Coding and coverage · ICD-10-CM

S79 › S79.0 › S79.09 › S79.091

S79.091P Other physeal fracture of upper end of right femur, subsequent encounter for fracture with malunion

BillableNo payment HCCChapter 19

7th character P: subsequent encounter for fracture with malunion

Instructional notes

Chapter 19

Excludes2Not included here: the patient may have both; report both when both are present.
Use additional codeAdd a second code for the full picture.
  • code to identify any retained foreign body, if applicable (Z18.-)
Notes
  • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
  • The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.

Section S70-S79

Excludes2Not included here: the patient may have both; report both when both are present.

S79

Notes
  • A fracture not indicated as open or closed should be coded to closed
7th charactersThe appropriate 7th character is to be added to each code from subcategories S79.0 and S79.1
  • A initial encounter for closed fracture
  • D subsequent encounter for fracture with routine healing
  • G subsequent encounter for fracture with delayed healing
  • K subsequent encounter for fracture with nonunion
  • P subsequent encounter for fracture with malunion
  • S sequela

S79.0

Excludes1Not coded here: never report with this code, except when the two conditions are unrelated.
  • apophyseal fracture of upper end of femur (S72.13-)
  • nontraumatic slipped upper femoral epiphysis (M93.0-)

Chapter 19: Injury, poisoning and certain other consequences of external causes · S70-S79 Injuries to the hip and thigh (S70-S79)

Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.

Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.