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.
S42. 291A - Other displaced fracture of upper end of right humerus [initial encounter for closed fracture]. ICD-10-CM.
ICD-10 code S42. 301A for Unspecified fracture of shaft of humerus, right arm, initial encounter for closed fracture is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .
The Salter-Harris classification system is a method used to grade fractures that occur in children and involve the growth plate, which is also known as the physis or physial plate. The classification system grades fractures according to the involvement of the physis, metaphysis, and epiphysis.
The proximal humerus consists of the humeral head, anatomical neck, greater tuberosity, lesser tuberosity, surgical neck, and proximal shaft. Fractures of the proximal humerus (Box 4-8) are associated with osteoporosis. The majority of fractures are the result of indirect forces such as a fall onto an outstretched arm.
3-PART FRACTURE: This is when the proximal humerus is broken into three pieces, and there are then two fracture lines on x-ray. This most often involves the greater tuberosity and the surgical neck of the humerus.
Fracture of greater tuberosity of humerus 1 S42.25 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. 2 The 2021 edition of ICD-10-CM S42.25 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of S42.25 - other international versions of ICD-10 S42.25 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.
The ICD code S422 is used to code Humerus fracture. A humerus fracture is a bone fracture of the arm. Fractures of the humerus may be classified by the location and divided into fractures of the upper end, the shaft, or the lower end. MeSH Code:
ICD Code S42.2 is a non-billable code. To code a diagnosis of this type, you must use one of the nine child codes of S42.2 that describes the diagnosis 'fracture of upper end of humerus' in more detail. S42.2 Fracture of upper end of humerus.
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 lower end of left tibia, initial encounter for closed fracture 1 S89.122A 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 physeal fx lower end of left tibia, init 3 The 2021 edition of ICD-10-CM S89.122A became effective on October 1, 2020. 4 This is the American ICD-10-CM version of S89.122A - other international versions of ICD-10 S89.122A 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.
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.
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.
When a physeal fracture occurs, the cartilaginous tissue of the growth plate becomes disrupted or separated, and when this occurs, bone growth may be affected. In the United States, physeal fractures are classified by severity using a system developed in 1963 by Robert Salter and W. Robert Harris; the system is known as ...
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.