Right Hip Fracture ICD-10 Codes: S72.001A, S72.141A and Femoral Neck Codes (2026)

The ICD-10 code for an unspecified right hip fracture is S72.001A: fracture of unspecified part of neck of right femur, initial encounter for closed fracture. The ICD-10-CM index sends "Fracture, hip" to the femoral neck codes, so S72.001A is the default when the site is not documented. When the site is known, code it: a displaced right intertrochanteric fracture is S72.141A, a displaced right femoral neck (midcervical) fracture is S72.031A, and a displaced right subtrochanteric fracture is S72.21XA. The 7th character changes with the encounter: A for active treatment, D for routine healing and physical therapy, and S for sequela.

Right hip fracture ICD-10 codes at a glance

All codes are billable and unchanged in the FY2027 ICD-10-CM code set, effective October 1, 2026. Source: ICD-10-CM category S72, fracture of femur. For the left side, see left hip fracture ICD-10 codes.

Right hip fracture ICD-10 code finder

S72.141A: displaced intertrochanteric fracture of right femur

S72.141A means displaced intertrochanteric fracture of right femur, initial encounter for closed fracture. The break runs between the greater and lesser trochanters, the fragments have shifted, the skin is intact, and the patient is still in active treatment. It sits in Chapter 19 (S00-T88), block S70-S79 (injuries to the hip and thigh), category S72 (fracture of femur). If imaging shows the fragments have not moved, use S72.144A instead.

S72.141A vs S72.141B vs S72.141D

"Initial encounter" means the patient is receiving active treatment, such as the emergency visit, surgery or evaluation by a new physician, not just the first visit. Use D once active treatment is complete and the patient is in the healing or recovery phase.

Right femoral neck fracture ICD-10 codes

A right femoral neck fracture is an intracapsular hip fracture between the femoral head and the trochanters. Choose the most specific site documented: unspecified part of neck (S72.001A), intracapsular or subcapital (S72.011A), midcervical (S72.031A displaced, S72.034A nondisplaced) or base of neck (S72.041A displaced, S72.044A nondisplaced). A closed displaced fracture of right femoral neck with no further site detail usually codes to S72.001A, because the unspecified neck code has no displacement axis; if the provider names the midcervical or basicervical region, use S72.031A or S72.041A.

Right intertrochanteric and subtrochanteric fracture codes

Pertrochanteric fractures (S72.1-) include intertrochanteric (S72.141A displaced, S72.144A nondisplaced) and isolated greater or lesser trochanter fractures. Subtrochanteric fractures, just below the lesser trochanter, use S72.21XA (displaced) or S72.24XA (nondisplaced); the X is a placeholder so the 7th character stays in position 7.

Coding rules for right hip fractures

Excludes notes for category S72

• Excludes1: traumatic amputation of hip and thigh (S78.-).
• Excludes2: fracture of lower leg and ankle (S82.-), fracture of foot (S92.-) and periprosthetic fracture of prosthetic implant of hip (M97.0-).
• S72.0 Excludes2: physeal fractures of the upper and lower end of the femur (S79.0-, S79.1-).

Source: ICD-10-CM S72 tabular notes and the CMS ICD-10-CM official guidelines.

ICD-10 code for right hip fracture due to a fall

Code the fracture first, then the external cause. For a right hip fracture from an unspecified fall, report the fracture code (for example S72.001A or S72.141A) followed by W19.XXXA, unspecified fall, initial encounter. Use a more specific W00-W19 code when the type of fall is documented, such as a fall on the same level from slipping or tripping. External cause codes use the same 7th character logic and are never the first-listed diagnosis.

Right hip fracture ICD-10 coding for physical therapy

Outpatient and home health PT after a right hip fracture is usually a subsequent encounter, so the 7th character is D (routine healing), G (delayed healing) or K (nonunion). Pair it with codes for the functional problems you treat, such as R26.2 difficulty in walking, M62.81 muscle weakness or M25.551 pain in right hip. If the fracture was treated with a hip replacement, many coders also report Z96.641 (presence of right artificial hip joint); check AHA Coding Clinic guidance for your case.

Track recovery with the LEFS, Berg Balance Scale, gait speed or HOS-ADL. For notes and billing, see the PT documentation cheat sheet, the 8-minute rule and common physical therapy ICD codes.

Billing and documentation for right hip fracture codes

Inpatient stays with a principal diagnosis of hip fracture usually group to MS-DRGs 480-482 (hip and femur procedures except major joint), 521-522 (hip replacement with principal diagnosis of hip fracture) or 535-536 (fractures of hip and pelvis), depending on the procedure and complications. Unspecified site or laterality codes invite queries and denials, so document:

• Side (right) and exact site (femoral neck region, intertrochanteric, subtrochanteric).
• Displaced or nondisplaced, and open or closed (with Gustilo type if open).
• Encounter type: active treatment, routine healing, delayed healing, nonunion, malunion or sequela.
• Osteoporosis or other bone disease, and any hip prosthesis.
• Mechanism of injury, such as a fall, for the external cause code.

SPRY's physical therapy software and SOAP documentation tools carry the diagnosis, laterality and 7th character into every visit note and claim.

Fractura de cadera CIE-10 (Spanish)

En la CIE-10 de la OMS, la fractura de cadera se codifica en la categoría S72: S72.0 fractura del cuello del fémur, S72.1 fractura pertrocantérea y S72.2 fractura subtrocantérea. La CIE-10 de la OMS no indica el lado. En EE. UU., la CIE-10-MC añade lateralidad y un séptimo carácter: la fractura de cadera derecha sin especificar es S72.001A y la fractura intertrocantérea desplazada derecha es S72.141A. Fuente: OMS, CIE-10 S72.

Right hip fracture facts

• More than 300,000 people in the U.S. sustain a hip fracture each year (AAOS OrthoInfo).
• Nearly 319,000 older adults are hospitalized for hip fractures each year, and falls cause 88% of hip fracture ED visits and hospitalizations (CDC).
• Intertrochanteric and femoral neck fractures are the most common types; femoral head fractures are rare (AAOS).
• Surgery within 24 to 48 hours may reduce complications, and most patients start physical therapy the day after surgery (AAOS).

FAQs

What is the ICD-10 code for right hip fracture?

S72.001A (fracture of unspecified part of neck of right femur, initial encounter for closed fracture) when the site is not documented. Use a more specific code when it is, such as S72.141A for a displaced intertrochanteric fracture.

What is the ICD-10 code for right hip fracture, unspecified?

S72.001A. The ICD-10-CM index directs "Fracture, hip" to the femoral neck codes. S72.91XA is for an unspecified fracture of the right femur, not the hip specifically.

What does S72.141A mean?

Displaced intertrochanteric fracture of right femur, initial encounter for closed fracture. The nondisplaced version is S72.144A.

What is the ICD-10 code for a right femoral neck fracture?

S72.001A if the part of the neck is not specified. Use S72.031A or S72.034A for midcervical and S72.041A or S72.044A for base of neck fractures (displaced or nondisplaced).

What is the ICD-10 code for right hip fracture due to a fall?

Code the fracture first (for example S72.001A) and add W19.XXXA for an unspecified fall, or a more specific W code if the type of fall is documented.

Which 7th character do I use for physical therapy after a hip fracture?

Usually D, subsequent encounter for routine healing. Use G for delayed healing, K for nonunion or P for malunion. Aftercare Z codes are not used for injuries.

When should I use M80.051A instead of an S72 code?

When a patient with known age-related osteoporosis breaks the right femur from a fall or trauma that would not break a healthy bone. M80.051A is age-related osteoporosis with current pathological fracture, right femur, initial encounter.

What is the CIE-10 code for fractura de cadera?

In the WHO CIE-10, S72.0 (cuello del fémur), S72.1 (pertrocantérea) or S72.2 (subtrocantérea). The U.S. ICD-10-CM adds the side and a 7th character, for example S72.001A.

Sources

• ICD-10-CM category S72: fracture of femur (FY2027)
• CMS: ICD-10-CM codes and official guidelines
• WHO ICD-10 (CIE-10): S72
• CDC: older adult fall facts
• AAOS OrthoInfo: hip fractures