S89.131D

S89.131D: Salter-Harris Type III physeal fracture of lower end of right tibia, subsequent encounter for fracture with routine healing

Billable / specific codeICD-10-CMPOA exemptright

S89.131D is a billable, specific ICD-10-CM code for salter-harris type iii physeal fracture of lower end of right tibia, subsequent encounter for fracture with routine healing. It is valid for submission on a claim.

Check S89.131D with the rest of the claim: free scrubber

7th character "D": subsequent encounter for fracture with routine healing

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

Excludes1 inherited from the categories above S89.131D

A category’s note binds every code beneath it.

Written on S89.13: Salter-Harris Type III physeal fracture of lower end of tibia

fracture of medial malleolus (adult) (S82.5-)

Excludes2 inherited from the categories above S89.131D

Not part of this code, but both may be coded when both are present.

Written on S89: Other and unspecified injuries of lower leg

other and unspecified injuries of ankle and foot (S99.-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

S89.131D is named in 4 Medicare coverage policies: 4 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
A57311Billing and Coding: Physical Therapy - Home Health

Code history

Unchanged in every release from FY2024 to FY2027.