ICD-10-CM Diagnosis code S72.414C

Nondisplaced unspecified condyle fracture of lower end of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC

Code Details

Body System Injury and poisoning
Chronic Condition No

Complications & Comorbid Conditions (CC/MCC) Rules for S72.414C

When S72.414C is used as a secondary diagnostic code, the patient's visit may be considered to have Complications & Comorbid Conditions (CC) or Major Complications & Comorbid Conditions (MCC).

Exclusions apply. When the primary diagnostic code is is in the exclusion list, the patient visit CC/MCC does not qualify for a CC or MCC.

CC/MCC grouping rules are adjusted each year, so check the rules for the fiscal year of the patient's discharge date.

CC/MCC Rules for S72.414C

DRG Mapping Rules for S72.414C

Diagnostic codes are the first step in the DRG mapping process.

The patient's primary diagnostic code is the most important. Assuming the patient's primary diagnostic code is S72.414C, look in the list below to see which MDC's "Assignment of Diagnosis Codes" is first. That is the MDC that the patient will be grouped into.

From there, check the subsections of the MDC listed. The patient will be mapped into the first subsection for which the treatment performed on the patient meet the listed requirements of that subsection.

DRG grouping rules are adjusted each year, so make sure to check the rules for the fiscal year of the patient's discharge date.

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