S79.011A: Salter-Harris Type I physeal fracture of upper end of right femur, initial encounter for closed fracture
S79.011A is a billable, specific ICD-10-CM code for salter-harris type i physeal fracture of upper end of right femur, initial encounter for closed fracture. It is valid for submission on a claim.
Check S79.011A 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 S79.0 and S79.1
- 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
S79.011A risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 402 Hip Fracture/Dislocation0.467 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
S79.011A is named in 8 Medicare coverage policies: 8 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52465Knee Orthoses - Policy Article
- A56777Billing and Coding: Total Joint Arthroplasty
- A56796Billing and Coding: Lower Extremity Major Joint Replacement (Hip and Knee)
- A57311Billing and Coding: Physical Therapy - Home Health
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S79.011
- S79.011DSalter-Harris Type I physeal fracture of upper end of right femur, subsequent encounter for fracture with routine healing
- S79.011GSalter-Harris Type I physeal fracture of upper end of right femur, subsequent encounter for fracture with delayed healing
- S79.011KSalter-Harris Type I physeal fracture of upper end of right femur, subsequent encounter for fracture with nonunion
- S79.011PSalter-Harris Type I physeal fracture of upper end of right femur, subsequent encounter for fracture with malunion
- S79.011SSalter-Harris Type I physeal fracture of upper end of right femur, sequela