Is S79.119S a billable ICD-10-CM code?

Yes. S79.119S is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does S79.119S 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).

S79.119S

S79.119S — Salter-Harris Type I physeal fracture of lower end of unspecified femur, sequela

Billable / specific codeICD-10-CMPOA exempt

S79.119S is a billable, specific ICD-10-CM code for salter-harris type i physeal fracture of lower 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

S79.119S 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

S79.119S is named in 1 Medicare coverage policy — 1 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

Related codes at this level

Codes that share S79.119. If S79.119S is not quite right, the correct code is usually one of these.

Questions about S79.119S

Is S79.119S a billable ICD-10-CM code?: Yes. S79.119S is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does S79.119S 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).