ICD-10-CM › S00-T88 › S40-S49 › S49.1 Physeal fracture of lower end of humerus › S49.10

S49.10

Unspecified physeal fracture of lower 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 3 more specific codes instead:

  • S49.101 Unspecified physeal fracture of lower end of humerus, right arm (also a header)
  • S49.102 Unspecified physeal fracture of lower end of humerus, left arm (also a header)
  • S49.109 Unspecified physeal fracture of lower end of humerus, unspecified arm (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.

  1. FY2012 Added to the draft code set draft Unspecified physeal fracture of lower 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

How CDC's index refers to this code

Wording from the official alphabetic index. Much of it appears nowhere in the code description, which is why a search for the everyday phrase so often finds nothing.

Codes in the same group

CodeDescriptionStatus
S49.11 Salter-Harris Type I physeal fracture of lower end of humerus Not billable
S49.12 Salter-Harris Type II physeal fracture of lower end of humerus Not billable
S49.13 Salter-Harris Type III physeal fracture of lower end of humerus Not billable
S49.14 Salter-Harris Type IV physeal fracture of lower end of humerus Not billable
S49.19 Other physeal fracture of lower end of humerus Not billable