S49.012A — Salter-Harris Type I physeal fracture of upper end of humerus, left arm, initial encounter for closed fracture
Is S49.012A billable?
Yes — S49.012A is billable for FY2027. S49.012A is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. S49.012A may be submitted for encounters from October 1, 2026 through September 30, 2027.
S49.012A at a glance
| Code | S49.012A |
|---|---|
| Description | Salter-Harris Type I physeal fracture of upper end of humerus, left arm, initial encounter for closed fracture |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "A" | initial encounter for closed fracture |
What does the 7th character "A" mean in S49.012A?
In S49.012A, the 7th character A means initial encounter for closed fracture. The 7th character is required for S49.012A to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
- Ainitial encounter for closed fractureS49.012A
- Dsubsequent encounter for fracture with routine healingS49.012D
- Gsubsequent encounter for fracture with delayed healingS49.012G
- Ksubsequent encounter for fracture with nonunionS49.012K
- Psubsequent encounter for fracture with malunionS49.012P
- SsequelaS49.012S
Which MS-DRGs does S49.012A group to?
S49.012A sits in MDC 08 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 562Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with MCCmedical
- 563Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without MCCmedical
As a secondary diagnosis, S49.012A is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG. It also carries Hospital-Acquired Condition category 05.
How is S49.012A listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S49.01, the nearest indexed parent of S49.012A. Use them to find the family, then select the specific code.
- Fracture, traumatic › humerus › upper end › physeal › Salter-Harris › Type I (abduction) (adduction) (separation)
Use additional code — inherited from Chapter 19
Report an additional code alongside S49.012A to fully describe the condition. S49.012A is sequenced first.
- code to identify any retained foreign body, if applicable (Z18.-)
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of S49.012A, but a patient may have both at the same time. When documentation supports it, S49.012A and the excluded code may both be reported.
Excludes2 — not included here — inherited from S40-S49
The conditions below are not part of S49.012A, but a patient may have both at the same time. When documentation supports it, S49.012A and the excluded code may both be reported.
How long has S49.012A existed?
S49.012A has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.