S49.099G — Other physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with delayed healing
Is S49.099G billable?
Yes, but S49.099G is an unspecified code. S49.099G is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S49.099G 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 S49.099G — the more specific alternatives are listed below.
S49.099G at a glance
| Code | S49.099G |
|---|---|
| Description | Other physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with delayed healing |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "G" | subsequent encounter for fracture with delayed healing |
What does the 7th character "G" mean in S49.099G?
In S49.099G, the 7th character G means subsequent encounter for fracture with delayed healing. The 7th character is required for S49.099G to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
- Ainitial encounter for closed fractureS49.099A
- Dsubsequent encounter for fracture with routine healingS49.099D
- Gsubsequent encounter for fracture with delayed healingS49.099G
- Ksubsequent encounter for fracture with nonunionS49.099K
- Psubsequent encounter for fracture with malunionS49.099P
- SsequelaS49.099S
Which MS-DRGs does S49.099G group to?
S49.099G 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 S49.099G listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S49.09, the nearest indexed parent of S49.099G. 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 S49.099G to fully describe the condition. S49.099G 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 S49.099G, but a patient may have both at the same time. When documentation supports it, S49.099G and the excluded code may both be reported.
Excludes2 — not included here — inherited from S40-S49
The conditions below are not part of S49.099G, but a patient may have both at the same time. When documentation supports it, S49.099G and the excluded code may both be reported.
How long has S49.099G existed?
S49.099G 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.