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  6. 2024 ICD-10-CM Code S89.1
Version 2024
Non-Billable Code

2024 ICD-10-CM Diagnosis Code S89.1

Physeal fracture of lower end of tibia

ICD-10-CM Code:
S89.1
ICD-10 Code for:
Physeal fracture of lower 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)

S89.1 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 lower 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 lower end of tibia

Non-specific codes like S89.1 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 lower end of tibia:

  • S89.10 for Unspecified physeal fracture of lower end of tibia - NON-BILLABLE CODE

  • S89.101 for Unspecified physeal fracture of lower end of right tibia - NON-BILLABLE CODE

  • Use S89.101A for initial encounter for closed fracture - BILLABLE CODE

  • Use S89.101D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S89.101G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S89.101K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S89.101P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S89.101S for sequela - BILLABLE CODE

  • S89.102 for Unspecified physeal fracture of lower end of left tibia - NON-BILLABLE CODE

  • Use S89.102A for initial encounter for closed fracture - BILLABLE CODE

  • Use S89.102D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S89.102G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S89.102K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S89.102P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S89.102S for sequela - BILLABLE CODE

  • S89.109 for Unspecified physeal fracture of lower end of unspecified tibia - NON-BILLABLE CODE

  • Use S89.109A for initial encounter for closed fracture - BILLABLE CODE

  • Use S89.109D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S89.109G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S89.109K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S89.109P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S89.109S for sequela - BILLABLE CODE

  • S89.11 for Salter-Harris Type I physeal fracture of lower end of tibia - NON-BILLABLE CODE

  • S89.111 for Salter-Harris Type I physeal fracture of lower end of right tibia - NON-BILLABLE CODE

  • Use S89.111A for initial encounter for closed fracture - BILLABLE CODE

  • Use S89.111D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S89.111G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S89.111K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S89.111P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S89.111S for sequela - BILLABLE CODE

  • S89.112 for Salter-Harris Type I physeal fracture of lower end of left tibia - NON-BILLABLE CODE

  • Use S89.112A for initial encounter for closed fracture - BILLABLE CODE

  • Use S89.112D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S89.112G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S89.112K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S89.112P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S89.112S for sequela - BILLABLE CODE

  • S89.119 for Salter-Harris Type I physeal fracture of lower end of unspecified tibia - NON-BILLABLE CODE

  • Use S89.119A for initial encounter for closed fracture - BILLABLE CODE

  • Use S89.119D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S89.119G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S89.119K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S89.119P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S89.119S for sequela - BILLABLE CODE

  • S89.12 for Salter-Harris Type II physeal fracture of lower end of tibia - NON-BILLABLE CODE

  • S89.121 for Salter-Harris Type II physeal fracture of lower end of right tibia - NON-BILLABLE CODE

  • Use S89.121A for initial encounter for closed fracture - BILLABLE CODE

  • Use S89.121D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S89.121G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S89.121K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S89.121P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S89.121S for sequela - BILLABLE CODE

  • S89.122 for Salter-Harris Type II physeal fracture of lower end of left tibia - NON-BILLABLE CODE

  • Use S89.122A for initial encounter for closed fracture - BILLABLE CODE

  • Use S89.122D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S89.122G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S89.122K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S89.122P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S89.122S for sequela - BILLABLE CODE

  • S89.129 for Salter-Harris Type II physeal fracture of lower end of unspecified tibia - NON-BILLABLE CODE

  • Use S89.129A for initial encounter for closed fracture - BILLABLE CODE

  • Use S89.129D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S89.129G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S89.129K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S89.129P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S89.129S for sequela - BILLABLE CODE

  • S89.13 for Salter-Harris Type III physeal fracture of lower end of tibia - NON-BILLABLE CODE

  • S89.131 for Salter-Harris Type III physeal fracture of lower end of right tibia - NON-BILLABLE CODE

  • Use S89.131A for initial encounter for closed fracture - BILLABLE CODE

  • Use S89.131D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S89.131G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S89.131K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S89.131P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S89.131S for sequela - BILLABLE CODE

  • S89.132 for Salter-Harris Type III physeal fracture of lower end of left tibia - NON-BILLABLE CODE

  • Use S89.132A for initial encounter for closed fracture - BILLABLE CODE

  • Use S89.132D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S89.132G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S89.132K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S89.132P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S89.132S for sequela - BILLABLE CODE

  • S89.139 for Salter-Harris Type III physeal fracture of lower end of unspecified tibia - NON-BILLABLE CODE

  • Use S89.139A for initial encounter for closed fracture - BILLABLE CODE

  • Use S89.139D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S89.139G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S89.139K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S89.139P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S89.139S for sequela - BILLABLE CODE

  • S89.14 for Salter-Harris Type IV physeal fracture of lower end of tibia - NON-BILLABLE CODE

  • S89.141 for Salter-Harris Type IV physeal fracture of lower end of right tibia - NON-BILLABLE CODE

  • Use S89.141A for initial encounter for closed fracture - BILLABLE CODE

  • Use S89.141D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S89.141G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S89.141K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S89.141P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S89.141S for sequela - BILLABLE CODE

  • S89.142 for Salter-Harris Type IV physeal fracture of lower end of left tibia - NON-BILLABLE CODE

  • Use S89.142A for initial encounter for closed fracture - BILLABLE CODE

  • Use S89.142D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S89.142G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S89.142K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S89.142P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S89.142S for sequela - BILLABLE CODE

  • S89.149 for Salter-Harris Type IV physeal fracture of lower end of unspecified tibia - NON-BILLABLE CODE

  • Use S89.149A for initial encounter for closed fracture - BILLABLE CODE

  • Use S89.149D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S89.149G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S89.149K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S89.149P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S89.149S for sequela - BILLABLE CODE

  • S89.19 for Other physeal fracture of lower end of tibia - NON-BILLABLE CODE

  • S89.191 for Other physeal fracture of lower end of right tibia - NON-BILLABLE CODE

  • Use S89.191A for initial encounter for closed fracture - BILLABLE CODE

  • Use S89.191D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S89.191G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S89.191K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S89.191P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S89.191S for sequela - BILLABLE CODE

  • S89.192 for Other physeal fracture of lower end of left tibia - NON-BILLABLE CODE

  • Use S89.192A for initial encounter for closed fracture - BILLABLE CODE

  • Use S89.192D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S89.192G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S89.192K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S89.192P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S89.192S for sequela - BILLABLE CODE

  • S89.199 for Other physeal fracture of lower end of unspecified tibia - NON-BILLABLE CODE

  • Use S89.199A for initial encounter for closed fracture - BILLABLE CODE

  • Use S89.199D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S89.199G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S89.199K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S89.199P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S89.199S 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.