S89.221A — Salter-Harris Type II physeal fracture of upper end of right fibula, initial encounter for closed fracture
Is S89.221A billable?
Yes — S89.221A is billable for FY2027. S89.221A is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. S89.221A may be submitted for encounters from October 1, 2026 through September 30, 2027.
S89.221A at a glance
| Code | S89.221A |
|---|---|
| Description | Salter-Harris Type II physeal fracture of upper end of right fibula, 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 S89.221A?
In S89.221A, the 7th character A means initial encounter for closed fracture. The 7th character is required for S89.221A to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
- Ainitial encounter for closed fractureS89.221A
- Dsubsequent encounter for fracture with routine healingS89.221D
- Gsubsequent encounter for fracture with delayed healingS89.221G
- Ksubsequent encounter for fracture with nonunionS89.221K
- Psubsequent encounter for fracture with malunionS89.221P
- SsequelaS89.221S
Which MS-DRGs does S89.221A group to?
S89.221A 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
How is S89.221A listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S89.22, the nearest indexed parent of S89.221A. Use them to find the family, then select the specific code.
- Fracture, traumatic › fibula › upper end › physeal › Salter-Harris › Type II (abduction) (adduction) (separation)
Use additional code — inherited from Chapter 19
Report an additional code alongside S89.221A to fully describe the condition. S89.221A 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 S89.221A, but a patient may have both at the same time. When documentation supports it, S89.221A and the excluded code may both be reported.
Excludes2 — not included here — inherited from S80-S89
The conditions below are not part of S89.221A, but a patient may have both at the same time. When documentation supports it, S89.221A and the excluded code may both be reported.
Excludes2 — not included here — inherited from S89
The conditions below are not part of S89.221A, but a patient may have both at the same time. When documentation supports it, S89.221A and the excluded code may both be reported.
- other and unspecified injuries of ankle and foot (S99.-)
How long has S89.221A existed?
S89.221A 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.