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ICD-10-CM · FY 2026 APRIL UPDATE

S49.09

Other physeal fracture of upper end of humerus

Diagnosis reference

Nonbillable category

This entry is a category or subcategory. Choose the appropriate billable descendant based on the clinical documentation.

Effective periodOctober 1, 2026–September 30, 2027
SourceCMS ICD-10-CM order file
ClassificationDiagnosis · clinical modification

Related entries

Up to 30 descendants in this category

CODEDESCRIPTIONTYPE
S49.091Other physeal fracture of upper end of humerus, right armCategory
S49.091AOther physeal fracture of upper end of humerus, right arm, initial encounter for closed fractureBillable
S49.091DOther physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with routine healingBillable
S49.091GOther physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with delayed healingBillable
S49.091KOther physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with nonunionBillable
S49.091POther physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with malunionBillable
S49.091SOther physeal fracture of upper end of humerus, right arm, sequelaBillable
S49.092Other physeal fracture of upper end of humerus, left armCategory
S49.092AOther physeal fracture of upper end of humerus, left arm, initial encounter for closed fractureBillable
S49.092DOther physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with routine healingBillable
S49.092GOther physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with delayed healingBillable
S49.092KOther physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with nonunionBillable
S49.092POther physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with malunionBillable
S49.092SOther physeal fracture of upper end of humerus, left arm, sequelaBillable
S49.099Other physeal fracture of upper end of humerus, unspecified armCategory
S49.099AOther physeal fracture of upper end of humerus, unspecified arm, initial encounter for closed fractureBillable
S49.099DOther physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with routine healingBillable
S49.099GOther physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with delayed healingBillable
S49.099KOther physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with nonunionBillable
S49.099POther physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with malunionBillable
S49.099SOther physeal fracture of upper end of humerus, unspecified arm, sequelaBillable

Use the complete reference

This reference does not reproduce the full tabular hierarchy, inclusion notes, Excludes1/2 notes, sequencing instructions, or seventh-character rules. Review the official tables and coding guidelines.

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ICD-10-CM codes describe diagnoses. They do not have an independent Medicare PFS reimbursement amount, and billability alone does not establish coverage.