Fracture of femur

**Notes:** - A fracture not indicated as displaced or nondisplaced should be coded to displaced - A fracture not indicated as open or closed should be coded to closed - The open fracture designations are based on the Gustilo open fracture classification

**Excludes1:** - traumatic amputation of hip and thigh (S78.-)

**Excludes2:** - fracture of lower leg and ankle (S82.-) - fracture of foot (S92.-) - periprosthetic fracture of prosthetic implant of hip (M97.0-)

**7th character note:** - The appropriate 7th character is to be added to all codes from category S72

**7th character:** - A: initial encounter for closed fracture - B: initial encounter for open fracture type I or II - C: initial encounter for open fracture type IIIA, IIIB, or IIIC - D: subsequent encounter for closed fracture with routine healing - E: subsequent encounter for open fracture type I or II with routine healing - F: subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing - G: subsequent encounter for closed fracture with delayed healing - H: subsequent encounter for open fracture type I or II with delayed healing - J: subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing - K: subsequent encounter for closed fracture with nonunion - M: subsequent encounter for open fracture type I or II with nonunion - N: subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion - P: subsequent encounter for closed fracture with malunion - Q: subsequent encounter for open fracture type I or II with malunion - R: subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion - S: sequela