S49.031K — Salter-Harris Type III physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with nonunion
Is S49.031K billable?
Yes — S49.031K is billable for FY2027. S49.031K is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. S49.031K may be submitted for encounters from October 1, 2026 through September 30, 2027.
S49.031K at a glance
| Code | S49.031K |
|---|---|
| Description | Salter-Harris Type III physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with nonunion |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "K" | subsequent encounter for fracture with nonunion |
What does the 7th character "K" mean in S49.031K?
In S49.031K, the 7th character K means subsequent encounter for fracture with nonunion. The 7th character is required for S49.031K to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
- Ainitial encounter for closed fractureS49.031A
- Dsubsequent encounter for fracture with routine healingS49.031D
- Gsubsequent encounter for fracture with delayed healingS49.031G
- Ksubsequent encounter for fracture with nonunionS49.031K
- Psubsequent encounter for fracture with malunionS49.031P
- SsequelaS49.031S
Which MS-DRGs does S49.031K group to?
S49.031K sits in MDC 08 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 564Other Musculoskeletal System and Connective Tissue Diagnoses with MCCmedical
- 565Other Musculoskeletal System and Connective Tissue Diagnoses with CCmedical
- 566Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCCmedical
As a secondary diagnosis, S49.031K is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is S49.031K listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S49.03, the nearest indexed parent of S49.031K. Use them to find the family, then select the specific code.
- Fracture, traumatic › humerus › upper end › physeal › Salter-Harris › Type III (abduction) (adduction) (separation)
Use additional code — inherited from Chapter 19
Report an additional code alongside S49.031K to fully describe the condition. S49.031K 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 S49.031K, but a patient may have both at the same time. When documentation supports it, S49.031K and the excluded code may both be reported.
Excludes2 — not included here — inherited from S40-S49
The conditions below are not part of S49.031K, but a patient may have both at the same time. When documentation supports it, S49.031K and the excluded code may both be reported.
How long has S49.031K existed?
S49.031K has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
- FY2018Salter Harris Type III physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with nonunionSalter-Harris Type III physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with nonunion
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.