ICD-10-CM 2027 diagnosis code
S72.034HNondisplaced midcervical fracture of right femur, subsequent encounter for open fracture type I or II with delayed healing
S72.034H is a valid, billable ICD-10-CM code for nondisplaced midcervical fracture of right femur, subsequent encounter for open fracture type i or ii with delayed healing. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Nondisp midcervical fx r femr, 7thH
Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data
About S72.034H
S72.034H is the ICD-10-CM diagnosis code for nondisplaced midcervical fracture of right femur, subsequent encounter for open fracture type I or II with delayed healing. It belongs to category S72 (fracture of femur), block S70-S79 (injuries to the hip and thigh) and chapter 19 (injury, poisoning and certain other consequences of external causes). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.
The 7th character "H" means subsequent encounter for open fracture type I or II with delayed healing: use it for encounters after active treatment, while the patient is healing or recovering.
It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.
In MS-DRG v44.0, it is part of the grouping logic for DRG 521 (Hip Replacement with Principal Diagnosis of Hip Fracture with MCC, relative weight 2.8515), DRG 522 (Hip Replacement with Principal Diagnosis of Hip Fracture without MCC, relative weight 2.1158), DRG 559 (Aftercare, Musculoskeletal System and Connective Tissue with MCC, relative weight 1.8088), DRG 560 (Aftercare, Musculoskeletal System and Connective Tissue with CC, relative weight 1.1238) and DRG 561 (Aftercare, Musculoskeletal System and Connective Tissue without CC/MCC, relative weight 0.8258), in MDC 08 (Diseases and Disorders of the Musculoskeletal System and Connective Tissue), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.
It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.
It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.
Before ICD-10, this condition was coded in ICD-9-CM as V54.13 (aftercare for healing traumatic fracture of hip).
7th character
Hsubsequent encounter for open fracture type I or II with delayed healing
CC/MCC status for this injury by encounter: MCC for A, B, C; Neither CC nor MCC for D, E, F, G, H, J, S; CC for K, M, N, P, Q, R.
Other encounter types for S72.034:
Notes that apply from higher levels
Instructions written at a parent level also apply to S72.034H.
› From S72 Fracture of femur
- 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
- traumatic amputation of hip and thigh (S78.-)
Broader instructions also apply from S70-S79 Injuries to the hip and thigh and Chapter 19: Injury, poisoning and certain other consequences of external causes.
MS-DRG v44.0 grouping
All DRGs →Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue
ICD-9-CM equivalent
Converter →- V54.13Aftercare for healing traumatic fracture of hipapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about S72.034H
Is S72.034H billable?
- Yes. S72.034H is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
What does the "H" at the end of S72.034H mean?
- It is the 7th character for subsequent encounter for open fracture type I or II with delayed healing. Per the official guidelines, use it for encounters after active treatment, while the patient is healing or recovering.
Can S72.034H be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict S72.034H as a principal diagnosis.
Is S72.034H a CC or MCC?
- No. S72.034H is neither a CC nor an MCC under MS-DRG v44.0.
What DRG does S72.034H group to?
- S72.034H is used in the MS-DRG v44.0 logic for MS-DRG 521 (Hip Replacement with Principal Diagnosis of Hip Fracture with MCC), MS-DRG 522 (Hip Replacement with Principal Diagnosis of Hip Fracture without MCC), MS-DRG 559 (Aftercare, Musculoskeletal System and Connective Tissue with MCC), MS-DRG 560 (Aftercare, Musculoskeletal System and Connective Tissue with CC) and MS-DRG 561 (Aftercare, Musculoskeletal System and Connective Tissue without CC/MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.