S59.242D

S59.242D: Salter-Harris Type IV physeal fracture of lower end of radius, left arm, subsequent encounter for fracture with routine healing

Billable / specific codeICD-10-CMPOA exemptleft

S59.242D is a billable, specific ICD-10-CM code for salter-harris type iv physeal fracture of lower end of radius, left arm, subsequent encounter for fracture with routine healing. It is valid for submission on a claim.

Check S59.242D with the rest of the claim: free scrubber

7th character "D": subsequent encounter for fracture with routine healing

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 S59.242D

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

S59.242D 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.