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S49.031G ICD-10-CM Code: Salter-Harris Type III physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with delayed healing

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Inpatient Payment Groups (MS-DRG)

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.

  • MS-DRG 559 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC (MDC 08)
  • MS-DRG 560 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC (MDC 08)
  • MS-DRG 561 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC (MDC 08)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Official Registry Overview & Definition

Salter-Harris Type III physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with delayed healing is a billable ICD-10-CM diagnosis code (S49.031G).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S49.031G 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.

Frequently Compared Codes

The official Excludes notes on S49.031G name these codes. Each comparison page covers when the two can — or must not — be reported together.

Change history

  • FY2017 — 2016-10-01
    Description revised
    Salter Harris Type III physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with delayed healing → Salter-Harris Type III physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with delayed healing
    FY2017 changes
  • FY2017 — 2016-10-01
    Short description revised
    Sltr-haris Type III physl fx upr end humer, r arm, 7thG → Sltr-haris Type III physl fx upper end humer, r arm, 7thG
    FY2017 changes

Verify Before Coding

  • No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.

Relationships & Classification

Official ICD-10-CM tabular notes on other codes that name S49.031G or its code family.

2 Excludes2 notes: S42.2 (via S49.0.-), S42.3 (via S49.0.-).

Potential MS-DRG Relationships (FY2026)

Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.

Named in the grouper logic of 3 MS-DRGs: DRG 559 (MDC 08), DRG 560 (MDC 08), DRG 561 (MDC 08).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):INJ041 — Fracture of the upper limb, subsequent encounter (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Contextual Map

Every relationship of S49.031G in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Hierarchy

  • S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88) [Hierarchy]
  • S40-S49 — Injuries to the shoulder and upper arm [Hierarchy]

Referenced by Excludes2 notes

  • S42.2 — Fracture of upper end of humerus [Excludes2](via S49.0.-): “physeal fracture of upper end of humerus (S49.0-)” · check together
  • S42.3 — Fracture of shaft of humerus [Excludes2](via S49.0.-): “physeal fractures of upper end of humerus (S49.0-)” · check together

Clinical classification (CCSR)

  • INJ041 — Fracture of the upper limb, subsequent encounter [CCSR]

Potential MS-DRG

  • DRG 559 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC [MS-DRG]: “AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC (MDC 08)”
  • DRG 560 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC [MS-DRG]: “AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC (MDC 08)”
  • DRG 561 — AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC [MS-DRG]: “AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC (MDC 08)”

MDC crossing · procedures (18508)

  • MDC 08 — Diseases and Disorders of the Musculoskeletal System and Connective Tissue [MDC crossing]: “Diseases and Disorders of the Musculoskeletal System and Connective Tissue — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
  • 005T0ZZ — Destruction of Spinal Meninges, Open Approach [Same-MDC procedure]: “Destruction of Spinal Meninges, Open Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
  • 005T3ZZ — Destruction of Spinal Meninges, Percutaneous Approach [Same-MDC procedure]: “Destruction of Spinal Meninges, Percutaneous Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
  • 005T4ZZ — Destruction of Spinal Meninges, Percutaneous Endoscopic Approach [Same-MDC procedure]: “Destruction of Spinal Meninges, Percutaneous Endoscopic Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
  • 005W0Z3 — Destruction of Cervical Spinal Cord using Laser Interstitial Thermal Therapy, Open Approach [Same-MDC procedure]: “Destruction of Cervical Spinal Cord using Laser Interstitial Thermal Therapy, Open Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
  • 005W0ZZ — Destruction of Cervical Spinal Cord, Open Approach [Same-MDC procedure]: “Destruction of Cervical Spinal Cord, Open Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
  • and 18503 more

Nearest codes (40)

  • S49 — Other and unspecified injuries of shoulder and upper arm [Sibling]
  • S49.021P — Salter-Harris Type II physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with malunion [Sibling]
  • S49.021S — Salter-Harris Type II physeal fracture of upper end of humerus, right arm, sequela [Sibling]
  • S49.022 — Salter-Harris Type II physeal fracture of upper end of humerus, left arm [Sibling]
  • S49.022A — Salter-Harris Type II physeal fracture of upper end of humerus, left arm, initial encounter for closed fracture [Sibling]
  • S49.022D — Salter-Harris Type II physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with routine healing [Sibling]
  • S49.022G — Salter-Harris Type II physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with delayed healing [Sibling]
  • S49.022K — Salter-Harris Type II physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with nonunion [Sibling]
  • and 32 more

Change history (2)

  • FY2017 — Description revised [Change history]
  • and 1 more

Frequently Asked Questions (FAQ) & Clinical Guidance

Does S49.031G require a 7th character?

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

Nearest Codes in This Family

Official ICD-10-CM classifications closest to S49.031G in its code family, with their registry titles.

  • S49.029S — Salter-Harris Type II physeal fracture of upper end of humerus, unspecified arm, sequela
  • S49.03 — Salter-Harris Type III physeal fracture of upper end of humerus
  • S49.031 — Salter-Harris Type III physeal fracture of upper end of humerus, right arm
  • S49.031A — Salter-Harris Type III physeal fracture of upper end of humerus, right arm, initial encounter for closed fracture
  • S49.031D — Salter-Harris Type III physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with routine healing
  • S49.031K — Salter-Harris Type III physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with nonunion
  • S49.031P — Salter-Harris Type III physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with malunion
  • S49.031S — Salter-Harris Type III physeal fracture of upper end of humerus, right arm, sequela
  • S49.032 — Salter-Harris Type III physeal fracture of upper end of humerus, left arm
  • S49.032A — Salter-Harris Type III physeal fracture of upper end of humerus, left arm, initial encounter for closed fracture

View all codes in the S49 family