S72.365B Nondisplaced segmental fracture of shaft of left femur, initial encounter for open fracture type I or II

ICD-10-CM S72.365B: Nondisplaced segmental fracture of shaft of left femur, initial encounter for open fracture type I or II

ICD-10-CM code S72.365B identifies an active injury concept for a nondisplaced segmental fracture of the left femoral shaft during an initial encounter for an open fracture classified as type I or II. The terminology record classifies this concept under injury or poisoning and links it to a parent code for nondisplaced segmental left femoral shaft fractures. 1 3

Plain-language overview

This code represents an injury concept classified under the semantic type of injury or poisoning, specifically addressing a break in the left femoral shaft during the initial encounter for an open fracture type I or II. 1

What this code represents

The official terminology record assigns the preferred name of nondisplaced segmental fracture of shaft of left femur, initial encounter for open fracture type I or II to the active code S72.365B. 1

Within the coding hierarchy, S72.365B is a narrower concept descending from the parent code S72.365, which denotes a nondisplaced segmental fracture of the shaft of the left femur. 1

Coding details

Official coding manuals list S72.365B alongside a distinct code for nondisplaced segmental fractures of the left femoral shaft during initial encounters for open fracture type IIIA, IIIB, or IIIC. 3 4

Official coding manuals list separate specific codes for nondisplaced transverse, oblique, spiral, and comminuted fractures of the left femoral shaft, distinguishing these fracture patterns from the segmental designation. 3

Documentation considerations

The official terminology record specifies that the code S72.365B denotes a nondisplaced segmental fracture of the left femur for an initial encounter for open fracture type I or II. 1 3

Clinical context

Clinical literature describes segmental femoral fractures as complex injuries that can present alongside multiple severe traumas, including ipsilateral femoral neck fractures, following high-energy accidents. 2

What the sources add

While the terminology source defines the code's structural hierarchy and semantic type, the manual sources provide operational context by listing the code among related left femoral shaft fracture variants distinguished by fracture geometry and open fracture severity. 1 3 4

The clinical source states that segmental femoral fractures do not have a specific classification system, while the terminology source establishes a specific parent concept and active status for this left femoral shaft fracture code. 1 2

Sources

1. ICD-10-CM S72.365B terminology record — National Cancer Institute Enterprise Vocabulary Services; accessed 2026-07-27.
2. Surgical fixation of ipsilateral femoral neck and shaft fractures: a matter of debate? — pmc.ncbi.nlm.nih.gov; accessed 2026-07-27.
3. ICD-10-CM/PCS MS-DRG v37.2 Definitions Manual — cms.gov; accessed 2026-07-27.
4. ICD-10-CM/PCS MS-DRG v37.0 Definitions Manual — cms.gov; accessed 2026-07-27.