S49.012
S49.012: Salter-Harris Type I physeal fracture of upper end of humerus, left arm
Non-billable headerICD-10-CMleft
S49.012 is a non-billable header ICD-10-CM code for salter-harris type i physeal fracture of upper end of humerus, left arm. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
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.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead S49.012
6 child codes. Green means billable.
- S49.012ASalter-Harris Type I physeal fracture of upper end of humerus, left arm, initial encounter for closed fracture
- S49.012DSalter-Harris Type I physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with routine healing
- S49.012GSalter-Harris Type I physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with delayed healing
- S49.012KSalter-Harris Type I physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with nonunion
- S49.012PSalter-Harris Type I physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with malunion
- S49.012SSalter-Harris Type I physeal fracture of upper end of humerus, left arm, sequela