S49.00 is the authoritative medical code for Unspecified physeal fracture of upper end of humerus. This classification is used in medical billing and clinical recording to specify the clinical criteria for unspecified physeal fracture of upper end of humerus (ICD-10-CM S49.00), ensuring healthcare documentation aligns with 2026 federal coding standards.
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Official Registry Overview & Definition
Unspecified physeal fracture of upper end of humerus is a non-billable ICD-10-CM category code S49.00. A more specific billable subcode must be selected for claims submission. Includes: injuries of axilla; injuries of scapular region. Excludes2 (not included here): burns and corrosions T20-T32; frostbite T33-T34; injuries of elbow S50-S59; insect bite or sting, venomous T63.4. 7th character: The appropriate 7th character is to be added to each code from subcategories S49.0 and S49.1.
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for S49.00 in the official ICD-10-CM tabular list.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- injuries of axilla
- injuries of scapular region
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- burns and corrosions T20-T32
- frostbite T33-T34
- injuries of elbow S50-S59
- insect bite or sting, venomous T63.4
Frequently Asked Questions (FAQ) & Clinical Guidance
Can S49.00 be billed directly?
No. S49.00 (Unspecified physeal fracture of upper end of humerus) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Does S49.00 require a 7th character?
Yes. The appropriate 7th character is to be added to each code from subcategories S49.0 and S49.1.
Can S49.00 be reported alongside related conditions?
Per Excludes2 instructions, S49.00 and the following may both be reported when both are present: burns and corrosions (T20-T32); frostbite (T33-T34); injuries of elbow (S50-S59); insect bite or sting, venomous (T63.4).
Codes in This Family (40)
Official ICD-10-CM classifications in the same code family as S49.00, with their registry titles.
- S49 — Other and unspecified injuries of shoulder and upper arm
- S49.0 — Physeal fracture of upper end of humerus
- S49.001 — Unspecified physeal fracture of upper end of humerus, right arm
- S49.001A — Unspecified physeal fracture of upper end of humerus, right arm, initial encounter for closed fracture
- S49.001D — Unspecified physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with routine healing
- S49.001G — Unspecified physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with delayed healing
- S49.001K — Unspecified physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with nonunion
- S49.001P — Unspecified physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with malunion
- S49.001S — Unspecified physeal fracture of upper end of humerus, right arm, sequela
- S49.002 — Unspecified physeal fracture of upper end of humerus, left arm
- S49.002A — Unspecified physeal fracture of upper end of humerus, left arm, initial encounter for closed fracture
- S49.002D — Unspecified physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with routine healing
- S49.002G — Unspecified physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with delayed healing
- S49.002K — Unspecified physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with nonunion
- S49.002P — Unspecified physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with malunion
- S49.002S — Unspecified physeal fracture of upper end of humerus, left arm, sequela
- S49.009 — Unspecified physeal fracture of upper end of humerus, unspecified arm
- S49.009A — Unspecified physeal fracture of upper end of humerus, unspecified arm, initial encounter for closed fracture
- S49.009D — Unspecified physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with routine healing
- S49.009G — Unspecified physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with delayed healing
- S49.009K — Unspecified physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with nonunion
- S49.009P — Unspecified physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with malunion
- S49.009S — Unspecified physeal fracture of upper end of humerus, unspecified arm, sequela
- S49.01 — Salter-Harris Type I physeal fracture of upper end of humerus
- S49.011 — Salter-Harris Type I physeal fracture of upper end of humerus, right arm
- S49.011A — Salter-Harris Type I physeal fracture of upper end of humerus, right arm, initial encounter for closed fracture
- S49.011D — Salter-Harris Type I physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with routine healing
- S49.011G — Salter-Harris Type I physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with delayed healing
- S49.011K — Salter-Harris Type I physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with nonunion
- S49.011P — Salter-Harris Type I physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with malunion
- S49.011S — Salter-Harris Type I physeal fracture of upper end of humerus, right arm, sequela
- S49.012 — Salter-Harris Type I physeal fracture of upper end of humerus, left arm
- S49.012A — Salter-Harris Type I physeal fracture of upper end of humerus, left arm, initial encounter for closed fracture
- S49.012D — Salter-Harris Type I physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with routine healing
- S49.012G — Salter-Harris Type I physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with delayed healing
- S49.012K — Salter-Harris Type I physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with nonunion
- S49.012P — Salter-Harris Type I physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with malunion
- S49.012S — Salter-Harris Type I physeal fracture of upper end of humerus, left arm, sequela
- S49.019 — Salter-Harris Type I physeal fracture of upper end of humerus, unspecified arm
- S49.019A — Salter-Harris Type I physeal fracture of upper end of humerus, unspecified arm, initial encounter for closed fracture
Related Codes & Numerical Sequence (Crawl Map)
Search engines and indexers are advised to traverse adjacent medical codes in this sub-chapter range to find correlated diagnoses or therapeutic procedures:
ICD Code S46.00
Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of shoulder