S49.092D — Other physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with routine healing
Is S49.092D billable?
Yes — S49.092D is billable for FY2027. S49.092D is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. S49.092D may be submitted for encounters from October 1, 2026 through September 30, 2027.
S49.092D at a glance
| Code | S49.092D |
|---|---|
| Description | Other physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with routine healing |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "D" | subsequent encounter for fracture with routine healing |
What does the 7th character "D" mean in S49.092D?
In S49.092D, the 7th character D means subsequent encounter for fracture with routine healing. The 7th character is required for S49.092D to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
- Ainitial encounter for closed fractureS49.092A
- Dsubsequent encounter for fracture with routine healingS49.092D
- Gsubsequent encounter for fracture with delayed healingS49.092G
- Ksubsequent encounter for fracture with nonunionS49.092K
- Psubsequent encounter for fracture with malunionS49.092P
- SsequelaS49.092S
Which MS-DRGs does S49.092D group to?
S49.092D 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 S49.092D listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S49.09, the nearest indexed parent of S49.092D. Use them to find the family, then select the specific code.
- Fracture, traumatic › humerus › upper end › physeal › specified NEC (abduction) (adduction) (separation)
Use additional code — inherited from Chapter 19
Report an additional code alongside S49.092D to fully describe the condition. S49.092D 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 S49.092D, but a patient may have both at the same time. When documentation supports it, S49.092D and the excluded code may both be reported.
Excludes2 — not included here — inherited from S40-S49
The conditions below are not part of S49.092D, but a patient may have both at the same time. When documentation supports it, S49.092D and the excluded code may both be reported.
How long has S49.092D existed?
S49.092D 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.