S49.0
Header — not billablePhyseal fracture of upper end of humerus
The ICD-10 code for physeal fracture of upper end of humerus is S49.0.
S49.0 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 6 more specific codes below.
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •This is a non-billable header code. Documentation must support a more specific child code before this diagnosis can be reported on a claim.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Child codes under S49.0
- S49.00Unspecified physeal fracture of upper end of humerusnon-billable header
- S49.01Salter-Harris Type I physeal fracture of upper end of humerusnon-billable header
- S49.02Salter-Harris Type II physeal fracture of upper end of humerusnon-billable header
- S49.03Salter-Harris Type III physeal fracture of upper end of humerusnon-billable header
- S49.04Salter-Harris Type IV physeal fracture of upper end of humerusnon-billable header
- S49.09Other physeal fracture of upper end of humerusnon-billable header
Related codes in this category
- S49.1Physeal fracture of lower end of humerusnon-billable header
- S49.8Other specified injuries of shoulder and upper armnon-billable header
- S49.9Unspecified injury of shoulder and upper armnon-billable header
- S49.0Physeal fracture of upper end of humerusnon-billable header