S89.041P — Salter-Harris Type IV physeal fracture of upper end of right tibia, subsequent encounter for fracture with malunion
S89.041P is a billable, specific ICD-10-CM code for salter-harris type iv physeal fracture of upper end of right tibia, subsequent encounter for fracture with malunion. It is valid for submission on a claim.
7th character "P" — subsequent encounter for fracture with malunion
The appropriate 7th character is to be added to each code from subcategories S89.0, S89.1, S89.2, and S89.3
- 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
S89.041P 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
S89.041P is named in 5 Medicare coverage policies — 5 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
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Related codes at this level
Codes that share S89.041. If S89.041P is not quite right, the correct code is usually one of these.
- S89.041ASalter-Harris Type IV physeal fracture of upper end of right tibia, initial encounter for closed fracture
- S89.041DSalter-Harris Type IV physeal fracture of upper end of right tibia, subsequent encounter for fracture with routine healing
- S89.041GSalter-Harris Type IV physeal fracture of upper end of right tibia, subsequent encounter for fracture with delayed healing
- S89.041KSalter-Harris Type IV physeal fracture of upper end of right tibia, subsequent encounter for fracture with nonunion
- S89.041SSalter-Harris Type IV physeal fracture of upper end of right tibia, sequela
Questions about S89.041P
- Is S89.041P a billable ICD-10-CM code?
- Yes. S89.041P is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S89.041P sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the knee and lower leg (S80-S89).