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  6. 2024 ICD-10-CM Code S89.0
Version 2024
Non-Billable Code

2024 ICD-10-CM Diagnosis Code S89.0

Physeal fracture of upper end of tibia

ICD-10-CM Code:
S89.0
ICD-10 Code for:
Physeal fracture of upper end of tibia
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Injury, poisoning and certain other consequences of external causes
    (S00–T88)
    • Injuries to the knee and lower leg
      (S80-S89)
      • Other and unspecified injuries of lower leg
        (S89)

S89.0 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of physeal fracture of upper end of tibia. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding Applicable to Physeal fracture of upper end of tibia

Non-specific codes like S89.0 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for physeal fracture of upper end of tibia:

  • S89.00 for Unspecified physeal fracture of upper end of tibia - NON-BILLABLE CODE

  • S89.001 for Unspecified physeal fracture of upper end of right tibia - NON-BILLABLE CODE

  • Use S89.001A for initial encounter for closed fracture - BILLABLE CODE

  • Use S89.001D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S89.001G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S89.001K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S89.001P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S89.001S for sequela - BILLABLE CODE

  • S89.002 for Unspecified physeal fracture of upper end of left tibia - NON-BILLABLE CODE

  • Use S89.002A for initial encounter for closed fracture - BILLABLE CODE

  • Use S89.002D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S89.002G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S89.002K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S89.002P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S89.002S for sequela - BILLABLE CODE

  • S89.009 for Unspecified physeal fracture of upper end of unspecified tibia - NON-BILLABLE CODE

  • Use S89.009A for initial encounter for closed fracture - BILLABLE CODE

  • Use S89.009D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S89.009G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S89.009K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S89.009P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S89.009S for sequela - BILLABLE CODE

  • S89.01 for Salter-Harris Type I physeal fracture of upper end of tibia - NON-BILLABLE CODE

  • S89.011 for Salter-Harris Type I physeal fracture of upper end of right tibia - NON-BILLABLE CODE

  • Use S89.011A for initial encounter for closed fracture - BILLABLE CODE

  • Use S89.011D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S89.011G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S89.011K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S89.011P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S89.011S for sequela - BILLABLE CODE

  • S89.012 for Salter-Harris Type I physeal fracture of upper end of left tibia - NON-BILLABLE CODE

  • Use S89.012A for initial encounter for closed fracture - BILLABLE CODE

  • Use S89.012D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S89.012G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S89.012K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S89.012P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S89.012S for sequela - BILLABLE CODE

  • S89.019 for Salter-Harris Type I physeal fracture of upper end of unspecified tibia - NON-BILLABLE CODE

  • Use S89.019A for initial encounter for closed fracture - BILLABLE CODE

  • Use S89.019D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S89.019G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S89.019K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S89.019P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S89.019S for sequela - BILLABLE CODE

  • S89.02 for Salter-Harris Type II physeal fracture of upper end of tibia - NON-BILLABLE CODE

  • S89.021 for Salter-Harris Type II physeal fracture of upper end of right tibia - NON-BILLABLE CODE

  • Use S89.021A for initial encounter for closed fracture - BILLABLE CODE

  • Use S89.021D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S89.021G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S89.021K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S89.021P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S89.021S for sequela - BILLABLE CODE

  • S89.022 for Salter-Harris Type II physeal fracture of upper end of left tibia - NON-BILLABLE CODE

  • Use S89.022A for initial encounter for closed fracture - BILLABLE CODE

  • Use S89.022D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S89.022G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S89.022K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S89.022P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S89.022S for sequela - BILLABLE CODE

  • S89.029 for Salter-Harris Type II physeal fracture of upper end of unspecified tibia - NON-BILLABLE CODE

  • Use S89.029A for initial encounter for closed fracture - BILLABLE CODE

  • Use S89.029D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S89.029G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S89.029K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S89.029P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S89.029S for sequela - BILLABLE CODE

  • S89.03 for Salter-Harris Type III physeal fracture of upper end of tibia - NON-BILLABLE CODE

  • S89.031 for Salter-Harris Type III physeal fracture of upper end of right tibia - NON-BILLABLE CODE

  • Use S89.031A for initial encounter for closed fracture - BILLABLE CODE

  • Use S89.031D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S89.031G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S89.031K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S89.031P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S89.031S for sequela - BILLABLE CODE

  • S89.032 for Salter-Harris Type III physeal fracture of upper end of left tibia - NON-BILLABLE CODE

  • Use S89.032A for initial encounter for closed fracture - BILLABLE CODE

  • Use S89.032D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S89.032G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S89.032K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S89.032P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S89.032S for sequela - BILLABLE CODE

  • S89.039 for Salter-Harris Type III physeal fracture of upper end of unspecified tibia - NON-BILLABLE CODE

  • Use S89.039A for initial encounter for closed fracture - BILLABLE CODE

  • Use S89.039D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S89.039G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S89.039K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S89.039P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S89.039S for sequela - BILLABLE CODE

  • S89.04 for Salter-Harris Type IV physeal fracture of upper end of tibia - NON-BILLABLE CODE

  • S89.041 for Salter-Harris Type IV physeal fracture of upper end of right tibia - NON-BILLABLE CODE

  • Use S89.041A for initial encounter for closed fracture - BILLABLE CODE

  • Use S89.041D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S89.041G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S89.041K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S89.041P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S89.041S for sequela - BILLABLE CODE

  • S89.042 for Salter-Harris Type IV physeal fracture of upper end of left tibia - NON-BILLABLE CODE

  • Use S89.042A for initial encounter for closed fracture - BILLABLE CODE

  • Use S89.042D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S89.042G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S89.042K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S89.042P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S89.042S for sequela - BILLABLE CODE

  • S89.049 for Salter-Harris Type IV physeal fracture of upper end of unspecified tibia - NON-BILLABLE CODE

  • Use S89.049A for initial encounter for closed fracture - BILLABLE CODE

  • Use S89.049D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S89.049G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S89.049K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S89.049P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S89.049S for sequela - BILLABLE CODE

  • S89.09 for Other physeal fracture of upper end of tibia - NON-BILLABLE CODE

  • S89.091 for Other physeal fracture of upper end of right tibia - NON-BILLABLE CODE

  • Use S89.091A for initial encounter for closed fracture - BILLABLE CODE

  • Use S89.091D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S89.091G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S89.091K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S89.091P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S89.091S for sequela - BILLABLE CODE

  • S89.092 for Other physeal fracture of upper end of left tibia - NON-BILLABLE CODE

  • Use S89.092A for initial encounter for closed fracture - BILLABLE CODE

  • Use S89.092D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S89.092G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S89.092K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S89.092P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S89.092S for sequela - BILLABLE CODE

  • S89.099 for Other physeal fracture of upper end of unspecified tibia - NON-BILLABLE CODE

  • Use S89.099A for initial encounter for closed fracture - BILLABLE CODE

  • Use S89.099D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S89.099G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S89.099K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S89.099P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S89.099S for sequela - BILLABLE CODE

Coding Guidelines

The principles of multiple coding of injuries should be followed in coding fractures. Fractures of specified sites are coded individually by site nd the level of detail furnished by medical record content.

A fracture not indicated as open or closed should be coded to closed. A fracture not indicated whether displaced or not displaced should be coded to displaced.

Initial vs. Subsequent Encounter for Fractures

Traumatic fractures are coded using the appropriate 7th character for initial encounter (A, B, C) for each encounter where the patient is receiving active treatment for the fracture. The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.

Fractures are coded using the appropriate 7th character for subsequent care for encounters after the patient has completed active treatment of the fracture and is receiving routine care for the fracture during the healing or recovery phase.

Care for complications of surgical treatment for fracture repairs during the healing or recovery phase should be coded with the appropriate complication codes.

Care of complications of fractures, such as malunion and nonunion, should be reported with the appropriate 7th character for subsequent care with nonunion (K, M, N,) or subsequent care with malunion (P, Q, R).

Malunion/nonunion: The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.

The open fracture designations in the assignment of the 7th character for fractures of the forearm, femur and lower leg, including ankle are based on the Gustilo open fracture classification. When the Gustilo classification type is not specified for an open fracture, the 7th character for open fracture type I or II should be assigned (B, E, H, M, Q).

Patient Education


Fractures

A fracture is a break, usually in a bone. If the broken bone punctures the skin, it is called an open or compound fracture. Fractures commonly happen because of car accidents, falls, or sports injuries. Other causes are low bone density and osteoporosis, which cause weakening of the bones. Overuse can cause stress fractures, which are very small cracks in the bone.

Symptoms of a fracture are:

  • Intense pain
  • Deformity - the limb looks out of place
  • Swelling, bruising, or tenderness around the injury
  • Numbness and tingling
  • Problems moving a limb

You need to get medical care right away for any fracture. An x-ray can tell if your bone is broken. You may need to wear a cast or splint. Sometimes you need surgery to put in plates, pins or screws to keep the bone in place.


[Learn More in MedlinePlus]

Leg Injuries and Disorders

Your legs are made up of bones, blood vessels, muscles, and other connective tissue. They are important for motion and standing. Playing sports, running, falling, or having an accident can damage your legs. Common leg injuries include sprains and strains, joint dislocations, and fractures (broken bones).

These injuries can affect the entire leg, or just the foot, ankle, knee, or hip. Certain diseases also lead to leg problems. For example, knee osteoarthritis, common in older people, can cause pain and limited motion. Problems in your veins in your legs can lead to varicose veins or deep vein thrombosis.


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.