Is S59.12 a billable ICD-10-CM code?

No. S59.12 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does S59.12 sit in the tabular list?

Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the elbow and forearm (S50-S59).

S59.12

S59.12 — Salter-Harris Type II physeal fracture of upper end of radius

Non-billable headerICD-10-CM

S59.12 is a non-billable header ICD-10-CM code for salter-harris type ii physeal fracture of upper end of radius. 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 S59.0, S59.1, and S59.2

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

S59.12 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 S59.12

3 child codes. Green means billable.

Related codes at this level

Codes that share S59.1. If S59.12 is not quite right, the correct code is usually one of these.

Questions about S59.12

Is S59.12 a billable ICD-10-CM code?: No. S59.12 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does S59.12 sit in the tabular list?: Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the elbow and forearm (S50-S59).