S49.102
S49.102 — Unspecified physeal fracture of lower end of humerus, left arm
Non-billable headerICD-10-CMleft
S49.102 is a non-billable header ICD-10-CM code for unspecified physeal fracture of lower 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
S49.102 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead S49.102
6 child codes. Green means billable.
- S49.102AUnspecified physeal fracture of lower end of humerus, left arm, initial encounter for closed fracture
- S49.102DUnspecified physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with routine healing
- S49.102GUnspecified physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with delayed healing
- S49.102KUnspecified physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with nonunion
- S49.102PUnspecified physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with malunion
- S49.102SUnspecified physeal fracture of lower end of humerus, left arm, sequela
Related codes at this level
Codes that share S49.10. If S49.102 is not quite right, the correct code is usually one of these.
Questions about S49.102
- Is S49.102 a billable ICD-10-CM code?
- No. S49.102 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S49.102 sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the shoulder and upper arm (S40-S49).