S89.14 ICD-10-CM Code: Salter-Harris Type IV physeal fracture of lower end of tibia
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 S89.14 in the official ICD-10-CM tabular list.
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- fracture of medial malleolus (adult) (S82.5-) Compare S89.14 vs S82.5 →
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- other and unspecified injuries of ankle and foot (S99.-) Compare S89.14 vs S99 →
- burns and corrosions (T20-T32) Compare S89.14 vs T20 →
- frostbite (T33-T34) Compare S89.14 vs T33 →
- injuries of ankle and foot, except fracture of ankle and malleolus (S90-S99) Compare S89.14 vs S90 →
- insect bite or sting, venomous (T63.4) Compare S89.14 vs T63.4 →
Frequently Compared Codes
The official Excludes notes on S89.14 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: S89.141A, S89.141D, S89.141G, S89.141K, S89.141P.
- Requires a 7th character. "The appropriate 7th character is to be added to each code from subcategories S89.0, S89.1, S89.2, and S89.3" Options: S89.141A, S89.141D, S89.141G, S89.141K, S89.141P, S89.141S
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 S89.14 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]
Excludes1
- S82.5 — Fracture of medial malleolus [Excludes1]: “fracture of medial malleolus (adult) (S82.5-)” · check together
Referenced by Excludes1 notes
- S82.5 — Fracture of medial malleolus [Excludes1]: “Salter-Harris type IV of lower end of tibia (S89.14-)” · check together
Nearest codes (40)
- S89 — Other and unspecified injuries of lower leg [Sibling]
- S89.131A — Salter-Harris Type III physeal fracture of lower end of right tibia, initial encounter for closed fracture [Sibling]
- S89.131D — Salter-Harris Type III physeal fracture of lower end of right tibia, subsequent encounter for fracture with routine healing [Sibling]
- S89.131G — Salter-Harris Type III physeal fracture of lower end of right tibia, subsequent encounter for fracture with delayed healing [Sibling]
- S89.131K — Salter-Harris Type III physeal fracture of lower end of right tibia, subsequent encounter for fracture with nonunion [Sibling]
- S89.131P — Salter-Harris Type III physeal fracture of lower end of right tibia, subsequent encounter for fracture with malunion [Sibling]
- S89.131S — Salter-Harris Type III physeal fracture of lower end of right tibia, sequela [Sibling]
- S89.132 — Salter-Harris Type III physeal fracture of lower end of left tibia [Sibling]
- and 32 more
Referenced by Other Codes
Official ICD-10-CM tabular notes on other codes that name S89.14 or its code family.
1 Excludes1 notes: S82.5.
Frequently Asked Questions (FAQ) & Clinical Guidance
Can S89.14 be billed directly?
No. S89.14 (Salter-Harris Type IV physeal fracture of lower end of tibia) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Does S89.14 require a 7th character?
Yes. The appropriate 7th character is to be added to each code from subcategories S89.0, S89.1, S89.2, and S89.3.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to S89.14 in its code family, with their registry titles.
- S89.139D — Salter-Harris Type III physeal fracture of lower end of unspecified tibia, subsequent encounter for fracture with routine healing
- S89.139G — Salter-Harris Type III physeal fracture of lower end of unspecified tibia, subsequent encounter for fracture with delayed healing
- S89.139K — Salter-Harris Type III physeal fracture of lower end of unspecified tibia, subsequent encounter for fracture with nonunion
- S89.139P — Salter-Harris Type III physeal fracture of lower end of unspecified tibia, subsequent encounter for fracture with malunion
- S89.139S — Salter-Harris Type III physeal fracture of lower end of unspecified tibia, sequela
- S89.141 — Salter-Harris Type IV physeal fracture of lower end of right tibia
- S89.141A — Salter-Harris Type IV physeal fracture of lower end of right tibia, initial encounter for closed fracture
- S89.141D — Salter-Harris Type IV physeal fracture of lower end of right tibia, subsequent encounter for fracture with routine healing
- S89.141G — Salter-Harris Type IV physeal fracture of lower end of right tibia, subsequent encounter for fracture with delayed healing
- S89.141K — Salter-Harris Type IV physeal fracture of lower end of right tibia, subsequent encounter for fracture with nonunion