S49.102A — Unspecified physeal fracture of lower end of humerus, left arm, initial encounter for closed fracture
Is S49.102A billable?
Yes, but S49.102A is an unspecified code. S49.102A is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S49.102A 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 S49.102A — the more specific alternatives are listed below.
More specific alternatives
- S49.111ASalter-Harris Type I physeal fracture of lower end of humerus, right arm, initial encounter for closed fracture
- S49.121ASalter-Harris Type II physeal fracture of lower end of humerus, right arm, initial encounter for closed fracture
- S49.131ASalter-Harris Type III physeal fracture of lower end of humerus, right arm, initial encounter for closed fracture
- S49.141ASalter-Harris Type IV physeal fracture of lower end of humerus, right arm, initial encounter for closed fracture
- S49.191AOther physeal fracture of lower end of humerus, right arm, initial encounter for closed fracture
S49.102A at a glance
| Code | S49.102A |
|---|---|
| Description | Unspecified physeal fracture of lower 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 S49.102A?
In S49.102A, the 7th character A means initial encounter for closed fracture. The 7th character is required for S49.102A to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
- Ainitial encounter for closed fractureS49.102A
- Dsubsequent encounter for fracture with routine healingS49.102D
- Gsubsequent encounter for fracture with delayed healingS49.102G
- Ksubsequent encounter for fracture with nonunionS49.102K
- Psubsequent encounter for fracture with malunionS49.102P
- SsequelaS49.102S
Which MS-DRGs does S49.102A group to?
S49.102A 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, S49.102A 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 S49.102A listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S49.10, the nearest indexed parent of S49.102A. Use them to find the family, then select the specific code.
- Fracture, traumatic › humerus › lower end › physeal (abduction) (adduction) (separation)
Use additional code — inherited from Chapter 19
Report an additional code alongside S49.102A to fully describe the condition. S49.102A 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 S49.102A, but a patient may have both at the same time. When documentation supports it, S49.102A and the excluded code may both be reported.
Excludes2 — not included here — inherited from S40-S49
The conditions below are not part of S49.102A, but a patient may have both at the same time. When documentation supports it, S49.102A and the excluded code may both be reported.
How long has S49.102A existed?
S49.102A 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.