2027 ICD-10-CM Diagnosis Code S89.022ASalter-Harris Type II physeal fracture of upper end of left tibia, initial encounter for closed fracture

ICD-10-CM Codes›S00–T88›S80-S89›S89

ICD-10-CM S89.022A
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

S89.022A is a billable ICD-10-CM diagnosis code for Salter-Harris Type II physeal fracture of upper end of left tibia, initial encounter for closed fracture. The 7th character A means initial encounter for closed fracture, used while the patient is receiving active treatment. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 562 through 563, 963 through 965. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 500 closely related codes. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Fracture of the lower limb (except hip), initial encounter.

Code Identity

ICD-10-CM Code
S89.022A
Billable Status
Yes — Valid for Submission
Code Describes
Salter-Harris Type II physeal fracture of upper end of left tibia, initial encounter for closed fracture
Short Description
Sltr-haris Type II physeal fx upper end of left tibia, init
Parent Code
S89.022
Salter-Harris Type II physeal fracture of upper end of left tibia

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS80-S89Injuries to the knee and lower leg
CategoryS89Other and unspecified injuries of lower leg
This CodeS89.022ASalter-Harris Type II physeal fracture of upper end of left tibia, initial encounter for closed fracture

Quality Payment Program MeasuresBilling

Medicare quality measures that can apply when S89.022A is part of the patient record.

Communication with the Physician or Other Clinician Managing On-Going Care Post-Fracture for Men and Women Aged 50 Years and Older

High Priority: YES

Measure Type: Process

Submission Methods: Claims, Registry

Description: Percentage of patients aged 50 years and older treated for a fracture with documentation of communication, between the physician treating the fracture and the physician or other clinician managing the patient’s on-going care, that a fracture occurred and that the patient was or should be considered for osteoporosis treatment or testing. This measure is submitted by the physician who treats the fracture and who therefore is held accountable for the communication.

View Measure

Coding GuidelinesGuidance

The principles of multiple coding of injuries should be followed in coding fractures. Fractures of specified sites are coded individually by site, to 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) while 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).

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).

Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027, published by CMS and the National Center for Health Statistics.

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to S89.022A: its own notes plus those printed at S89, block S80-S89, and Chapter 19. A note printed at a category, block or chapter applies to every code under it.

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From S89 Other and unspecified injuries of lower leg applies to 378 codes
  • other and unspecified injuries of ankle and foot (S99.-)
From Block S80-S89 Injuries to the knee and lower leg applies to 4,680 codes
  • 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)
From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes

Use Additional Code

Add a second code, after this one, to fully describe the condition.

From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • code to identify any retained foreign body, if applicable (Z18.-)

Notes

General instructions on how these codes are used.

From S89 Other and unspecified injuries of lower leg applies to 378 codes
  • A fracture not indicated as open or closed should be coded to closed
From Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes applies to 41,187 codes
  • 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.

7th Character

Every code in the category takes a 7th character from the listed values, with the placeholder X filling any empty positions before it.

From S89 Other and unspecified injuries of lower leg applies to 378 codes
  • The appropriate 7th character is to be added to each code from subcategories S89.0, S89.1, S89.2, and S89.3
Values for category S89 Closed Fracture Encounter
  • Ainitial encounter for closed fracture this code
  • Dsubsequent encounter for fracture with routine healing
  • Gsubsequent encounter for fracture with delayed healing
  • Ksubsequent encounter for fracture with nonunion
  • Psubsequent encounter for fracture with malunion
  • Ssequela

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name S89.022A, its category, or a range that includes it.

Excludes2 1

These codes carry an Excludes2 note naming S89.022A: its condition is not part of those codes, and both may be reported when the patient has both.

  • S82.1 Fracture of upper end of tibia
    physeal fracture of upper end of tibia (S89.0-) names S89.0-, which includes this code

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR INJ005
Fracture of the lower limb (except hip), initial encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Fractures

A fracture is a break in a bone. Fractures are usually caused by injuries. Since they can sometimes be serious, it's important to get medical care right away if you think you have a fracture.

The full article covers:

  • What is a fracture?
  • What are the different types of fractures?
  • What causes fractures?
  • What are the symptoms of a fracture?
  • How are fractures diagnosed?
  • What are the treatments for fractures?
  • Can fractures be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert S89.022A to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
823.00 Fx upper end tibia-close
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About S89.022AOverview

Is S89.022A a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report Salter-Harris Type II physeal fracture of upper end of left tibia, initial encounter for closed fracture on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What does the 7th character A in S89.022A mean?

The final character A marks the initial encounter: use it while the patient is receiving active treatment for Salter-Harris Type II physeal fracture of upper end of left tibia, such as an emergency visit or first evaluation. In this category the CMS Tabular List defines A as "initial encounter for closed fracture".

What MS-DRG does S89.022A group to?

When Salter-Harris Type II physeal fracture of upper end of left tibia, initial encounter for closed fracture is the principal diagnosis on an inpatient stay, it groups to MS-DRG 563, 964, 965, 562, 963, with relative weights from 0.8982 to 2.6361 depending on complications. Higher weights mean higher Medicare reimbursement.

Is S89.022A a CC or MCC?

CMS lists S89.022A as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 500 closely related codes in its exclusion list.

What is the ICD-9 equivalent of S89.022A?

Under the General Equivalence Mappings, Salter-Harris Type II physeal fracture of upper end of left tibia, initial encounter for closed fracture converts to ICD-9-CM 823.00 (fx upper end tibia-close). The mapping is approximate, so confirm the match fits the documentation.