S49.039S — Salter-Harris Type III physeal fracture of upper end of humerus, unspecified arm, sequela
Is S49.039S billable?
Yes, but S49.039S is an unspecified code. S49.039S is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S49.039S is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting S49.039S — the more specific alternatives are listed below.
S49.039S at a glance
| Code | S49.039S |
|---|---|
| Description | Salter-Harris Type III physeal fracture of upper end of humerus, unspecified arm, sequela |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "S" | sequela |
What does the 7th character "S" mean in S49.039S?
In S49.039S, the 7th character S means sequela. The 7th character is required for S49.039S to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
- Ainitial encounter for closed fractureS49.039A
- Dsubsequent encounter for fracture with routine healingS49.039D
- Gsubsequent encounter for fracture with delayed healingS49.039G
- Ksubsequent encounter for fracture with nonunionS49.039K
- Psubsequent encounter for fracture with malunionS49.039P
- SsequelaS49.039S
Which MS-DRGs does S49.039S group to?
S49.039S 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.
- 559Aftercare, Musculoskeletal System and Connective Tissue with MCCmedical
- 560Aftercare, Musculoskeletal System and Connective Tissue with CCmedical
- 561Aftercare, Musculoskeletal System and Connective Tissue without CC/MCCmedical
How is S49.039S listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S49.03, the nearest indexed parent of S49.039S. 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 S49.039S to fully describe the condition. S49.039S 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 S49.039S, but a patient may have both at the same time. When documentation supports it, S49.039S and the excluded code may both be reported.
Excludes2 — not included here — inherited from S40-S49
The conditions below are not part of S49.039S, but a patient may have both at the same time. When documentation supports it, S49.039S and the excluded code may both be reported.
How long has S49.039S existed?
S49.039S 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, unspecified arm, sequelaSalter-Harris Type III physeal fracture of upper end of humerus, unspecified arm, sequela
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.