S89.14 — Salter-Harris Type IV physeal fracture of lower end of tibia
S89.14 is a non-billable header ICD-10-CM code for salter-harris type iv physeal fracture of lower end of tibia. 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 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 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- fracture of medial malleolus (adult) (S82.5-)
Other codes that can never be billed with S89.14
These codes carry an Excludes1 note pointing at S89.14. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading S89.14 alone.
- S82.5Fracture of medial malleolus
Risk adjustment
S89.14 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 S89.14
3 child codes. Green means billable.
Related codes at this level
Codes that share S89.1. If S89.14 is not quite right, the correct code is usually one of these.
- S89.10Unspecified physeal fracture of lower end of tibia
- S89.11Salter-Harris Type I physeal fracture of lower end of tibia
- S89.12Salter-Harris Type II physeal fracture of lower end of tibia
- S89.13Salter-Harris Type III physeal fracture of lower end of tibia
- S89.19Other physeal fracture of lower end of tibia
Questions about S89.14
- Is S89.14 a billable ICD-10-CM code?
- No. S89.14 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S89.14 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).
- What cannot be coded together with S89.14?
- S89.14 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.