S49.132K (Salter-Harris Type III physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with nonunion) compared with S50 (Superficial injury of elbow and forearm), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Distinct conditions — both may be reported.
“injuries of elbow (S50-S59)”
An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.
Source: CMS ICD-10-CM tabular instructional notes
Yes, when both are documented. S49.132K carries an Excludes2 note covering S50: “injuries of elbow (S50-S59)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
| S49.132KSalter-Harris Type III physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with nonunion | S50Superficial injury of elbow and forearm | |
|---|---|---|
| Billing status | Billable | Non-billable header Report instead: S50.00XA, S50.00XD, S50.00XS, S50.01XA, S50.01XD |
| 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, left arm, subsequent encounter for fracture with nonunion is a billable ICD-10-CM diagnosis code (S49.132K). | Superficial injury of elbow and forearm is a non-billable ICD-10-CM category code (S50). |
| 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 category S50 |
| 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