S49.13 vs S59
S49.13 (Salter-Harris Type III physeal fracture of lower end of humerus) compared with S59 (Other and unspecified injuries of elbow and forearm), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. S49.13 carries an Excludes2 note covering S59: “injuries of elbow (S50-S59)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| S49.13Salter-Harris Type III physeal fracture of lower end of humerus | S59Other and unspecified injuries of elbow and forearm | |
|---|---|---|
| Billing status | Non-billable header Report instead: S49.131A, S49.131D, S49.131G, S49.131K, S49.131P | Non-billable header Report instead: S59.001A, S59.001D, S59.001G, S59.001K, S59.001P |
| Classification | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) |
| Definition | Salter-Harris Type III physeal fracture of lower end of humerus is a non-billable ICD-10-CM category code (S49.13). | Other and unspecified injuries of elbow and forearm is a non-billable ICD-10-CM category code (S59). |
| 7th character | The appropriate 7th character is to be added to each code from subcategories S49.0 and S49.1 | The appropriate 7th character is to be added to each code from subcategories S59.0, S59.1, and S59.2 |
| Includes | injuries of axilla injuries of scapular region | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources