S89.042A — Salter-Harris Type IV physeal fracture of upper end of left tibia, initial encounter for closed fracture
Is S89.042A billable?
Yes — S89.042A is billable for FY2027. S89.042A is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. S89.042A may be submitted for encounters from October 1, 2026 through September 30, 2027.
S89.042A at a glance
| Code | S89.042A |
|---|---|
| Description | Salter-Harris Type IV physeal fracture of upper end of left tibia, 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 S89.042A?
In S89.042A, the 7th character A means initial encounter for closed fracture. The 7th character is required for S89.042A to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
- Ainitial encounter for closed fractureS89.042A
- Dsubsequent encounter for fracture with routine healingS89.042D
- Gsubsequent encounter for fracture with delayed healingS89.042G
- Ksubsequent encounter for fracture with nonunionS89.042K
- Psubsequent encounter for fracture with malunionS89.042P
- SsequelaS89.042S
Which MS-DRGs does S89.042A group to?
S89.042A 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, S89.042A 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 S89.042A listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S89.04, the nearest indexed parent of S89.042A. Use them to find the family, then select the specific code.
- Fracture, traumatic › tibia › upper end › physeal › Salter-Harris › Type IV (abduction) (adduction) (separation)
Use additional code — inherited from Chapter 19
Report an additional code alongside S89.042A to fully describe the condition. S89.042A 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 S89.042A, but a patient may have both at the same time. When documentation supports it, S89.042A and the excluded code may both be reported.
Excludes2 — not included here — inherited from S80-S89
The conditions below are not part of S89.042A, but a patient may have both at the same time. When documentation supports it, S89.042A and the excluded code may both be reported.
Excludes2 — not included here — inherited from S89
The conditions below are not part of S89.042A, but a patient may have both at the same time. When documentation supports it, S89.042A and the excluded code may both be reported.
- other and unspecified injuries of ankle and foot (S99.-)
How long has S89.042A existed?
S89.042A 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.