified femur, initial encounter for open fracture type I or II |
| S728X9C | Other fracture of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S7290XA | Unspecified fracture of unspecified femur, initial encounter for closed fracture |
| S7290XB | Unspecified fracture of unspecified femur, initial encounter for open fracture type I or II |
| S7290XC | Unspecified fracture of unspecified femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S7291XA | Unspecified fracture of right femur, initial encounter for closed fracture |
| S7291XB | Unspecified fracture of right femur, initial encounter for open fracture type I or II |
| S7291XC | Unspecified fracture of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S7292XA | Unspecified fracture of left femur, initial encounter for closed fracture |
| S7292XB | Unspecified fracture of left femur, initial encounter for open fracture type I or II |
| S7292XC | Unspecified fracture of left femur, initial encounter for open fracture type IIIA, IIIB, or IIIC |
| S73001A | Unspecified subluxation of right hip, initial encounter |
| S73002A | Unspecified subluxation of left hip, initial encounter |
| S73003A | Unspecified subluxation of unspecified hip, initial encounter |
| S73004A | Unspecified dislocation of right hip, initial encounter |
| S73005A | Unspecified dislocation of left hip, initial encounter |
| S73006A | Unspecified dislocation of unspecified hip, initial encounter |
| S73011A | Posterior subluxation of right hip, initial encounter |
| S73012A | Posterior subluxation of left hip, initial encounter |
| S73013A | Posterior subluxation of unspecified hip, initial encounter |
| S73014A | Posterior dislocation of right hip, initial encounter |
| S73015A | Posterior dislocation of left hip, initial encounter |
| S73016A | Posterior dislocation of unspecified hip, initial encounter |
| S73021A | Obturator subluxation of right hip, initial encounter |
| S73022A | Obturator subluxation of left hip, initial encounter |
| S73023A | Obturator subluxation of unspecified hip, initial encounter |
| S73024A | Obturator dislocation of right hip, initial encounter |
| S73025A | Obturator dislocation of left hip, initial encounter |
| S73026A | Obturator dislocation of unspecified hip, initial encounter |
| S73031A | Other anterior subluxation of right hip, initial encounter |
| S73032A | Other anterior subluxation of left hip, initial encounter |
| S73033A | Other anterior subluxation of unspecified hip, initial encounter |
| S73034A | Other anterior dislocation of right hip, initial encounter |
| S73035A | Other anterior dislocation of left hip, initial encounter |
| S73036A | Other anterior dislocation of unspecified hip, initial encounter |
| S73041A | Central subluxation of right hip, initial encounter |
| S73042A | Central subluxation of left hip, initial encounter |
| S73043A | Central subluxation of unspecified hip, initial encounter |
| S73044A | Central dislocation of right hip, initial encounter |
| S73045A | Central dislocation of left hip, initial encounter |
| S73046A | Central dislocation of unspecified hip, initial encounter |
| S79001A | Unspecified physeal fracture of upper end of right femur, initial encounter for closed fracture |
| S79002A | Unspecified physeal fracture of upper end of left femur, initial encounter for closed fracture |
| S79009A | Unspecified physeal fracture of upper end of unspecified femur, initial encounter for closed fracture |
| S79011A | Salter-Harris Type I physeal fracture of upper end of right femur, initial encounter for closed fracture |
| S79012A | Salter-Harris Type I physeal fracture of upper end of left femur, initial encounter for closed fracture |
| S79019A | Salter-Harris Type I physeal fracture of upper end of unspecified femur, initial encounter for closed fracture |
| S79091A | Other physeal fracture of upper end of right femur, initial encounter for closed fracture |
| S79092A | Other physeal fracture of upper end of left femur, initial encounter for closed fracture |
| S79099A | Other physeal fracture of upper end of unspecified femur, initial encounter for closed fracture |
| S79101A | Unspecified physeal fracture of lower end of right femur, initial encounter for closed fracture |
| S79102A | Unspecified physeal fracture of lower end of left femur, initial encounter for closed fracture |
| S79109A | Unspecified physeal fracture of lower end of unspecified femur, initial encounter for closed fracture |
| S79111A | Salter-Harris Type I physeal fracture of lower end of right femur, initial encounter for closed fracture |
| S79112A | Salter-Harris Type I physeal fracture of lower end of left femur, initial encounter for closed fracture |
| S79119A | Salter-Harris Type I physeal fracture of lower end of unspecified femur, initial encounter for closed fracture |
| S79121A | Salter-Harris Type II physeal fracture of lower end of right femur, initial encounter for closed fracture |
| S79122A | Salter-Harris Type II physeal fracture of lower end of left femur, initial encounter for closed fracture |
| S79129A | Salter-Harris Type II physeal fracture of lower end of unspecified femur, initial encounter for closed fracture |
| S79131A | Salter-Harris Type III physeal fracture of lower end of right femur, initial encounter for closed fracture |
| S79132A | Salter-Harris Type III physeal fracture of lower end of left femur, initial encounter for closed fracture |
| S79139A | Salter-Harris Type III physeal fracture of lower end of unspecified femur, initial encounter for closed fracture |
| S79141A | Salter-Harris Type IV physeal fracture of lower end of right femur, initial encounter for closed fracture |
| S79142A | Salter-Harris Type IV physeal fracture of lower end of left femur, initial encounter for closed fracture |
| S79149A | Salter-Harris Type IV physeal fracture of lower end of unspecified femur, initial encounter for closed fracture |
| S79191A | Other physeal fracture of lower end of right femur, initial encounter for closed fracture |
| S79192A | Other physeal fracture of lower end of left femur, initial encounter for closed fracture |
| S79199A | Other physeal fracture of lower end of unspecified femur, initial encounter for closed fracture |
Where these codes sat in the V22 model
The V28 recalibration renumbered and regrouped categories; this table shows which legacy V22 categories the same ICD-10 codes belonged to, which is the quickest way to reconcile a V22-era HCC gap list with the current model.
| V22 HCC | Codes |
|---|---|
| 170 | 729 |
Capturing and defending the category
A category counts for a payment year when a mapped diagnosis is documented at least once during the data collection year by an acceptable provider type at a face-to-face or audio-video encounter, and when the note shows the condition was monitored, evaluated, assessed or treated. Chronic conditions do not carry forward: a category that is not re-documented in the year drops out of the score, which is why annual wellness visits and problem-list reconciliation are where most recapture happens. Risk adjustment data validation audits sample enrollees and ask for the medical record behind each submitted category; an unsupported category is removed and, under the extrapolation rules, the error rate is applied across the contract. The QuickIntell risk adjustment product surfaces suspected and unsupported categories from the chart, and the HCC hub lists every V28 category with its factor and code count.
Frequently asked questions
Which ICD-10 codes map to HCC 402?
729 ICD-10-CM codes map to HCC 402 in the CMS PY2027 initial mapping, for example M80051A Age-related osteoporosis with current pathological fracture, right femur, initial encounter for fracture; M80052A Age-related osteoporosis with current pathological fracture, left femur, initial encounter for fracture; M80059A Age-related osteoporosis with current pathological fracture, unspecified femur, initial encounter for fracture; M80851A Other osteoporosis with current pathological fracture, right femur, initial encounter for fracture. The full list is on this page; a code counts only when it is documented at a face-to-face or video encounter in the data collection year and supported by the record.
How much does HCC 402 add to a risk score?
The V28 relative factor for HCC 402 is 0.467 for a community, non-dual, aged beneficiary, 0.561 for full-benefit dual aged, 0.561 for non-dual disabled and 0.089 for long-term institutional members. A factor of 1.000 equals the expected annual cost of an average beneficiary, so the category's share of the payment follows the plan's base rate for that segment.
Does HCC 402 count together with related categories?
HCC 402 is not part of a hierarchy, so it is paid whenever it is documented regardless of which other categories the beneficiary has.
What has to be documented for HCC 402 to be valid?
The diagnosis must be recorded by an acceptable provider type during a face-to-face or audio-video encounter in the service year, with the note showing that the condition was monitored, evaluated, assessed or treated. Risk adjustment data validation audits recover payment for categories the record does not support, so the code on the claim and the assessment in the note must match.
Sources
Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-02. Verify against the primary file before billing or contracting decisions.
- ICD-10-CM to CMS-HCC V28 mappings, payment year 2027 initialVersion PY2027 initial ICD-10-CM mappings (dates of service 2026) · effective 2027-01-01 · file 2027 Initial ICD-10-CM Mappings.csvSHA-256 9c260b06d0dd2806…
- CMS-HCC V28 model software: labels, hierarchies and relative factorsVersion CMS-HCC V28 software V2826.115.T2 (PY2027 initial) · effective 2027-01-01 · file C2824T2N.csvSHA-256 20f38d537493b41c…
Disclaimer
Relative factors and mappings are reproduced from the CMS risk adjustment model files as an operational reference. Payment depends on the plan's base rate, normalization, the coding intensity adjustment and the enrollee's segment. Not legal, clinical or billing advice.