Is S79.11 a billable ICD-10-CM code?

No. S79.11 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does S79.11 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).

S79.11

S79.11 — Salter-Harris Type I physeal fracture of lower end of femur

Non-billable headerICD-10-CM

S79.11 is a non-billable header ICD-10-CM code for salter-harris type i physeal fracture of lower end of femur. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.

This code requires a 7th character

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

Other codes that can never be billed with S79.11

These codes carry an Excludes1 note pointing at S79.11. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S79.11 alone.

S72.44Fracture of lower epiphysis (separation) of femur

Risk adjustment

S79.11 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.

Code to one of these instead S79.11

3 child codes. Green means billable.

Related codes at this level

Codes that share S79.1. If S79.11 is not quite right, the correct code is usually one of these.

Questions about S79.11

Is S79.11 a billable ICD-10-CM code?: No. S79.11 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does S79.11 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).