S49.109
S49.109: Unspecified physeal fracture of lower end of humerus, unspecified arm
Non-billable headerICD-10-CMunspecified
S49.109 is a non-billable header ICD-10-CM code for unspecified physeal fracture of lower end of humerus, unspecified 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 S49.109
6 child codes. Green means billable.
- S49.109AUnspecified physeal fracture of lower end of humerus, unspecified arm, initial encounter for closed fracture
- S49.109DUnspecified physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with routine healing
- S49.109GUnspecified physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with delayed healing
- S49.109KUnspecified physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with nonunion
- S49.109PUnspecified physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with malunion
- S49.109SUnspecified physeal fracture of lower end of humerus, unspecified arm, sequela