S89.199
S89.199: Other physeal fracture of lower end of unspecified tibia
Non-billable headerICD-10-CM
S89.199 is a non-billable header ICD-10-CM code for other physeal fracture of lower end of unspecified 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
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.
Code to one of these instead S89.199
6 child codes. Green means billable.
- S89.199AOther physeal fracture of lower end of unspecified tibia, initial encounter for closed fracture
- S89.199DOther physeal fracture of lower end of unspecified tibia, subsequent encounter for fracture with routine healing
- S89.199GOther physeal fracture of lower end of unspecified tibia, subsequent encounter for fracture with delayed healing
- S89.199KOther physeal fracture of lower end of unspecified tibia, subsequent encounter for fracture with nonunion
- S89.199POther physeal fracture of lower end of unspecified tibia, subsequent encounter for fracture with malunion
- S89.199SOther physeal fracture of lower end of unspecified tibia, sequela