{"id":177367,"date":"2026-08-13T07:43:59","date_gmt":"2026-08-13T07:43:59","guid":{"rendered":"https:\/\/pabau.com\/?p=177367"},"modified":"2026-08-13T10:30:16","modified_gmt":"2026-08-13T10:30:16","slug":"icd-10-code-s72431c","status":"publish","type":"post","link":"https:\/\/pabau.com\/de\/diagnostic-codes\/icd-10-code-s72431c\/","title":{"rendered":"ICD-10 Code S72.431C: Displaced fracture of medial condyle"},"content":{"rendered":"\n<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"MedicalWebPage\",\"headline\":\"ICD-10 Code S72.431C: Displaced fracture of medial condyle, right femur\",\"description\":\"ICD-10 Code S72.431C (Displaced fracture of medial condyle of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC) - billable status, 7th character guide, Gustilo classification, documentation requirements, and related codes.\",\"url\":\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s72431c\/\",\"audience\":{\"@type\":\"MedicalAudience\",\"audienceType\":\"Clinician\"},\"reviewedBy\":{\"@type\":\"Person\",\"name\":\"Dr Vanja Kitanova\",\"jobTitle\":\"Medical Reviewer\",\"affiliation\":{\"@type\":\"Organization\",\"name\":\"Pabau\"},\"knowsAbout\":[\"Medical Coding\",\"Clinical Documentation\",\"Healthcare Billing\",\"Clinical Safety\"],\"sameAs\":\"https:\/\/pabau.com\/blog\/author\/vanja\/\"},\"datePublished\":\"2026-01-15\",\"dateModified\":\"2026-01-15\"}<\/script>\n\n\n        <div id=\"key_takeaways\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/12\/Key-Takeaways-Icon.svg\" alt=\"Key takeaways\" height=\"42\" width=\"42\">\n                                <h3>Key takeaways<\/h3>\n            <\/div>\n            <div class=\"list\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>ICD-10 Code S72.431C describes a displaced fracture of the medial condyle of the right femur. It applies to the initial encounter for an open fracture.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>S72.431C is billable under the 2026 ICD-10-CM edition. Its parent code S72.431 is non-billable and cannot go on a claim.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>The 7th character C covers Gustilo-Anderson types IIIA, IIIB, and IIIC. Choosing the wrong 7th character is the most common error in this family.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Practice management software like Pabau captures laterality, displacement, and encounter type as structured fields, so coders can select the 7th character without a chart query.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<p class=\"wp-block-paragraph\">ICD-10 Code S72.431C is a billable ICD-10-CM code for a displaced fracture of the medial condyle of the right femur. It applies at the initial encounter, when the fracture is open and graded Gustilo type IIIA, IIIB, or IIIC. This reference covers the code hierarchy, the 7th character system, and the Gustilo criteria. It also sets out the documentation each element needs and the errors that get these claims denied.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">According to the <a href=\"https:\/\/www.cms.gov\/medicare\/coding-billing\/icd-10-codes\" target=\"_blank\" rel=\"nofollow noopener\">Centers for Medicare and Medicaid Services (CMS)<\/a>, ICD-10-CM codes are updated annually each October 1. The 2026 edition, effective October 1, 2025, carries S72.431C as a current, billable diagnosis code. Coders in orthopedic, urgent care, and trauma settings meet it on high-severity open femur fractures that need surgical management.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"ICD-10 Revisions: Stay Updated or Fall Behind\" width=\"800\" height=\"450\" src=\"https:\/\/www.youtube.com\/embed\/bqAyb-BCA0w?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<h2 id=\"h-icd-10-code-s72-431c-definition-billable-status-and-effective-date\" class=\"wp-block-heading\">ICD-10 Code S72.431C: definition, billable status, and effective date<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">ICD-10 Code S72.431C is a specific, billable ICD-10-CM diagnosis code valid for reimbursement. It describes a displaced fracture of the medial condyle of the right femur. The fracture is open at first presentation and graded Gustilo type IIIA, IIIB, or IIIC. The subsequent-encounter counterpart for the same injury with malunion is <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s72431r\/\">S72.431R<\/a>.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Attribute<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Detail<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Code<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S72.431C<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Full description<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Displaced fracture of medial condyle of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Billable<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Yes &#8211; specific, billable code valid for reimbursement<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Current edition<\/td>\n<td style=\"padding:12px 16px;color:#374151\">ICD-10-CM 2026, effective October 1, 2025<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Parent code<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S72.431 &#8211; non-billable; requires a 7th character child code<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Code category<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S72 &#8211; Fracture of femur (S00-T88 Injury, poisoning and certain other consequences of external causes)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Laterality<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Right femur only<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Verify annually<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Check the code against the <a href=\"https:\/\/icd10cmtool.cdc.gov\/\" target=\"_blank\" rel=\"nofollow noopener\">CDC\/NCHS ICD-10-CM tool<\/a> each October<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<h2 id=\"h-understanding-the-7th-character-extensions-for-s72-431\" class=\"wp-block-heading\">Understanding the 7th character extensions for S72.431<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The parent code S72.431 is non-billable. To submit a claim, coders select one of the billable child codes by appending the correct 7th character. That character sets the encounter type and, for open fractures, the Gustilo grade. The same encounter-type logic drives every other femur subcategory, including <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s72451k\/\">S72.451K<\/a>.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">7th character<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Billable code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Description<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">A<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S72.431A<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Initial encounter for closed fracture<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">B<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S72.431B<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Initial encounter for open fracture type I or II<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">C<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S72.431C<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Initial encounter for open fracture type IIIA, IIIB, or IIIC<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">D<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S72.431D<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subsequent encounter for closed fracture with routine healing<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">E<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S72.431E<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subsequent encounter for open fracture type I or II with routine healing<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">F<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S72.431F<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">G<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S72.431G<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subsequent encounter for closed fracture with delayed healing<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">H<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S72.431H<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subsequent encounter for open fracture type I or II with delayed healing<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">J<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S72.431J<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subsequent encounter for open fracture type IIIA, IIIB, or IIIC with delayed healing<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">K<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S72.431K<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subsequent encounter for closed fracture with nonunion<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">M<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S72.431M<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subsequent encounter for open fracture type I or II with nonunion<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">N<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S72.431N<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">P<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S72.431P<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subsequent encounter for closed fracture with malunion<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Q<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S72.431Q<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subsequent encounter for open fracture type I or II with malunion<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">R<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S72.431R<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S72.431S<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Sequela<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Key rule:<\/strong> ICD-10 Code S72.431C is used only for the initial encounter. Once the patient returns for follow-up care on the same fracture, the coder switches to the matching subsequent-encounter code. For Gustilo type III injuries that means F, J, N, or R, depending on how the fracture is healing.<\/p>\n\n\n\n<h2 id=\"h-gustilo-open-fracture-classification-types-iiia-iiib-and-iiic\" class=\"wp-block-heading\">Gustilo open fracture classification: types IIIA, IIIB, and IIIC<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The Gustilo-Anderson classification is the accepted standard for grading open fracture severity in orthopedic and trauma settings. The 7th character system that carries that grade into a diagnosis code is specific to ICD-10-CM. It is governed by the official ICD-10-CM guidelines maintained by CMS and the CDC&#8217;s NCHS. The 7th character C in ICD-10 Code S72.431C maps to all three type III subgroups. ICD-10-CM groups IIIA, IIIB, and IIIC under a single character rather than giving each subtype its own code.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Gustilo type<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Key characteristics<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">ICD-10-CM 7th character<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Type I<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Clean wound, less than 1 cm, minimal soft tissue damage<\/td>\n<td style=\"padding:12px 16px;color:#374151\">B (initial) \/ E, H, M, Q (subsequent)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Type II<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Wound 1-10 cm, moderate soft tissue damage, no extensive flap<\/td>\n<td style=\"padding:12px 16px;color:#374151\">B (initial) \/ E, H, M, Q (subsequent)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Type IIIA<\/td>\n<td style=\"padding:12px 16px;color:#374151\">High-energy trauma, adequate soft tissue coverage despite extensive laceration<\/td>\n<td style=\"padding:12px 16px;color:#374151\">C (initial) \/ F, J, N, R (subsequent)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Type IIIB<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Extensive periosteal stripping, bone exposed, requires local or free flap coverage<\/td>\n<td style=\"padding:12px 16px;color:#374151\">C (initial) \/ F, J, N, R (subsequent)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Type IIIC<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Arterial injury requiring vascular repair regardless of soft tissue involvement<\/td>\n<td style=\"padding:12px 16px;color:#374151\">C (initial) \/ F, J, N, R (subsequent)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">The operative note and emergency department record must state the Gustilo classification outright, or describe the wound well enough for the coder to determine it. Coders do not assign type III on their own. The treating physician or surgeon makes that call.<\/p>\n\n\n\n<h2 id=\"h-anatomy-medial-condyle-fracture-coding-and-laterality\" class=\"wp-block-heading\">Anatomy: medial condyle fracture coding and laterality<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The medial condyle is the inner projection at the distal end of the femur, forming part of the knee joint. Fractures here are distinct from neck-of-femur fractures, commonly called hip fractures, and from mid-shaft femur fractures. Laterality is a required element across all S72 subcategories, exactly as it is for forearm codes such as <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s52262k\/\">S52.262K<\/a>.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Medial condyle location:<\/strong> distal femur, medial aspect, adjacent to the medial collateral ligament<\/li>\n\n\n\n<li><strong>Clinical significance:<\/strong> intra-articular fracture risk, with post-traumatic arthritis a concern if displacement is inadequately reduced<\/li>\n\n\n\n<li><strong>Laterality in ICD-10-CM:<\/strong> S72.431x for the right femur, S72.432x for the left, S72.433x when the side is not documented<\/li>\n\n\n\n<li><strong>Why right vs. left matters:<\/strong> payer systems validate laterality against operative reports, and a mismatch triggers a denial<\/li>\n<\/ul>\n\n\n\n<h2 id=\"h-displaced-vs-non-displaced-fractures-how-the-distinction-affects-code-selection\" class=\"wp-block-heading\">Displaced vs. non-displaced fractures: how the distinction affects code selection<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Displacement status is built into the code itself, not added as a modifier or qualifier. S72.431C codes a displaced fracture. A non-displaced fracture of the medial condyle of the right femur maps to the S72.434x family instead. Using S72.431C for a non-displaced fracture misrepresents clinical severity and can affect both reimbursement and quality reporting.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Fracture type<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Right femur<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Left femur<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Side not documented<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Displaced, medial condyle<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S72.431 + 7th character<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S72.432 + 7th character<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S72.433 + 7th character<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Non-displaced, medial condyle<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S72.434 + 7th character<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S72.435 + 7th character<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S72.436 + 7th character<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">There is no &#8222;unspecified displacement&#8220; option in this subcategory. The official ICD-10-CM guidelines direct coders to treat a fracture as displaced when the record does not say which it is. Query the treating provider anyway when the operative or radiology report is ambiguous, because the default is a fallback rather than a finding.<\/p>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Flag displacement status and Gustilo type as mandatory fields in your orthopedic intake or operative note template. When these elements are missing at chart completion, coders must query the surgeon, which delays claim submission. Building them into the structured note prevents the query loop entirely.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-s72-431c-sibling-parent-and-related-codes\" class=\"wp-block-heading\">S72.431C sibling, parent, and related codes<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Understanding the hierarchy prevents the most common error in this family: submitting the non-billable parent S72.431 on a claim. Use the <a href=\"https:\/\/www.aapc.com\/codes\/icd-10-codes-range\/\" target=\"_blank\" rel=\"nofollow noopener\">AAPC ICD-10-CM code lookup<\/a> to confirm hierarchy and billable status across the full S72 family. Pabau&#8217;s <a href=\"https:\/\/pabau.com\/features\/claims-management-software\/\">claims management software<\/a> maps each diagnosis code to its claim field, so a parent code is less likely to slip through.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/diagnostic_codes\/icd-10-code-s72431c\/automate-claims-through-healthcode.webp\" alt=\"Pabau claims management dashboard showing diagnosis codes mapped to claim fields\"\/><figcaption class=\"wp-element-caption\"><em>Pabau&#8217;s claims management maps each diagnosis code to the right claim field, so a non-billable parent code never reaches the payer.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>S72.431 (non-billable parent):<\/strong> displaced fracture of medial condyle of right femur, which needs a 7th character before it can be submitted<\/li>\n\n\n\n<li><strong>S72.431A:<\/strong> initial encounter, closed fracture<\/li>\n\n\n\n<li><strong>S72.431B:<\/strong> initial encounter, open fracture type I or II<\/li>\n\n\n\n<li><strong>S72.431C:<\/strong> initial encounter, open fracture type IIIA, IIIB, or IIIC<\/li>\n\n\n\n<li><strong>S72.432x family:<\/strong> displaced fracture of medial condyle of left femur, the mirror codes<\/li>\n\n\n\n<li><strong>S72.434x family:<\/strong> non-displaced fracture of medial condyle of right femur<\/li>\n\n\n\n<li><strong>S72.42x family:<\/strong> fracture of lateral condyle of femur<\/li>\n\n\n\n<li><strong>S72.0xx family:<\/strong> fracture of head and neck of femur, the true hip fractures<\/li>\n<\/ul>\n\n\n\n<h2 id=\"h-documentation-requirements-for-accurate-open-fracture-coding\" class=\"wp-block-heading\">Documentation requirements for accurate open fracture coding<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Every element of ICD-10 Code S72.431C must appear in the clinical record before the code is assigned. Miss one element, such as Gustilo type or laterality, and the coder falls back to a less specific code. That costs reimbursement accuracy and audit performance. Purpose-built <a href=\"https:\/\/pabau.com\/blog\/clinical-documentation-software\/\">clinical documentation software<\/a> and structured <a href=\"https:\/\/pabau.com\/features\/patient-intake-software\/\">digital clinical forms<\/a> capture all of these fields at the point of care.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/diagnostic_codes\/icd-10-code-s72431c\/digital-forms.webp\" alt=\"Pabau digital form builder with required clinical fields\"\/><figcaption class=\"wp-element-caption\"><em>Pabau&#8217;s digital forms make Gustilo type and laterality required fields, so the coder finds both already recorded in the chart.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Fracture location:<\/strong> medial condyle of femur, not just &#8222;distal femur&#8220; or &#8222;knee fracture&#8220;<\/li>\n\n\n\n<li><strong>Laterality:<\/strong> right femur stated explicitly in the operative or ED note<\/li>\n\n\n\n<li><strong>Displacement status:<\/strong> displaced fracture confirmed on imaging or intraoperative assessment<\/li>\n\n\n\n<li><strong>Open vs. closed:<\/strong> wound description confirming bone exposure or communication with the fracture site<\/li>\n\n\n\n<li><strong>Gustilo classification:<\/strong> type IIIA, IIIB, or IIIC stated by the treating surgeon<\/li>\n\n\n\n<li><strong>Encounter type:<\/strong> initial encounter confirmed, meaning the first active treatment for this injury<\/li>\n\n\n\n<li><strong>Mechanism of injury:<\/strong> recommended so the fracture code can be paired with an external cause code<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Orthopedic practices using <a href=\"https:\/\/pabau.com\/features\/medical-records-management\/\">structured patient records<\/a> can make fracture classification a mandatory field. The detail lands in the chart as the note is written, not during a retrospective coding query.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/diagnostic_codes\/icd-10-code-s72431c\/comprehensive-patient-records.webp\" alt=\"Pabau patient record showing imaging, notes and history in one view\"\/><figcaption class=\"wp-element-caption\"><em>Pabau keeps imaging findings, operative notes, and fracture classification in one record, so the coder works from a single chart.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 id=\"h-billing-and-reimbursement-considerations-for-icd-10-code-s72-431c\" class=\"wp-block-heading\">Billing and reimbursement considerations for ICD-10 Code S72.431C<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Gustilo type III open femur fractures are high-acuity injuries, usually managed in inpatient or surgical settings. Claims carrying ICD-10 Code S72.431C pair with CPT codes for open reduction and internal fixation or external fixation, depending on the operative approach. Confirm the payer&#8217;s medical necessity crosswalk requirements before submission. <a href=\"https:\/\/pabau.com\/blog\/hipaa-compliance-software\/\">HIPAA-compliant coding workflows<\/a> keep the transmitted diagnosis data within federal requirements for protected health information.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Present on admission (POA):<\/strong> verify POA status for S72.431C against the current CMS indicator list, which applies to facilities billing under the IPPS<\/li>\n\n\n\n<li><strong>Payer preauthorization:<\/strong> type III fractures often need surgical authorization, so confirm it with the payer before the procedure<\/li>\n\n\n\n<li><strong>External cause codes:<\/strong> append the mechanism-of-injury code, such as W19.XXXA for an unspecified fall, alongside the fracture diagnosis<\/li>\n\n\n\n<li><strong>Inpatient vs. outpatient:<\/strong> S72.431C is valid in both settings, and inpatient DRG assignment turns on the principal diagnosis and procedure codes<\/li>\n<\/ul>\n\n\n\n<h2 id=\"h-common-coding-errors-and-how-to-avoid-them\" class=\"wp-block-heading\">Common coding errors and how to avoid them<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The S72.431 family generates predictable findings in orthopedic billing audits. Practices that connect the clinical note directly to their <a href=\"https:\/\/pabau.com\/blog\/what-is-medical-billing\/\">medical billing<\/a> process catch most of these before the claim leaves the building.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Submitting the non-billable parent S72.431:<\/strong> the most frequent error. S72.431 without a 7th character is rejected by all payers. Always use a fully specified child code.<\/li>\n\n\n\n<li><strong>Selecting 7th character A instead of C:<\/strong> A denotes a closed fracture at initial encounter. Using it for an open fracture misrepresents the clinical findings. Confirm open vs. closed in the operative or ED record first.<\/li>\n\n\n\n<li><strong>Selecting 7th character B instead of C:<\/strong> B maps to Gustilo type I or II. If the documentation states type IIIA, IIIB, or IIIC, the character must be C. Downcoding to B can reduce reimbursement and shift DRG assignment.<\/li>\n\n\n\n<li><strong>Missing laterality:<\/strong> coding S72.433 for an unspecified side when the record clearly documents a right-side injury. Specificity wins whenever the documentation supports it.<\/li>\n\n\n\n<li><strong>Using initial encounter codes for follow-up visits:<\/strong> the encounter type shifts to D, E, or F once active treatment ends. Keeping S72.431C on later visits is incorrect.<\/li>\n\n\n\n<li><strong>Failing to pair with external cause codes:<\/strong> ICD-10-CM guidelines direct coders to report external cause codes as secondary diagnoses, particularly on inpatient claims.<\/li>\n<\/ul>\n\n\n\n<h2 id=\"h-how-practice-management-software-supports-fracture-code-accuracy\" class=\"wp-block-heading\">How practice management software supports fracture code accuracy<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Open fracture codes carry high denial rates because the required documentation elements are numerous and time-sensitive. Today most orthopedic teams collect them in free-text notes, then chase the surgeon weeks later when the coder cannot find a Gustilo grade. Practices running a <a href=\"https:\/\/pabau.com\/industry\/physical-therapy-emr\/\">physical therapy EMR<\/a> or <a href=\"https:\/\/pabau.com\/industry\/sports-medicine-software\/\">sports medicine software<\/a> with structured templates avoid that loop.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pabau does the same job for orthopedic and musculoskeletal practices. Laterality, displacement status, and fracture classification become discrete fields on the clinical note rather than sentences someone has to interpret. Every subscription includes those documentation tools, so no part of the workflow sits behind a higher tier.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The outcome is a shorter path from surgery to a clean claim. The billing team can assign ICD-10 Code S72.431C the same week the patient is treated, without a provider query or a chart audit first.<\/p>\n\n\n        <div id=\"book_a_demo\">\n            <div class=\"left-side\">\n                <div class=\"logo\">\n                    <img decoding=\"async\"\n                        src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Logo.svg\"\n                        alt=\"Logo\"\n                        loading=\"lazy\"\n                    \/>\n                <\/div>\n\n                <h3 class=\"heading\">\n                    Reduce coding errors before claims go out                <\/h3>\n\n                <p class=\"description\">\n                    Pabau captures fracture laterality, displacement status, and Gustilo classification as structured fields. Your billing team gets everything it needs to pick the right ICD-10 code at submission.                <\/p>\n\n                <div class=\"button-group\">\n                    <a href=\"\/book-demo\/\" class=\"btn btn-scale-effect btn-cta-color btn-md\">\n                        <span class=\"btn-text\">Book a demo<\/span>\n                        <div class=\"btn-icon btn-icon-right\" aria-hidden=\"true\">\n                            <svg\n                                width=\"14\"\n                                height=\"12\"\n                                viewBox=\"0 0 14 12\"\n                                fill=\"none\"\n                                xmlns=\"http:\/\/www.w3.org\/2000\/svg\"\n                            >\n                                <path\n                                    d=\"M0.75 4.77295C0.335786 4.77295 0 5.10874 0 5.52295C0 5.93716 0.335786 6.27295 0.75 6.27295V5.52295V4.77295ZM13.2803 6.05328C13.5732 5.76039 13.5732 5.28551 13.2803 4.99262L8.50736 0.219648C8.21447 -0.073245 7.73959 -0.073245 7.4467 0.219648C7.15381 0.512542 7.15381 0.987415 7.4467 1.28031L11.6893 5.52295L7.4467 9.76559C7.15381 10.0585 7.15381 10.5334 7.4467 10.8263C7.73959 11.1191 8.21447 11.1191 8.50736 10.8263L13.2803 6.05328ZM0.75 5.52295V6.27295L12.75 6.27295V5.52295V4.77295L0.75 4.77295V5.52295Z\"\n                                    fill=\"currentColor\"\n                                ><\/path>\n                            <\/svg>\n                        <\/div>\n                    <\/a>\n                <\/div>\n            <\/div>\n\n            <div class=\"right-side\">\n                <img decoding=\"async\"\n                    src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Home-Page-Concept-4.webp\"\n                    alt=\"Pabau clinical documentation dashboard\"\n                    loading=\"lazy\"\n                \/>\n            <\/div>\n        <\/div>\n        \n\n\n<h2 id=\"h-conclusion\" class=\"wp-block-heading\">Conclusion<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">S72.431C is only as defensible as the four elements behind it. Those are displacement, medial condyle location, right-side laterality, and a surgeon-documented Gustilo type III at initial encounter. Chase those four at the point of care, not at the point of denial.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The trade-off worth remembering is that specificity cuts both ways. A record that supports C earns the acuity it describes, while a thin record pushes you to a vaguer code and a smaller payment. To see how Pabau supports accurate ICD-10 documentation workflows, <a href=\"https:\/\/pabau.com\/book-demo\/\">book a demo<\/a>.<\/p>\n\n\n        <div id=\"expert_picks\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/11\/Expert-Picks.svg\" alt=\"Continue your research\" height=\"42\" width=\"42\">\n                                <h3>Continue your research<\/h3>\n            <\/div>\n            <div class=\"content\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Need guidance on building compliant orthopedic documentation?<\/strong> <a href=\"https:\/\/pabau.com\/guides\/safer-clinical-notes\/\">Safer clinical notes<\/a> covers structured note-writing that reduces audit risk across musculoskeletal specialties.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Coding the graft that follows the fixation?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-20938\/\">CPT code 20938<\/a> walks through the bone graft documentation surgeons are asked for most often.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Want fewer denials from documentation problems?<\/strong> <a href=\"https:\/\/pabau.com\/blog\/hipaa-compliance-checklist-for-primary-care\/\">HIPAA compliance checklist for primary care<\/a> outlines the standards that protect your claims across every diagnosis category.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-frequently-asked-questions\" class=\"wp-block-heading\">Frequently asked questions<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1786604728745\"><h3 class=\"schema-faq-question\">What is ICD-10 Code S72.431C?<\/h3> <p class=\"schema-faq-answer\">ICD-10 Code S72.431C is a billable ICD-10-CM diagnosis code for a displaced fracture of the medial condyle of the right femur. It covers the initial encounter for an open fracture graded Gustilo type IIIA, IIIB, or IIIC. It is valid for reimbursement under the 2026 ICD-10-CM edition, effective October 1, 2025. Use it only when displacement, location, right-side laterality, and Gustilo type III are all documented.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786604728746\"><h3 class=\"schema-faq-question\">Is S72.431C a billable ICD-10 code?<\/h3> <p class=\"schema-faq-answer\">Yes, S72.431C is a fully specific, billable ICD-10-CM code valid for claim submission. Its parent code S72.431 carries no 7th character, so it is non-billable and will be rejected if submitted. Always append the correct 7th character to produce a billable code.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786604728749\"><h3 class=\"schema-faq-question\">What is the code for a closed displaced medial condyle fracture of the right femur?<\/h3> <p class=\"schema-faq-answer\">A displaced fracture of the medial condyle of the right femur at initial encounter for a closed fracture is coded S72.431A. The C character applies only when the fracture is open and the surgeon has documented Gustilo type III. Confirm open vs. closed status in the operative or emergency record before selecting the code.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786604728750\"><h3 class=\"schema-faq-question\">Does S72.431C require a POA indicator for inpatient claims?<\/h3> <p class=\"schema-faq-answer\">Present on admission indicator requirements apply to inpatient claims billed under the IPPS. Verify the POA status for S72.431C against current CMS ICD-10 guidance for the applicable fiscal year. POA exempt status can change with the annual code update.<\/p> <\/div> <\/div>\n","protected":false},"excerpt":{"rendered":"<p>ICD-10 Code S72.431C is a billable ICD-10-CM code for a displaced fracture of the medial condyle of the right femur. It applies at the initial encounter, when the fracture is open and graded Gustilo type IIIA, IIIB, or IIIC. This reference covers the code hierarchy, the 7th character system, and the Gustilo criteria. It also [&hellip;]<\/p>\n","protected":false},"author":84,"featured_media":177365,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_linkdex":"84","_yoast_wpseo_content_score":"90","_yoast_wpseo_is_cornerstone":"","_yoast_wpseo_keywordsynonyms":"[\"\",\"\",\"\",\"\",\"\"]","_yoast_wpseo_focuskw_text_input":"","_seo_original_html":"","footnotes":""},"categories":[1549,1550],"tags":[1680,1363,3539,2653,2668],"class_list":["post-177367","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-diagnostic-codes","category-icd-10-cm","tag-diagnostic-codes","tag-icd-10","tag-initial-encounter-coding","tag-laterality-coding","tag-musculoskeletal-coding"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.3 (Yoast SEO v28.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>ICD-10 Code S72.431C: Displaced fracture of medial 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is an all-in-one healthcare practice management software platform designed for clinics, medspas, therapists, and medical professionals. 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Always append the correct 7th character to produce a billable code.\",\"inLanguage\":\"de\"},\"inLanguage\":\"de\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/diagnostic-codes\\\/icd-10-code-s72431c\\\/#faq-question-1786604728749\",\"position\":3,\"url\":\"https:\\\/\\\/pabau.com\\\/de\\\/diagnostic-codes\\\/icd-10-code-s72431c\\\/#faq-question-1786604728749\",\"name\":\"What is the code for a closed displaced medial condyle fracture of the right femur?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"A displaced fracture of the medial condyle of the right femur at initial encounter for a closed fracture is coded S72.431A. The C character applies only when the fracture is open and the surgeon has documented Gustilo type III. Confirm open vs. closed status in the operative or emergency record before selecting the code.\",\"inLanguage\":\"de\"},\"inLanguage\":\"de\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/diagnostic-codes\\\/icd-10-code-s72431c\\\/#faq-question-1786604728750\",\"position\":4,\"url\":\"https:\\\/\\\/pabau.com\\\/de\\\/diagnostic-codes\\\/icd-10-code-s72431c\\\/#faq-question-1786604728750\",\"name\":\"Does S72.431C require a POA indicator for inpatient claims?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Present on admission indicator requirements apply to inpatient claims billed under the IPPS. Verify the POA status for S72.431C against current CMS ICD-10 guidance for the applicable fiscal year. 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Outside of work, she enjoys photography, weekend getaways, and finding inspiration in everyday experiences.","url":"https:\/\/pabau.com\/de\/blog\/author\/despina-petrushevska\/"},{"@type":"Question","@id":"https:\/\/pabau.com\/de\/diagnostic-codes\/icd-10-code-s72431c\/#faq-question-1786604728745","position":1,"url":"https:\/\/pabau.com\/de\/diagnostic-codes\/icd-10-code-s72431c\/#faq-question-1786604728745","name":"What is ICD-10 Code S72.431C?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"ICD-10 Code S72.431C is a billable ICD-10-CM diagnosis code for a displaced fracture of the medial condyle of the right femur. It covers the initial encounter for an open fracture graded Gustilo type IIIA, IIIB, or IIIC. It is valid for reimbursement under the 2026 ICD-10-CM edition, effective October 1, 2025. Use it only when displacement, location, right-side laterality, and Gustilo type III are all documented.","inLanguage":"de"},"inLanguage":"de"},{"@type":"Question","@id":"https:\/\/pabau.com\/de\/diagnostic-codes\/icd-10-code-s72431c\/#faq-question-1786604728746","position":2,"url":"https:\/\/pabau.com\/de\/diagnostic-codes\/icd-10-code-s72431c\/#faq-question-1786604728746","name":"Is S72.431C a billable ICD-10 code?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Yes, S72.431C is a fully specific, billable ICD-10-CM code valid for claim submission. Its parent code S72.431 carries no 7th character, so it is non-billable and will be rejected if submitted. Always append the correct 7th character to produce a billable code.","inLanguage":"de"},"inLanguage":"de"},{"@type":"Question","@id":"https:\/\/pabau.com\/de\/diagnostic-codes\/icd-10-code-s72431c\/#faq-question-1786604728749","position":3,"url":"https:\/\/pabau.com\/de\/diagnostic-codes\/icd-10-code-s72431c\/#faq-question-1786604728749","name":"What is the code for a closed displaced medial condyle fracture of the right femur?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"A displaced fracture of the medial condyle of the right femur at initial encounter for a closed fracture is coded S72.431A. The C character applies only when the fracture is open and the surgeon has documented Gustilo type III. Confirm open vs. closed status in the operative or emergency record before selecting the code.","inLanguage":"de"},"inLanguage":"de"},{"@type":"Question","@id":"https:\/\/pabau.com\/de\/diagnostic-codes\/icd-10-code-s72431c\/#faq-question-1786604728750","position":4,"url":"https:\/\/pabau.com\/de\/diagnostic-codes\/icd-10-code-s72431c\/#faq-question-1786604728750","name":"Does S72.431C require a POA indicator for inpatient claims?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Present on admission indicator requirements apply to inpatient claims billed under the IPPS. Verify the POA status for S72.431C against current CMS ICD-10 guidance for the applicable fiscal year. POA exempt status can change with the annual code update.","inLanguage":"de"},"inLanguage":"de"}]}},"yoast":{"focus_keyword":"ICD-10 Code S72.431C","seo_title":"ICD-10 Code S72.431C: Displaced fracture of medial condyle","meta_description":"S72.431C covers a displaced right medial condyle femur fracture, open Gustilo type IIIA-IIIC, at the initial encounter.","content_score":"90","is_cornerstone":"","related_keyphrases":[{"keyword":"Gustilo classification icd-10","score":61},{"keyword":"fracture 7th character icd-10","score":61},{"keyword":"medial condyle fracture coding","score":61},{"keyword":"open fracture icd-10 coding","score":56}]},"_links":{"self":[{"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/posts\/177367","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/users\/84"}],"replies":[{"embeddable":true,"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/comments?post=177367"}],"version-history":[{"count":4,"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/posts\/177367\/revisions"}],"predecessor-version":[{"id":177806,"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/posts\/177367\/revisions\/177806"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/media\/177365"}],"wp:attachment":[{"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/media?parent=177367"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/categories?post=177367"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/tags?post=177367"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}