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S49.099Non-billableSave

S49.099 - Other physeal fracture of upper end of humerus, unspecified arm

ICD-10-CM Chapter 19: Injury, poisoning and certain other consequences of external causes · S40-S49 Injuries to the shoulder and upper arm (S40-S49) · Subcategory of S49.09 · FY2027

Coding Guidance

S49.099 requires a 7th character. Report the code below that matches the documentation, for example A for initial encounter for closed fracture, D for subsequent encounter for fracture with routine healing, G for subsequent encounter for fracture with delayed healing.

7th Character

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

Includes, Excludes and Coding Notes

IncludesFrom S40-S49 Injuries to the shoulder and upper arm (S40-S49)

Conditions this code covers.

  • injuries of axilla
  • injuries of scapular region
Excludes 2 — Not Included HereFrom S40-S49 Injuries to the shoulder and upper arm (S40-S49)

Not part of this code; report both codes when the patient has both conditions.

  • burns and corrosions (T20-T32)
  • frostbite (T33-T34)
  • injuries of elbow (S50-S59)
  • insect bite or sting, venomous (T63.4)
Excludes 2 — Not Included HereFrom Chapter S00-T88

Not part of this code; report both codes when the patient has both conditions.

  • birth trauma (P10-P15)
  • obstetric trauma (O70-O71)
Use Additional CodeFrom Chapter S00-T88

Add a secondary code to identify the associated condition or cause when it is documented.

  • code to identify any retained foreign body, if applicable (Z18.-)
NotesFrom Chapter S00-T88

Instructional notes from the ICD-10-CM tabular list.

  • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
  • The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.

More Specific Codes (6)

S49.099AOther physeal fracture of upper end of humerus, unspecified arm, initial encounter for closed fracture→S49.099DOther physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with routine healing→S49.099GOther physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with delayed healing→S49.099KOther physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with nonunion→S49.099POther physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with malunion→S49.099SOther physeal fracture of upper end of humerus, unspecified arm, sequela→