Physeal fracture of upper end of humerus

Not billableICD-10-CM diagnosis code.

This code exists but cannot be submitted on its own. It groups the more specific codes beneath it.

A category header for its whole life, FY2016 onwards. It has never been valid for submission on its own.

Submit one of these 6 more specific codes instead:

S49.00 Unspecified physeal fracture of upper end of humerus (also a header)
S49.01 Salter-Harris Type I physeal fracture of upper end of humerus (also a header)
S49.02 Salter-Harris Type II physeal fracture of upper end of humerus (also a header)
S49.03 Salter-Harris Type III physeal fracture of upper end of humerus (also a header)
S49.04 Salter-Harris Type IV physeal fracture of upper end of humerus (also a header)
S49.09 Other physeal fracture of upper end of humerus (also a header)

This code requires a seventh character. See the rule below.

What has happened to this code

Every change the publisher made, from 2012 to now. Entries marked draft are from the pre-implementation releases: ICD-10 took effect on 1 October 2015, so nothing before FY2016 was ever valid on a claim.

FY2012 Added to the draft code set draft Physeal fracture of upper end of humerus

Official coding rules

Published by CDC for FY2027. A rule attached to a category binds every code beneath it, so the rules inherited from this code's ancestors are shown with the code they come from.

Inherited from S49 Other and unspecified injuries of shoulder and upper arm

Seventh character required

The appropriate 7th character is to be added to each code from subcategories S49.0 and S49.1

Inherited from the S40-S49 section Injuries to the shoulder and upper arm (S40-S49)

Excludes2 - not included here

burns and corrosions (T20-T32)
frostbite (T33-T34)
injuries of elbow (S50-S59)
insect bite or sting, venomous (T63.4)

Includes

injuries of axilla
injuries of scapular region

Codes in the same group

Code	Description	Status
S49.1	Physeal fracture of lower end of humerus	Not billable
S49.8	Other specified injuries of shoulder and upper arm	Not billable
S49.9	Unspecified injury of shoulder and upper arm	Not billable