S72.121C: Displaced fracture of lesser trochanter of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC

S72.121C, displaced fracture of lesser trochanter of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC, is listed as a covered diagnosis in 5 Medicare billing and coding articles that apply to 72 HCPCS Level II codes, including A9585 (Injection, gadobutrol, 0.1 ml), Q9953 (Injection, iron-based magnetic resonance contrast agent…), G0008 (Administration of influenza virus vaccine). 47 of these codes have a 2026 DMEPOS fee schedule amount; L1844 pays $1,865.51 to $2,436.24 depending on the state. The articles come from 3 Medicare contractors. A listed diagnosis supports medical necessity only; coverage still depends on the LCD's criteria and on documentation in the medical record.

HCPCS Level II codes with S72.121C as a covered diagnosis

CodeDescriptionMedicare coverageDMEPOS fee 2026 (state range)Articles listing it
A9585Injection, gadobutrol, 0.1 mlCarrier judgment—1
Q9953Injection, iron-based magnetic resonance contrast agent, per mlSpecial coverage instructions apply—1
G0008Administration of influenza virus vaccineCarrier judgment—1
G0009Administration of pneumococcal vaccineCarrier judgment—1
G0010Administration of hepatitis b vaccineCarrier judgment—1
Q2038Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone)Special coverage instructions apply—1
Q2035Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)Special coverage instructions apply—1
Q2037Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)Special coverage instructions apply—1
Q2034Influenza virus vaccine, split virus, for intramuscular use (agriflu)Special coverage instructions apply—1
Q2036Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval)Special coverage instructions apply—1
Q2039Influenza virus vaccine, not otherwise specifiedSpecial coverage instructions apply—1
L1844Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, custom fabricatedCarrier judgment$1,865.51–$2,436.241
L1860Knee orthosis, modification of supracondylar prosthetic socket, custom fabricated (sk)Carrier judgment$1,233.07–$1,985.941
L1846Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, custom fabricatedCarrier judgment$1,283.72–$1,960.171
L1834Knee orthosis, without knee joint, rigid, custom fabricatedCarrier judgment$892.02–$1,808.361
L1832Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertiseCarrier judgment$698.63–$1,618.031
L1840Knee orthosis, derotation, medial-lateral, anterior cruciate ligament, custom fabricatedCarrier judgment$1,056.60–$1,606.151
L1843Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertiseCarrier judgment$1,076.26–$1,183.901
L1845Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertiseCarrier judgment$939.24–$1,180.511
L1833Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelfCarrier judgment$455.16–$1,087.161
L1851Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelfCarrier judgment$600.78–$959.091
L1852Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelfCarrier judgment$573.13–$940.491
L2330Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis onlyCarrier judgment$429.42–$904.141
L1847Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertiseCarrier judgment$689.92–$827.891
L1848Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelfCarrier judgment$689.92–$827.891

47 more codes are listed. See every code with payment by region in Caduvo.

Medicare policy articles listing S72.121C

A diagnosis listed as covered in a billing and coding article supports medical necessity for the article's codes; it does not guarantee payment. Coverage depends on the LCD's criteria, the contractor's jurisdiction and documentation in the medical record.

Other S72 diagnoses (Fracture of femur)

Frequently asked questions

Does Medicare cover S72.121C (Displaced fracture of lesser trochanter of right femur…)?

Medicare covers items and services, not diagnoses. 5 Medicare billing and coding articles list S72.121C as a covered diagnosis for 72 HCPCS Level II codes: the diagnosis can support medical necessity for those codes, but payment still depends on the LCD's coverage criteria and the medical record.

Which HCPCS codes can be billed with ICD-10 S72.121C?

The Level II codes from the policies most specific to this diagnosis are A9585 (Injection, gadobutrol, 0.1 ml, 1 article); Q9953 (Injection, iron-based magnetic resonance contrast agent…, 1 article); G0008 (Administration of influenza virus vaccine, 1 article); G0009 (Administration of pneumococcal vaccine, 1 article); G0010 (Administration of hepatitis b vaccine, 1 article). Code choice depends on the item supplied; check each code's descriptor.

What does Medicare pay for equipment billed with S72.121C?

Under the 2026 DMEPOS fee schedule (non-rural state fees): L1844 $1,865.51 to $2,436.24; L1860 $1,233.07 to $1,985.94; L1846 $1,283.72 to $1,960.17; L1834 $892.02 to $1,808.36. Medicare pays 80% of the allowed amount after the Part B deductible.

Which Medicare policy articles list S72.121C?

A60250 (Billing and Coding: Total Joint Arthroplasty); A57206 (Billing and Coding: Lumbar MRI); A54767 (Billing and Coding: Medicare Preventive Coverage for Certain Vaccines), and 2 more articles.

What is ICD-10-CM code S72.121C?

S72.121C is the ICD-10-CM code for displaced fracture of lesser trochanter of right femur, initial encounter for open fracture type IIIA, IIIB, or IIIC, in category S72 (Fracture of femur), chapter 19: Injury, poisoning and other consequences of external causes.

Next steps

Sources: CMS Medicare Coverage Database billing and coding articles (covered ICD-10 code lists and HCPCS links); ICD-10-CM FY2026; CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule 2026 (non-rural state fees). Not billing or legal advice.

Chapter 19: Injury, poisoning and other consequences of external causes · All diagnoses · HCPCS lookup