S49.139 ICD-10-CM Code: Salter-Harris Type III physeal fracture of lower end of humerus, unspecified arm
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for S49.139 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) Compare S49.139 vs T20 →
- frostbite (T33-T34) Compare S49.139 vs T33 →
- injuries of elbow (S50-S59) Compare S49.139 vs S50 →
- insect bite or sting, venomous (T63.4) Compare S49.139 vs T63.4 →
Change history
- FY2017 — 2016-10-01Description revisedSalter Harris Type III physeal fracture of lower end of humerus, unspecified arm → Salter-Harris Type III physeal fracture of lower end of humerus, unspecified armFY2017 changes
Verify Before Coding
- Not billable as written — a more specific code is required: S49.139A, S49.139D, S49.139G, S49.139K, S49.139P.
- Requires a 7th character. "The appropriate 7th character is to be added to each code from subcategories S49.0 and S49.1" Options: S49.139A, S49.139D, S49.139G, S49.139K, S49.139P, S49.139S
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.
Contextual Map
Every relationship of S49.139 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
- S42.3 — 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]
- S49.129D — Salter-Harris Type II physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with routine healing [Sibling]
- S49.129G — Salter-Harris Type II physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with delayed healing [Sibling]
- S49.129K — Salter-Harris Type II physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with nonunion [Sibling]
- S49.129P — Salter-Harris Type II physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with malunion [Sibling]
- S49.129S — Salter-Harris Type II physeal fracture of lower end of humerus, unspecified arm, sequela [Sibling]
- S49.13 — Salter-Harris Type III physeal fracture of lower end of humerus [Sibling]
- S49.131 — Salter-Harris Type III physeal fracture of lower end of humerus, right arm [Sibling]
- and 32 more
Change history
- FY2017 — Description revised [Change history]
Referenced by Other Codes
Official ICD-10-CM tabular notes on other codes that name S49.139 or its code family.
2 Excludes2 notes: S42.3 (via S49.1.-), S42.4 (via S49.1.-).
Frequently Asked Questions (FAQ) & Clinical Guidance
Can S49.139 be billed directly?
No. S49.139 (Salter-Harris Type III physeal fracture of lower end of humerus, unspecified arm) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Does S49.139 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 S49.139 in its code family, with their registry titles.
- S49.132D — Salter-Harris Type III physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with routine healing
- S49.132G — Salter-Harris Type III physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with delayed healing
- S49.132K — Salter-Harris Type III physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with nonunion
- S49.132P — Salter-Harris Type III physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with malunion
- S49.132S — Salter-Harris Type III physeal fracture of lower end of humerus, left arm, sequela
- S49.139A — Salter-Harris Type III physeal fracture of lower end of humerus, unspecified arm, initial encounter for closed fracture
- S49.139D — Salter-Harris Type III physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with routine healing
- S49.139G — Salter-Harris Type III physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with delayed healing
- S49.139K — Salter-Harris Type III physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with nonunion
- S49.139P — Salter-Harris Type III physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with malunion