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S59.249Non-billableSave

S59.249 - Salter-Harris Type IV physeal fracture of lower end of radius, unspecified arm

ICD-10-CM Chapter 19: Injury, poisoning and certain other consequences of external causes · S50-S59 Injuries to the elbow and forearm (S50-S59) · Subcategory of S59.24 · FY2027

Coding Guidance

S59.249 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 S59.0, S59.1, and S59.2

Includes, Excludes and Coding Notes

Excludes 2 — Not Included HereFrom S59

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

  • other and unspecified injuries of wrist and hand (S69.-)
Excludes 2 — Not Included HereFrom S50-S59 Injuries to the elbow and forearm (S50-S59)

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

  • burns and corrosions (T20-T32)
  • frostbite (T33-T34)
  • injuries of wrist and hand (S60-S69)
  • 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)

S59.249ASalter-Harris Type IV physeal fracture of lower end of radius, unspecified arm, initial encounter for closed fracture→S59.249DSalter-Harris Type IV physeal fracture of lower end of radius, unspecified arm, subsequent encounter for fracture with routine healing→S59.249GSalter-Harris Type IV physeal fracture of lower end of radius, unspecified arm, subsequent encounter for fracture with delayed healing→S59.249KSalter-Harris Type IV physeal fracture of lower end of radius, unspecified arm, subsequent encounter for fracture with nonunion→S59.249PSalter-Harris Type IV physeal fracture of lower end of radius, unspecified arm, subsequent encounter for fracture with malunion→S59.249SSalter-Harris Type IV physeal fracture of lower end of radius, unspecified arm, sequela→