S49.14 ICD-10-CM Code: Salter-Harris Type IV 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
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for S49.14 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 S49.14 vs T20 →
- frostbite (T33-T34) Compare S49.14 vs T33 →
- injuries of elbow (S50-S59) Compare S49.14 vs S50 →
- insect bite or sting, venomous (T63.4) Compare S49.14 vs T63.4 →
Frequently Compared Codes
The official Excludes notes on S49.14 name these codes. Each comparison page covers when the two can — or must not — be reported together.
Change history
No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.
Verify Before Coding
- Not billable as written — a more specific code is required: S49.141A, S49.141D, S49.141G, S49.141K, S49.141P.
- Requires a 7th character. "The appropriate 7th character is to be added to each code from subcategories S49.0 and S49.1" Options: S49.141A, S49.141D, S49.141G, S49.141K, S49.141P, S49.141S
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 S49.14 or its code family.
2 Excludes2 notes: S42.3 (via S49.1.-), S42.4 (via S49.1.-).
Contextual Map
Every relationship of S49.14 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]
- S49.131A — Salter-Harris Type III physeal fracture of lower end of humerus, right arm, initial encounter for closed fracture [Sibling]
- S49.131D — Salter-Harris Type III physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with routine healing [Sibling]
- S49.131G — Salter-Harris Type III physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with delayed healing [Sibling]
- S49.131K — Salter-Harris Type III physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with nonunion [Sibling]
- S49.131P — Salter-Harris Type III physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with malunion [Sibling]
- S49.131S — Salter-Harris Type III physeal fracture of lower end of humerus, right arm, sequela [Sibling]
- S49.132 — Salter-Harris Type III physeal fracture of lower end of humerus, left arm [Sibling]
- and 32 more
Frequently Asked Questions (FAQ) & Clinical Guidance
Can S49.14 be billed directly?
No. S49.14 (Salter-Harris Type IV 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 S49.14 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 S49.14 in its code family, with their registry titles.
- 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
- S49.139S — Salter-Harris Type III physeal fracture of lower end of humerus, unspecified arm, sequela
- S49.141 — Salter-Harris Type IV physeal fracture of lower end of humerus, right arm
- S49.141A — Salter-Harris Type IV physeal fracture of lower end of humerus, right arm, initial encounter for closed fracture
- S49.141D — Salter-Harris Type IV physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with routine healing
- S49.141G — Salter-Harris Type IV physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with delayed healing
- S49.141K — Salter-Harris Type IV physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with nonunion