S49.002S
S49.002S: Unspecified physeal fracture of upper end of humerus, left arm, sequela
Billable / specific codeICD-10-CMPOA exemptleft
S49.002S is a billable, specific ICD-10-CM code for unspecified physeal fracture of upper end of humerus, left arm, sequela. It is valid for submission on a claim.
Check S49.002S with the rest of the claim: free scrubber7th character "S": sequela
The appropriate 7th character is to be added to each code from subcategories S49.0 and S49.1
- A
- initial encounter for closed fracture
- D
- subsequent encounter for fracture with routine healing
- G
- subsequent encounter for fracture with delayed healing
- K
- subsequent encounter for fracture with nonunion
- P
- subsequent encounter for fracture with malunion
- S
- sequela
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S49.002S is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S49.002
- S49.002AUnspecified physeal fracture of upper end of humerus, left arm, initial encounter for closed fracture
- S49.002DUnspecified physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with routine healing
- S49.002GUnspecified physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with delayed healing
- S49.002KUnspecified physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with nonunion
- S49.002PUnspecified physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with malunion