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S79.149Non-billableSave

S79.149 - Salter-Harris Type IV physeal fracture of lower end of unspecified femur

ICD-10-CM Chapter 19: Injury, poisoning and certain other consequences of external causes · S70-S79 Injuries to the hip and thigh (S70-S79) · Subcategory of S79.14 · FY2027

Coding Guidance

S79.149 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 S79.0 and S79.1

Includes, Excludes and Coding Notes

NotesFrom S79

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

  • A fracture not indicated as open or closed should be coded to closed
Excludes 2 — Not Included HereFrom S70-S79 Injuries to the hip and thigh (S70-S79)

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

  • burns and corrosions (T20-T32)
  • frostbite (T33-T34)
  • snake bite (T63.0-)
  • venomous insect bite or sting (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)

S79.149ASalter-Harris Type IV physeal fracture of lower end of unspecified femur, initial encounter for closed fracture→S79.149DSalter-Harris Type IV physeal fracture of lower end of unspecified femur, subsequent encounter for fracture with routine healing→S79.149GSalter-Harris Type IV physeal fracture of lower end of unspecified femur, subsequent encounter for fracture with delayed healing→S79.149KSalter-Harris Type IV physeal fracture of lower end of unspecified femur, subsequent encounter for fracture with nonunion→S79.149PSalter-Harris Type IV physeal fracture of lower end of unspecified femur, subsequent encounter for fracture with malunion→S79.149SSalter-Harris Type IV physeal fracture of lower end of unspecified femur, sequela→