S59.191S

S59.191S: Other physeal fracture of upper end of radius, right arm, sequela

Billable / specific codeICD-10-CMPOA exemptright

S59.191S is a billable, specific ICD-10-CM code for other physeal fracture of upper end of radius, right arm, sequela. It is valid for submission on a claim.

Check S59.191S with the rest of the claim: free scrubber

7th 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

Excludes2 inherited from the categories above S59.191S

Not part of this code, but both may be coded when both are present.

Written on S59: Other and unspecified injuries of elbow and forearm

other and unspecified injuries of wrist and hand (S69.-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

S59.191S is named in 4 Medicare coverage policies: 4 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.