MCMedicalCodingSoftware
S89.149P

S89.149P: Salter-Harris Type IV physeal fracture of lower end of unspecified tibia, subsequent encounter for fracture with malunion

Billable / specific codeICD-10-CMPOA exempt

S89.149P is a billable, specific ICD-10-CM code for salter-harris type iv physeal fracture of lower end of unspecified tibia, subsequent encounter for fracture with malunion. It is valid for submission on a claim.

Check S89.149P with the rest of the claim: free scrubber

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

Excludes1 inherited from the categories above S89.149P

A category’s note binds every code beneath it.

Written on S89.14: Salter-Harris Type IV physeal fracture of lower end of tibia

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

Excludes2 inherited from the categories above S89.149P

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.

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under S89.149

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.