S79.011D

S79.011D: Salter-Harris Type I physeal fracture of upper end of right femur, subsequent encounter for fracture with routine healing

Billable / specific codeICD-10-CMPOA exemptright

S79.011D is a billable, specific ICD-10-CM code for salter-harris type i physeal fracture of upper end of right femur, subsequent encounter for fracture with routine healing. It is valid for submission on a claim.

Check S79.011D 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 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

Excludes1 inherited from the categories above S79.011D

A category’s note binds every code beneath it.

Written on S79.01: Salter-Harris Type I physeal fracture of upper end of femur

chronic slipped upper femoral epiphysis (nontraumatic) (M93.02-)

Written on S79.0: Physeal fracture of upper end of femur

apophyseal fracture of upper end of femur (S72.13-)
nontraumatic slipped upper femoral epiphysis (M93.0-)

Risk adjustment

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

Medicare coverage

S79.011D is named in 9 Medicare coverage policies: 9 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

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A53065Billing and Coding: Outpatient Physical Therapy
A56796Billing and Coding: Lower Extremity Major Joint Replacement (Hip and Knee)

Code history

Unchanged in every release from FY2024 to FY2027.