S79.019S — Salter-Harris Type I physeal fracture of upper end of unspecified femur, sequela
S79.019S is a billable, specific ICD-10-CM code for salter-harris type i physeal fracture of upper end of unspecified femur, sequela. It is valid for submission on a claim.
7th character "S" — sequela
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
S79.019S does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
S79.019S is named in 2 Medicare coverage policies — 2 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53064Billing and Coding: Outpatient Occupational Therapy
- A57765Billing and Coding: Major Joint Replacement (Hip and Knee)
Related codes at this level
Codes that share S79.019. If S79.019S is not quite right, the correct code is usually one of these.
- S79.019ASalter-Harris Type I physeal fracture of upper end of unspecified femur, initial encounter for closed fracture
- S79.019DSalter-Harris Type I physeal fracture of upper end of unspecified femur, subsequent encounter for fracture with routine healing
- S79.019GSalter-Harris Type I physeal fracture of upper end of unspecified femur, subsequent encounter for fracture with delayed healing
- S79.019KSalter-Harris Type I physeal fracture of upper end of unspecified femur, subsequent encounter for fracture with nonunion
- S79.019PSalter-Harris Type I physeal fracture of upper end of unspecified femur, subsequent encounter for fracture with malunion
Questions about S79.019S
- Is S79.019S a billable ICD-10-CM code?
- Yes. S79.019S is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S79.019S sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the hip and thigh (S70-S79).