S79.131G
S79.131G: Salter-Harris Type III physeal fracture of lower end of right femur, subsequent encounter for fracture with delayed healing
Billable / specific codeICD-10-CMPOA exemptright
S79.131G is a billable, specific ICD-10-CM code for salter-harris type iii physeal fracture of lower end of right femur, subsequent encounter for fracture with delayed healing. It is valid for submission on a claim.
Check S79.131G with the rest of the claim: free scrubber7th character "G": subsequent encounter for fracture with delayed 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
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S79.131G is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52465Knee Orthoses - Policy Article
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
- A56777Billing and Coding: Total Joint Arthroplasty
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S79.131
- S79.131ASalter-Harris Type III physeal fracture of lower end of right femur, initial encounter for closed fracture
- S79.131DSalter-Harris Type III physeal fracture of lower end of right femur, subsequent encounter for fracture with routine healing
- S79.131KSalter-Harris Type III physeal fracture of lower end of right femur, subsequent encounter for fracture with nonunion
- S79.131PSalter-Harris Type III physeal fracture of lower end of right femur, subsequent encounter for fracture with malunion
- S79.131SSalter-Harris Type III physeal fracture of lower end of right femur, sequela