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S49.13 ICD-10-CM Code: Salter-Harris Type III physeal fracture of lower end of humerus

Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Official Registry Overview & Definition

Salter-Harris Type III physeal fracture of lower end of humerus is a non-billable ICD-10-CM category code (S49.13). A more specific billable subcode must be selected for claims submission.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S49.13 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 S49.13 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 lower end of humerus → Salter-Harris Type III physeal fracture of lower end of humerus
    FY2017 changes

Verify Before Coding

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 S49.13 or its code family.

2 Excludes2 notes: S42.3 (via S49.1.-), S42.4 (via S49.1.-).

Contextual Map

Every relationship of S49.13 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]

Referenced by Excludes2 notes

  • S42.3 — Fracture of shaft of humerus [Excludes2](via S49.1.-): “physeal fractures of lower end of humerus (S49.1-)” · check together
  • S42.4 — Fracture of lower end of humerus [Excludes2](via S49.1.-): “physeal fracture of lower end of humerus (S49.1-)” · check together

Nearest codes (40)

  • S49 — Other and unspecified injuries of shoulder and upper arm [Sibling]
  • S49.121A — Salter-Harris Type II physeal fracture of lower end of humerus, right arm, initial encounter for closed fracture [Sibling]
  • S49.121D — Salter-Harris Type II physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with routine healing [Sibling]
  • S49.121G — Salter-Harris Type II physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with delayed healing [Sibling]
  • S49.121K — Salter-Harris Type II physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with nonunion [Sibling]
  • S49.121P — Salter-Harris Type II physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with malunion [Sibling]
  • S49.121S — Salter-Harris Type II physeal fracture of lower end of humerus, right arm, sequela [Sibling]
  • S49.122 — Salter-Harris Type II physeal fracture of lower end of humerus, left arm [Sibling]
  • and 32 more

Change history

  • FY2017 — Description revised [Change history]

Frequently Asked Questions (FAQ) & Clinical Guidance

Can S49.13 be billed directly?

No. S49.13 (Salter-Harris Type III physeal fracture of lower 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 S49.13 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 S49.13 in its code family, with their registry titles.

  • S49.129D — Salter-Harris Type II physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with routine healing
  • S49.129G — Salter-Harris Type II physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with delayed healing
  • S49.129K — Salter-Harris Type II physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with nonunion
  • S49.129P — Salter-Harris Type II physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with malunion
  • S49.129S — Salter-Harris Type II physeal fracture of lower end of humerus, unspecified arm, sequela
  • S49.131 — Salter-Harris Type III physeal fracture of lower end of humerus, right arm
  • S49.131A — Salter-Harris Type III physeal fracture of lower end of humerus, right arm, initial encounter for closed fracture
  • S49.131D — Salter-Harris Type III physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with routine healing
  • S49.131G — Salter-Harris Type III physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with delayed healing
  • S49.131K — Salter-Harris Type III physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with nonunion

View all codes in the S49 family