S49.111A
S49.111A: Salter-Harris Type I physeal fracture of lower end of humerus, right arm, initial encounter for closed fracture
Billable / specific codeICD-10-CMright
S49.111A is a billable, specific ICD-10-CM code for salter-harris type i physeal fracture of lower end of humerus, right arm, initial encounter for closed fracture. It is valid for submission on a claim.
Check S49.111A with the rest of the claim: free scrubber7th character "A": initial encounter for closed fracture
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
S49.111A is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A57311Billing and Coding: Physical Therapy - Home Health
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S49.111
- S49.111DSalter-Harris Type I physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with routine healing
- S49.111GSalter-Harris Type I physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with delayed healing
- S49.111KSalter-Harris Type I physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with nonunion
- S49.111PSalter-Harris Type I physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with malunion
- S49.111SSalter-Harris Type I physeal fracture of lower end of humerus, right arm, sequela