Coding and coverage · ICD-10-CM

S89 › S89.1

S89.14 Salter-Harris Type IV physeal fracture of lower end of tibia

Not billable (header)Chapter 19

This code needs a 7th character (use X as a placeholder for missing characters).

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Codes under this one

  • S89.141 Salter-Harris Type IV physeal fracture of lower end of right tibiaHeader
  • S89.142 Salter-Harris Type IV physeal fracture of lower end of left tibiaHeader
  • S89.149 Salter-Harris Type IV physeal fracture of lower end of unspecified tibiaHeader

Instructional notes

Chapter 19

Excludes2Not included here: the patient may have both; report both when both are present.
Use additional codeAdd a second code for the full picture.
  • code to identify any retained foreign body, if applicable (Z18.-)
Notes
  • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
  • The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.

Section S80-S89

Excludes2Not included here: the patient may have both; report both when both are present.
  • burns and corrosions (T20-T32)
  • frostbite (T33-T34)
  • injuries of ankle and foot, except fracture of ankle and malleolus (S90-S99)
  • insect bite or sting, venomous (T63.4)

S89

Excludes2Not included here: the patient may have both; report both when both are present.
  • other and unspecified injuries of ankle and foot (S99.-)
Notes
  • A fracture not indicated as open or closed should be coded to closed
7th charactersThe appropriate 7th character is to be added to each code from subcategories S89.0, S89.1, S89.2, and S89.3
  • A initial encounter for closed fracture
  • D subsequent encounter for fracture with routine healing
  • G subsequent encounter for fracture with delayed healing
  • K subsequent encounter for fracture with nonunion
  • P subsequent encounter for fracture with malunion
  • S sequela

This code

Excludes1Not coded here: never report with this code, except when the two conditions are unrelated.
  • fracture of medial malleolus (adult) (S82.5-)

Chapter 19: Injury, poisoning and certain other consequences of external causes · S80-S89 Injuries to the knee and lower leg (S80-S89)

Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.

Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.