S59.122S
S59.122S: Salter-Harris Type II physeal fracture of upper end of radius, left arm, sequela
Billable / specific codeICD-10-CMPOA exemptleft
S59.122S is a billable, specific ICD-10-CM code for salter-harris type ii physeal fracture of upper end of radius, left arm, sequela. It is valid for submission on a claim.
Check S59.122S with the rest of the claim: free scrubber7th character "S": sequela
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
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S59.122S is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S59.122
- S59.122ASalter-Harris Type II physeal fracture of upper end of radius, left arm, initial encounter for closed fracture
- S59.122DSalter-Harris Type II physeal fracture of upper end of radius, left arm, subsequent encounter for fracture with routine healing
- S59.122GSalter-Harris Type II physeal fracture of upper end of radius, left arm, subsequent encounter for fracture with delayed healing
- S59.122KSalter-Harris Type II physeal fracture of upper end of radius, left arm, subsequent encounter for fracture with nonunion
- S59.122PSalter-Harris Type II physeal fracture of upper end of radius, left arm, subsequent encounter for fracture with malunion