Salter-Harris Type II physeal fracture of lower end of left tibia, initial encounter for closed fracture. S89.122A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM S89.122A became effective on October 1, 2018.
S89.122A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Sltr-haris Type II physeal fx lower end of left tibia, init
2019 ICD-10-CM Diagnosis Code S89.022G Salter-Harris Type II physeal fracture of upper end of left tibia, subsequent encounter for fracture with delayed healing Billable/Specific Code POA Exempt Present On Admission S89.022G is considered exempt from POA reporting.
Type 2. This fracture occurs when the growth plate is hit and splits away from the joint along with a small piece of the bone shaft. This is the most common type and happens most often in children over 10. About 75 percent of Salter-Harris fractures are type 2.
A Salter-Harris fracture is a fracture in the growth plate of a child's bone. A growth plate is a layer of growing tissue close to the ends of a child's bone. It's very important to get this condition diagnosed since it can affect a child's growth.
4 These fractures tend to occur over time due to repetitive strain and, as such, can be considered stress fractures. Less commonly, trauma to a bone from a fall or motor vehicle accident can cause a Salter-Harris fracture.
Salter-Harris type IV fractures are relatively uncommon injuries that occur in children. They are intra-articular injuries in which the fracture extends through the epiphysis, across the physis and through the metaphysis.
A type II Salter-Harris fracture is the most common pediatric physeal fracture, occurring frequently in children over 10 years of age. This fracture breaks at an angle, cutting through most of the growth plate and the metaphysis, the area above the growth plate.
Growth plates, also called physes or epiphyseal plates, are discs of cartilage present in growing children. They are located between the middle and the end of the long bones, such as the bones of the arms and legs. Most long bones have one growth plate at each end.
Growth plate fracture Growth plates are located near the ends of your child's bones. If a fracture goes through a growth plate, it can result in a shorter or crooked limb. A growth plate fracture affects the layer of growing tissue near the ends of a child's bones.
0:424:06Salter Harris Fracture Classification - MEDZCOOL - YouTubeYouTubeStart of suggested clipEnd of suggested clipThey are classified from class 1 through class 5 to make things easier there is a mnemonic to helpMoreThey are classified from class 1 through class 5 to make things easier there is a mnemonic to help you remember the different classifications. It's easy because the mnemonic is Salter.
The growth plate, or physis, is the translucent, cartilaginous disc separating the epiphysis from the metaphysis and is responsible for longitudinal growth of long bones.
An intraarticular fracture is a fracture that crosses a joint surface. Such fractures also involve some cartilage damage. Fractures to joints are more complicated to treat and heal than simple fractures, as multiple bones are involved. Bone fragments inside the damaged joint may impede healing time and efficacy.
Growth plates are areas of soft tissue at the ends of your child's long bones. They are found in many places, including the thigh, forearm, and hand. As the name suggests, growth plates help your child's bones grow. Adults don't have them -- only young kids or teens do.
Salter-Harris Type II physeal fracture of upper end of humerus, right arm, initial encounter for closed fracture 1 S49.021A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 Short description: Sltr-haris Type II physl fx upper end humer, right arm, init 3 The 2021 edition of ICD-10-CM S49.021A became effective on October 1, 2020. 4 This is the American ICD-10-CM version of S49.021A - other international versions of ICD-10 S49.021A may differ.
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. Type 1 Excludes.
Salter-Harris Type II physeal fracture of upper end of left tibia, subsequent encounter for fracture with delayed healing 1 S00-T88#N#2021 ICD-10-CM Range S00-T88#N#Injury, poisoning and certain other consequences of external causes#N#Note#N#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#N#Type 1 Excludes#N#birth trauma ( P10-P15)#N#obstetric trauma ( O70 - O71)#N#Use Additional#N#code to identify any retained foreign body, if applicable ( Z18.-)#N#Injury, poisoning and certain other consequences of external causes 2 S80-S89#N#2021 ICD-10-CM Range S80-S89#N#Injuries to the knee and lower leg#N#Type 2 Excludes#N#burns and corrosions ( T20 - T32)#N#frostbite ( T33-T34)#N#injuries of ankle and foot, except fracture of ankle and malleolus ( S90-S99)#N#insect bite or sting, venomous ( T63.4)#N#Injuries to the knee and lower leg 3 S89#N#ICD-10-CM Diagnosis Code S89#N#Other and unspecified injuries of lower leg#N#2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code#N#Note#N#A fracture not indicated as open or closed should be coded to closed#N#Type 2 Excludes#N#other and unspecified injuries of ankle and foot ( S99.-)#N#Other and unspecified injuries of lower leg
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. Type 1 Excludes.
Physeal fractures, also referred to as growth plate fractures, are fractures that occur in the distal or proximal physis of the long bones, and they are of particular concern when they occur in children and adolescents who have not finished growing. Until full growth is attained, the growth plates are open and filled with cartilaginous tissue.
So a physeal fracture of the distal femur would be reported as 821.22 for a closed fracture or 821.32 for an open fracture. It should be noted that these codes are not specific to Salter-Harris fractures. These codes are used for any fracture or separation of the epiphysis in the lower end of the femur. These codes are reported both for adults (who have closed growth plates) and children and adolescents (who have open growth plates) even though the potential for complications, including arrested bone growth, is much greater for children and adolescents.
However, these codes should be used rarely as documentation ; in most instances, identification of the Salter-Harris classification will be possible, as well as the side affected. If the documentation does not include this information, the physician should be queried so that the most specific code can be assigned.
Salter-Harris Type II physeal fracture of lower end of radius, left arm, initial encounter for closed fracture 1 S00-T88#N#2021 ICD-10-CM Range S00-T88#N#Injury, poisoning and certain other consequences of external causes#N#Note#N#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#N#Type 1 Excludes#N#birth trauma ( P10-P15)#N#obstetric trauma ( O70 - O71)#N#Use Additional#N#code to identify any retained foreign body, if applicable ( Z18.-)#N#Injury, poisoning and certain other consequences of external causes 2 S50-S59#N#2021 ICD-10-CM Range S50-S59#N#Injuries to the elbow and forearm#N#Type 2 Excludes#N#burns and corrosions ( T20 - T32)#N#frostbite ( T33-T34)#N#injuries of wrist and hand ( S60-S69)#N#insect bite or sting, venomous ( T63.4)#N#Injuries to the elbow and forearm 3 S59#N#ICD-10-CM Diagnosis Code S59#N#Other and unspecified injuries of elbow and forearm#N#2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code#N#Type 2 Excludes#N#other and unspecified injuries of wrist and hand ( S69.-)#N#Other and unspecified injuries of elbow and forearm
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. Type 1 Excludes.
Salter-Harris Type II physeal fracture of lower end of left fibula 1 S00-T88#N#2021 ICD-10-CM Range S00-T88#N#Injury, poisoning and certain other consequences of external causes#N#Note#N#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#N#Type 1 Excludes#N#birth trauma ( P10-P15)#N#obstetric trauma ( O70 - O71)#N#Use Additional#N#code to identify any retained foreign body, if applicable ( Z18.-)#N#Injury, poisoning and certain other consequences of external causes 2 S80-S89#N#2021 ICD-10-CM Range S80-S89#N#Injuries to the knee and lower leg#N#Type 2 Excludes#N#burns and corrosions ( T20 - T32)#N#frostbite ( T33-T34)#N#injuries of ankle and foot, except fracture of ankle and malleolus ( S90-S99)#N#insect bite or sting, venomous ( T63.4)#N#Injuries to the knee and lower leg 3 S89#N#ICD-10-CM Diagnosis Code S89#N#Other and unspecified injuries of lower leg#N#2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code#N#Note#N#A fracture not indicated as open or closed should be coded to closed#N#Type 2 Excludes#N#other and unspecified injuries of ankle and foot ( S99.-)#N#Other and unspecified injuries of lower leg
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. Type 1 Excludes.
Anatomy review. When reviewing this advice, I think it is important to note that you can only have a Salter-Harris fracture involving the physis (growth plate) in a growing bone, so they are unique to pediatrics. Once the bone is ossified (or a completely calcified bone), a Salter-Harris fracture is no longer possible.
For instance, if there was a proximal fracture of the base of the third metatarsal bone in addition to the physeal fracture, then you would need a second code for that noncontiguous fracture. I hope this makes Salter-Harris fractures clearer.