ICD-10 · PDGM grouping
S49 Other and unspecified injuries of shoulder and upper arm
All 234 codes in the S49 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in family
234
Can lead a claim
150
Cannot lead a claim
84
What CMS assigns to S49
150 of the 234 codes group to Musculoskeletal Rehabilitation (144) and MMTA - Other (6); 84 are assigned no clinical group. None of the 234 is assigned a comorbidity subgroup. 150 of the 234 can lead a claim.
Every code in S49
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| S49.0 Physeal fracture of upper end of humerus | ||||
| S49.00 Unspecified physeal fracture of upper end of humerus | ||||
| S49.001 Unspecified physeal fracture of upper end of humerus, right arm | ||||
| S49.001A | Unspecified physeal fracture of upper end of humerus, right arm, initial encounter for closed fractureCMS: Unsp physeal fx upper end of humerus, right arm, init | Can lead a claim | E | None |
| S49.001D | Unspecified physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with routine healingCMS: Unsp physl fx upr end humer, r arm, subs for fx w routn heal | Can lead a claim | E | None |
| S49.001G | Unspecified physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with delayed healingCMS: Unsp physl fx upr end humer, r arm, subs for fx w delay heal | Can lead a claim | E | None |
| S49.001K | Unspecified physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with nonunionCMS: Unsp physl fx upper end humer, r arm, subs for fx w nonunion | Can lead a claim | E | None |
| S49.001P | Unspecified physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with malunionCMS: Unsp physl fx upper end humer, r arm, subs for fx w malunion | Can lead a claim | E | None |
| S49.001S | Unspecified physeal fracture of upper end of humerus, right arm, sequelaCMS: Unsp physeal fx upper end of humerus, right arm, sequela | Can lead a claim | E | None |
| S49.002 Unspecified physeal fracture of upper end of humerus, left arm | ||||
| S49.002A | Unspecified physeal fracture of upper end of humerus, left arm, initial encounter for closed fractureCMS: Unsp physeal fx upper end of humerus, left arm, init | Can lead a claim | E | None |
| S49.002D | Unspecified physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with routine healingCMS: Unsp physl fx upr end humer, l arm, subs for fx w routn heal | Can lead a claim | E | None |
| S49.002G | Unspecified physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with delayed healingCMS: Unsp physl fx upr end humer, l arm, subs for fx w delay heal | Can lead a claim | E | None |
| S49.002K | Unspecified physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with nonunionCMS: Unsp physl fx upr end humer, l arm, subs for fx w nonunion | Can lead a claim | E | None |
| S49.002P | Unspecified physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with malunionCMS: Unsp physl fx upr end humer, l arm, subs for fx w malunion | Can lead a claim | E | None |
| S49.002S | Unspecified physeal fracture of upper end of humerus, left arm, sequelaCMS: Unsp physeal fx upper end of humerus, left arm, sequela | Can lead a claim | E | None |
| S49.009 Unspecified physeal fracture of upper end of humerus, unspecified arm | ||||
| S49.009A | Unspecified physeal fracture of upper end of humerus, unspecified arm, initial encounter for closed fractureCMS: Unsp physeal fx upper end of humerus, unsp arm, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S49.009D | Unspecified physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with routine healingCMS: Unsp physl fx upr end humer, unsp arm, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.009G | Unspecified physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with delayed healingCMS: Unsp physl fx upr end humer, unsp arm, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.009K | Unspecified physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with nonunionCMS: Unsp physl fx upr end humer, unsp arm, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S49.009P | Unspecified physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with malunionCMS: Unsp physl fx upr end humer, unsp arm, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S49.009S | Unspecified physeal fracture of upper end of humerus, unspecified arm, sequelaCMS: Unsp physeal fx upper end of humerus, unsp arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.01 Salter-Harris Type I physeal fracture of upper end of humerus | ||||
| S49.011 Salter-Harris Type I physeal fracture of upper end of humerus, right arm | ||||
| S49.011A | Salter-Harris Type I physeal fracture of upper end of humerus, right arm, initial encounter for closed fractureCMS: Sltr-haris Type I physl fx upper end humer, right arm, init | Can lead a claim | E | None |
| S49.011D | Salter-Harris Type I physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with routine healingCMS: Sltr-haris Type I physl fx upr end humer, r arm, 7thD | Can lead a claim | E | None |
| S49.011G | Salter-Harris Type I physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with delayed healingCMS: Sltr-haris Type I physl fx upr end humer, r arm, 7thG | Can lead a claim | E | None |
| S49.011K | Salter-Harris Type I physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with nonunionCMS: Sltr-haris Type I physl fx upr end humer, r arm, 7thK | Can lead a claim | E | None |
| S49.011P | Salter-Harris Type I physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with malunionCMS: Sltr-haris Type I physl fx upr end humer, r arm, 7thP | Can lead a claim | E | None |
| S49.011S | Salter-Harris Type I physeal fracture of upper end of humerus, right arm, sequelaCMS: Sltr-haris Type I physl fx upper end humer, right arm, sqla | Can lead a claim | E | None |
| S49.012 Salter-Harris Type I physeal fracture of upper end of humerus, left arm | ||||
| S49.012A | Salter-Harris Type I physeal fracture of upper end of humerus, left arm, initial encounter for closed fractureCMS: Sltr-haris Type I physl fx upper end humer, left arm, init | Can lead a claim | E | None |
| S49.012D | Salter-Harris Type I physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with routine healingCMS: Sltr-haris Type I physl fx upr end humer, l arm, 7thD | Can lead a claim | E | None |
| S49.012G | Salter-Harris Type I physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with delayed healingCMS: Sltr-haris Type I physl fx upr end humer, l arm, 7thG | Can lead a claim | E | None |
| S49.012K | Salter-Harris Type I physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with nonunionCMS: Sltr-haris Type I physl fx upr end humer, l arm, 7thK | Can lead a claim | E | None |
| S49.012P | Salter-Harris Type I physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with malunionCMS: Sltr-haris Type I physl fx upr end humer, l arm, 7thP | Can lead a claim | E | None |
| S49.012S | Salter-Harris Type I physeal fracture of upper end of humerus, left arm, sequelaCMS: Sltr-haris Type I physl fx upper end humer, left arm, sqla | Can lead a claim | E | None |
| S49.019 Salter-Harris Type I physeal fracture of upper end of humerus, unspecified arm | ||||
| S49.019A | Salter-Harris Type I physeal fracture of upper end of humerus, unspecified arm, initial encounter for closed fractureCMS: Sltr-haris Type I physl fx upper end humer, unsp arm, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S49.019D | Salter-Harris Type I physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with routine healingCMS: Sltr-haris Type I physl fx upr end humer, unsp arm, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.019G | Salter-Harris Type I physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with delayed healingCMS: Sltr-haris Type I physl fx upr end humer, unsp arm, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.019K | Salter-Harris Type I physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with nonunionCMS: Sltr-haris Type I physl fx upr end humer, unsp arm, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S49.019P | Salter-Harris Type I physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with malunionCMS: Sltr-haris Type I physl fx upr end humer, unsp arm, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S49.019S | Salter-Harris Type I physeal fracture of upper end of humerus, unspecified arm, sequelaCMS: Sltr-haris Type I physl fx upper end humer, unsp arm, sqla | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.02 Salter-Harris Type II physeal fracture of upper end of humerus | ||||
| S49.021 Salter-Harris Type II physeal fracture of upper end of humerus, right arm | ||||
| S49.021A | Salter-Harris Type II physeal fracture of upper end of humerus, right arm, initial encounter for closed fractureCMS: Sltr-haris Type II physl fx upper end humer, right arm, init | Can lead a claim | E | None |
| S49.021D | Salter-Harris Type II physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with routine healingCMS: Sltr-haris Type II physl fx upr end humer, r arm, 7thD | Can lead a claim | E | None |
| S49.021G | Salter-Harris Type II physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with delayed healingCMS: Sltr-haris Type II physl fx upr end humer, r arm, 7thG | Can lead a claim | E | None |
| S49.021K | Salter-Harris Type II physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with nonunionCMS: Sltr-haris Type II physl fx upr end humer, r arm, 7thK | Can lead a claim | E | None |
| S49.021P | Salter-Harris Type II physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with malunionCMS: Sltr-haris Type II physl fx upr end humer, r arm, 7thP | Can lead a claim | E | None |
| S49.021S | Salter-Harris Type II physeal fracture of upper end of humerus, right arm, sequelaCMS: Sltr-haris Type II physl fx upper end humer, right arm, sqla | Can lead a claim | E | None |
| S49.022 Salter-Harris Type II physeal fracture of upper end of humerus, left arm | ||||
| S49.022A | Salter-Harris Type II physeal fracture of upper end of humerus, left arm, initial encounter for closed fractureCMS: Sltr-haris Type II physl fx upper end humer, left arm, init | Can lead a claim | E | None |
| S49.022D | Salter-Harris Type II physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with routine healingCMS: Sltr-haris Type II physl fx upr end humer, l arm, 7thD | Can lead a claim | E | None |
| S49.022G | Salter-Harris Type II physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with delayed healingCMS: Sltr-haris Type II physl fx upr end humer, l arm, 7thG | Can lead a claim | E | None |
| S49.022K | Salter-Harris Type II physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with nonunionCMS: Sltr-haris Type II physl fx upr end humer, l arm, 7thK | Can lead a claim | E | None |
| S49.022P | Salter-Harris Type II physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with malunionCMS: Sltr-haris Type II physl fx upr end humer, l arm, 7thP | Can lead a claim | E | None |
| S49.022S | Salter-Harris Type II physeal fracture of upper end of humerus, left arm, sequelaCMS: Sltr-haris Type II physl fx upper end humer, left arm, sqla | Can lead a claim | E | None |
| S49.029 Salter-Harris Type II physeal fracture of upper end of humerus, unspecified arm | ||||
| S49.029A | Salter-Harris Type II physeal fracture of upper end of humerus, unspecified arm, initial encounter for closed fractureCMS: Sltr-haris Type II physl fx upper end humer, unsp arm, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S49.029D | Salter-Harris Type II physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with routine healingCMS: Sltr-haris Type II physl fx upr end humer, unsp arm, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.029G | Salter-Harris Type II physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with delayed healingCMS: Sltr-haris Type II physl fx upr end humer, unsp arm, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.029K | Salter-Harris Type II physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with nonunionCMS: Sltr-haris Type II physl fx upr end humer, unsp arm, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S49.029P | Salter-Harris Type II physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with malunionCMS: Sltr-haris Type II physl fx upr end humer, unsp arm, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S49.029S | Salter-Harris Type II physeal fracture of upper end of humerus, unspecified arm, sequelaCMS: Sltr-haris Type II physl fx upper end humer, unsp arm, sqla | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.03 Salter-Harris Type III physeal fracture of upper end of humerus | ||||
| S49.031 Salter-Harris Type III physeal fracture of upper end of humerus, right arm | ||||
| S49.031A | Salter-Harris Type III physeal fracture of upper end of humerus, right arm, initial encounter for closed fractureCMS: Sltr-haris Type III physl fx upper end humer, r arm, init | Can lead a claim | E | None |
| S49.031D | Salter-Harris Type III physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with routine healingCMS: Sltr-haris Type III physl fx upper end humer, r arm, 7thD | Can lead a claim | E | None |
| S49.031G | Salter-Harris Type III physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with delayed healingCMS: Sltr-haris Type III physl fx upper end humer, r arm, 7thG | Can lead a claim | E | None |
| S49.031K | Salter-Harris Type III physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with nonunionCMS: Sltr-haris Type III physl fx upper end humer, r arm, 7thK | Can lead a claim | E | None |
| S49.031P | Salter-Harris Type III physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with malunionCMS: Sltr-haris Type III physl fx upper end humer, r arm, 7thP | Can lead a claim | E | None |
| S49.031S | Salter-Harris Type III physeal fracture of upper end of humerus, right arm, sequelaCMS: Sltr-haris Type III physl fx upper end humer, r arm, sqla | Can lead a claim | E | None |
| S49.032 Salter-Harris Type III physeal fracture of upper end of humerus, left arm | ||||
| S49.032A | Salter-Harris Type III physeal fracture of upper end of humerus, left arm, initial encounter for closed fractureCMS: Sltr-haris Type III physl fx upper end humer, left arm, init | Can lead a claim | E | None |
| S49.032D | Salter-Harris Type III physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with routine healingCMS: Sltr-haris Type III physl fx upper end humer, left arm, 7thD | Can lead a claim | E | None |
| S49.032G | Salter-Harris Type III physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with delayed healingCMS: Sltr-haris Type III physl fx upper end humer, left arm, 7thG | Can lead a claim | E | None |
| S49.032K | Salter-Harris Type III physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with nonunionCMS: Sltr-haris Type III physl fx upper end humer, left arm, 7thK | Can lead a claim | E | None |
| S49.032P | Salter-Harris Type III physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with malunionCMS: Sltr-haris Type III physl fx upper end humer, left arm, 7thP | Can lead a claim | E | None |
| S49.032S | Salter-Harris Type III physeal fracture of upper end of humerus, left arm, sequelaCMS: Sltr-haris Type III physl fx upper end humer, left arm, sqla | Can lead a claim | E | None |
| S49.039 Salter-Harris Type III physeal fracture of upper end of humerus, unspecified arm | ||||
| S49.039A | Salter-Harris Type III physeal fracture of upper end of humerus, unspecified arm, initial encounter for closed fractureCMS: Sltr-haris Type III physl fx upper end humer, unsp arm, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S49.039D | Salter-Harris Type III physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with routine healingCMS: Sltr-haris Type III physl fx upper end humer, unsp arm, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.039G | Salter-Harris Type III physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with delayed healingCMS: Sltr-haris Type III physl fx upper end humer, unsp arm, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.039K | Salter-Harris Type III physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with nonunionCMS: Sltr-haris Type III physl fx upper end humer, unsp arm, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S49.039P | Salter-Harris Type III physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with malunionCMS: Sltr-haris Type III physl fx upper end humer, unsp arm, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S49.039S | Salter-Harris Type III physeal fracture of upper end of humerus, unspecified arm, sequelaCMS: Sltr-haris Type III physl fx upper end humer, unsp arm, sqla | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.04 Salter-Harris Type IV physeal fracture of upper end of humerus | ||||
| S49.041 Salter-Harris Type IV physeal fracture of upper end of humerus, right arm | ||||
| S49.041A | Salter-Harris Type IV physeal fracture of upper end of humerus, right arm, initial encounter for closed fractureCMS: Sltr-haris Type IV physl fx upper end humer, right arm, init | Can lead a claim | E | None |
| S49.041D | Salter-Harris Type IV physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with routine healingCMS: Sltr-haris Type IV physl fx upr end humer, r arm, 7thD | Can lead a claim | E | None |
| S49.041G | Salter-Harris Type IV physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with delayed healingCMS: Sltr-haris Type IV physl fx upr end humer, r arm, 7thG | Can lead a claim | E | None |
| S49.041K | Salter-Harris Type IV physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with nonunionCMS: Sltr-haris Type IV physl fx upr end humer, r arm, 7thK | Can lead a claim | E | None |
| S49.041P | Salter-Harris Type IV physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with malunionCMS: Sltr-haris Type IV physl fx upr end humer, r arm, 7thP | Can lead a claim | E | None |
| S49.041S | Salter-Harris Type IV physeal fracture of upper end of humerus, right arm, sequelaCMS: Sltr-haris Type IV physl fx upper end humer, right arm, sqla | Can lead a claim | E | None |
| S49.042 Salter-Harris Type IV physeal fracture of upper end of humerus, left arm | ||||
| S49.042A | Salter-Harris Type IV physeal fracture of upper end of humerus, left arm, initial encounter for closed fractureCMS: Sltr-haris Type IV physl fx upper end humer, left arm, init | Can lead a claim | E | None |
| S49.042D | Salter-Harris Type IV physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with routine healingCMS: Sltr-haris Type IV physl fx upr end humer, l arm, 7thD | Can lead a claim | E | None |
| S49.042G | Salter-Harris Type IV physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with delayed healingCMS: Sltr-haris Type IV physl fx upr end humer, l arm, 7thG | Can lead a claim | E | None |
| S49.042K | Salter-Harris Type IV physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with nonunionCMS: Sltr-haris Type IV physl fx upr end humer, l arm, 7thK | Can lead a claim | E | None |
| S49.042P | Salter-Harris Type IV physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with malunionCMS: Sltr-haris Type IV physl fx upr end humer, l arm, 7thP | Can lead a claim | E | None |
| S49.042S | Salter-Harris Type IV physeal fracture of upper end of humerus, left arm, sequelaCMS: Sltr-haris Type IV physl fx upper end humer, left arm, sqla | Can lead a claim | E | None |
| S49.049 Salter-Harris Type IV physeal fracture of upper end of humerus, unspecified arm | ||||
| S49.049A | Salter-Harris Type IV physeal fracture of upper end of humerus, unspecified arm, initial encounter for closed fractureCMS: Sltr-haris Type IV physl fx upper end humer, unsp arm, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S49.049D | Salter-Harris Type IV physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with routine healingCMS: Sltr-haris Type IV physl fx upr end humer, unsp arm, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.049G | Salter-Harris Type IV physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with delayed healingCMS: Sltr-haris Type IV physl fx upr end humer, unsp arm, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.049K | Salter-Harris Type IV physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with nonunionCMS: Sltr-haris Type IV physl fx upr end humer, unsp arm, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S49.049P | Salter-Harris Type IV physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with malunionCMS: Sltr-haris Type IV physl fx upr end humer, unsp arm, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S49.049S | Salter-Harris Type IV physeal fracture of upper end of humerus, unspecified arm, sequelaCMS: Sltr-haris Type IV physl fx upper end humer, unsp arm, sqla | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.09 Other physeal fracture of upper end of humerus | ||||
| S49.091 Other physeal fracture of upper end of humerus, right arm | ||||
| S49.091A | Other physeal fracture of upper end of humerus, right arm, initial encounter for closed fractureCMS: Oth physeal fx upper end of humerus, right arm, init | Can lead a claim | E | None |
| S49.091D | Other physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with routine healingCMS: Oth physl fx upr end humer, r arm, subs for fx w routn heal | Can lead a claim | E | None |
| S49.091G | Other physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with delayed healingCMS: Oth physl fx upr end humer, r arm, subs for fx w delay heal | Can lead a claim | E | None |
| S49.091K | Other physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with nonunionCMS: Oth physl fx upper end humer, r arm, subs for fx w nonunion | Can lead a claim | E | None |
| S49.091P | Other physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with malunionCMS: Oth physl fx upper end humer, r arm, subs for fx w malunion | Can lead a claim | E | None |
| S49.091S | Other physeal fracture of upper end of humerus, right arm, sequelaCMS: Oth physeal fx upper end of humerus, right arm, sequela | Can lead a claim | E | None |
| S49.092 Other physeal fracture of upper end of humerus, left arm | ||||
| S49.092A | Other physeal fracture of upper end of humerus, left arm, initial encounter for closed fractureCMS: Oth physeal fracture of upper end of humerus, left arm, init | Can lead a claim | E | None |
| S49.092D | Other physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with routine healingCMS: Oth physl fx upr end humer, l arm, subs for fx w routn heal | Can lead a claim | E | None |
| S49.092G | Other physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with delayed healingCMS: Oth physl fx upr end humer, l arm, subs for fx w delay heal | Can lead a claim | E | None |
| S49.092K | Other physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with nonunionCMS: Oth physl fx upr end humer, left arm, subs for fx w nonunion | Can lead a claim | E | None |
| S49.092P | Other physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with malunionCMS: Oth physl fx upr end humer, left arm, subs for fx w malunion | Can lead a claim | E | None |
| S49.092S | Other physeal fracture of upper end of humerus, left arm, sequelaCMS: Oth physeal fx upper end of humerus, left arm, sequela | Can lead a claim | E | None |
| S49.099 Other physeal fracture of upper end of humerus, unspecified arm | ||||
| S49.099A | Other physeal fracture of upper end of humerus, unspecified arm, initial encounter for closed fractureCMS: Oth physeal fracture of upper end of humerus, unsp arm, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S49.099D | Other physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with routine healingCMS: Oth physl fx upr end humer, unsp arm, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.099G | Other physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with delayed healingCMS: Oth physl fx upr end humer, unsp arm, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.099K | Other physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with nonunionCMS: Oth physl fx upr end humer, unsp arm, subs for fx w nonunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S49.099P | Other physeal fracture of upper end of humerus, unspecified arm, subsequent encounter for fracture with malunionCMS: Oth physl fx upr end humer, unsp arm, subs for fx w malunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S49.099S | Other physeal fracture of upper end of humerus, unspecified arm, sequelaCMS: Oth physeal fx upper end of humerus, unsp arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.1 Physeal fracture of lower end of humerus | ||||
| S49.10 Unspecified physeal fracture of lower end of humerus | ||||
| S49.101 Unspecified physeal fracture of lower end of humerus, right arm | ||||
| S49.101A | Unspecified physeal fracture of lower end of humerus, right arm, initial encounter for closed fractureCMS: Unsp physeal fx lower end of humerus, right arm, init | Can lead a claim | E | None |
| S49.101D | Unspecified physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with routine healingCMS: Unsp physl fx low end humer, r arm, subs for fx w routn heal | Can lead a claim | E | None |
| S49.101G | Unspecified physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with delayed healingCMS: Unsp physl fx low end humer, r arm, subs for fx w delay heal | Can lead a claim | E | None |
| S49.101K | Unspecified physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with nonunionCMS: Unsp physl fx low end humer, r arm, subs for fx w nonunion | Can lead a claim | E | None |
| S49.101P | Unspecified physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with malunionCMS: Unsp physl fx low end humer, r arm, subs for fx w malunion | Can lead a claim | E | None |
| S49.101S | Unspecified physeal fracture of lower end of humerus, right arm, sequelaCMS: Unsp physeal fx lower end of humerus, right arm, sequela | Can lead a claim | E | None |
| S49.102 Unspecified physeal fracture of lower end of humerus, left arm | ||||
| S49.102A | Unspecified physeal fracture of lower end of humerus, left arm, initial encounter for closed fractureCMS: Unsp physeal fx lower end of humerus, left arm, init | Can lead a claim | E | None |
| S49.102D | Unspecified physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with routine healingCMS: Unsp physl fx low end humer, l arm, subs for fx w routn heal | Can lead a claim | E | None |
| S49.102G | Unspecified physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with delayed healingCMS: Unsp physl fx low end humer, l arm, subs for fx w delay heal | Can lead a claim | E | None |
| S49.102K | Unspecified physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with nonunionCMS: Unsp physl fx low end humer, l arm, subs for fx w nonunion | Can lead a claim | E | None |
| S49.102P | Unspecified physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with malunionCMS: Unsp physl fx low end humer, l arm, subs for fx w malunion | Can lead a claim | E | None |
| S49.102S | Unspecified physeal fracture of lower end of humerus, left arm, sequelaCMS: Unsp physeal fx lower end of humerus, left arm, sequela | Can lead a claim | E | None |
| S49.109 Unspecified physeal fracture of lower end of humerus, unspecified arm | ||||
| S49.109A | Unspecified physeal fracture of lower end of humerus, unspecified arm, initial encounter for closed fractureCMS: Unsp physeal fx lower end of humerus, unsp arm, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S49.109D | Unspecified physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with routine healingCMS: Unsp physl fx low end humer, unsp arm, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.109G | Unspecified physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with delayed healingCMS: Unsp physl fx low end humer, unsp arm, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.109K | Unspecified physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with nonunionCMS: Unsp physl fx low end humer, unsp arm, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S49.109P | Unspecified physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with malunionCMS: Unsp physl fx low end humer, unsp arm, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S49.109S | Unspecified physeal fracture of lower end of humerus, unspecified arm, sequelaCMS: Unsp physeal fx lower end of humerus, unsp arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.11 Salter-Harris Type I physeal fracture of lower end of humerus | ||||
| S49.111 Salter-Harris Type I physeal fracture of lower end of humerus, right arm | ||||
| S49.111A | Salter-Harris Type I physeal fracture of lower end of humerus, right arm, initial encounter for closed fractureCMS: Sltr-haris Type I physl fx lower end humer, right arm, init | Can lead a claim | E | None |
| S49.111D | Salter-Harris Type I physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with routine healingCMS: Sltr-haris Type I physl fx low end humer, r arm, 7thD | Can lead a claim | E | None |
| S49.111G | Salter-Harris Type I physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with delayed healingCMS: Sltr-haris Type I physl fx low end humer, r arm, 7thG | Can lead a claim | E | None |
| S49.111K | Salter-Harris Type I physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with nonunionCMS: Sltr-haris Type I physl fx low end humer, r arm, 7thK | Can lead a claim | E | None |
| S49.111P | Salter-Harris Type I physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with malunionCMS: Sltr-haris Type I physl fx low end humer, r arm, 7thP | Can lead a claim | E | None |
| S49.111S | Salter-Harris Type I physeal fracture of lower end of humerus, right arm, sequelaCMS: Sltr-haris Type I physl fx lower end humer, right arm, sqla | Can lead a claim | E | None |
| S49.112 Salter-Harris Type I physeal fracture of lower end of humerus, left arm | ||||
| S49.112A | Salter-Harris Type I physeal fracture of lower end of humerus, left arm, initial encounter for closed fractureCMS: Sltr-haris Type I physl fx lower end humer, left arm, init | Can lead a claim | E | None |
| S49.112D | Salter-Harris Type I physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with routine healingCMS: Sltr-haris Type I physl fx low end humer, l arm, 7thD | Can lead a claim | E | None |
| S49.112G | Salter-Harris Type I physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with delayed healingCMS: Sltr-haris Type I physl fx low end humer, l arm, 7thG | Can lead a claim | E | None |
| S49.112K | Salter-Harris Type I physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with nonunionCMS: Sltr-haris Type I physl fx low end humer, l arm, 7thK | Can lead a claim | E | None |
| S49.112P | Salter-Harris Type I physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with malunionCMS: Sltr-haris Type I physl fx low end humer, l arm, 7thP | Can lead a claim | E | None |
| S49.112S | Salter-Harris Type I physeal fracture of lower end of humerus, left arm, sequelaCMS: Sltr-haris Type I physl fx lower end humer, left arm, sqla | Can lead a claim | E | None |
| S49.119 Salter-Harris Type I physeal fracture of lower end of humerus, unspecified arm | ||||
| S49.119A | Salter-Harris Type I physeal fracture of lower end of humerus, unspecified arm, initial encounter for closed fractureCMS: Sltr-haris Type I physl fx lower end humer, unsp arm, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S49.119D | Salter-Harris Type I physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with routine healingCMS: Sltr-haris Type I physl fx low end humer, unsp arm, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.119G | Salter-Harris Type I physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with delayed healingCMS: Sltr-haris Type I physl fx low end humer, unsp arm, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.119K | Salter-Harris Type I physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with nonunionCMS: Sltr-haris Type I physl fx low end humer, unsp arm, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S49.119P | Salter-Harris Type I physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with malunionCMS: Sltr-haris Type I physl fx low end humer, unsp arm, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S49.119S | Salter-Harris Type I physeal fracture of lower end of humerus, unspecified arm, sequelaCMS: Sltr-haris Type I physl fx lower end humer, unsp arm, sqla | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.12 Salter-Harris Type II physeal fracture of lower end of humerus | ||||
| S49.121 Salter-Harris Type II physeal fracture of lower end of humerus, right arm | ||||
| S49.121A | Salter-Harris Type II physeal fracture of lower end of humerus, right arm, initial encounter for closed fractureCMS: Sltr-haris Type II physl fx lower end humer, right arm, init | Can lead a claim | E | None |
| S49.121D | Salter-Harris Type II physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with routine healingCMS: Sltr-haris Type II physl fx low end humer, r arm, 7thD | Can lead a claim | E | None |
| S49.121G | Salter-Harris Type II physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with delayed healingCMS: Sltr-haris Type II physl fx low end humer, r arm, 7thG | Can lead a claim | E | None |
| S49.121K | Salter-Harris Type II physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with nonunionCMS: Sltr-haris Type II physl fx low end humer, r arm, 7thK | Can lead a claim | E | None |
| S49.121P | Salter-Harris Type II physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with malunionCMS: Sltr-haris Type II physl fx low end humer, r arm, 7thP | Can lead a claim | E | None |
| S49.121S | Salter-Harris Type II physeal fracture of lower end of humerus, right arm, sequelaCMS: Sltr-haris Type II physl fx lower end humer, right arm, sqla | Can lead a claim | E | None |
| S49.122 Salter-Harris Type II physeal fracture of lower end of humerus, left arm | ||||
| S49.122A | Salter-Harris Type II physeal fracture of lower end of humerus, left arm, initial encounter for closed fractureCMS: Sltr-haris Type II physl fx lower end humer, left arm, init | Can lead a claim | E | None |
| S49.122D | Salter-Harris Type II physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with routine healingCMS: Sltr-haris Type II physl fx low end humer, l arm, 7thD | Can lead a claim | E | None |
| S49.122G | Salter-Harris Type II physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with delayed healingCMS: Sltr-haris Type II physl fx low end humer, l arm, 7thG | Can lead a claim | E | None |
| S49.122K | Salter-Harris Type II physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with nonunionCMS: Sltr-haris Type II physl fx low end humer, l arm, 7thK | Can lead a claim | E | None |
| S49.122P | Salter-Harris Type II physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with malunionCMS: Sltr-haris Type II physl fx low end humer, l arm, 7thP | Can lead a claim | E | None |
| S49.122S | Salter-Harris Type II physeal fracture of lower end of humerus, left arm, sequelaCMS: Sltr-haris Type II physl fx lower end humer, left arm, sqla | Can lead a claim | E | None |
| S49.129 Salter-Harris Type II physeal fracture of lower end of humerus, unspecified arm | ||||
| S49.129A | Salter-Harris Type II physeal fracture of lower end of humerus, unspecified arm, initial encounter for closed fractureCMS: Sltr-haris Type II physl fx lower end humer, unsp arm, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S49.129D | Salter-Harris Type II physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with routine healingCMS: Sltr-haris Type II physl fx low end humer, unsp arm, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.129G | Salter-Harris Type II physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with delayed healingCMS: Sltr-haris Type II physl fx low end humer, unsp arm, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.129K | Salter-Harris Type II physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with nonunionCMS: Sltr-haris Type II physl fx low end humer, unsp arm, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S49.129P | Salter-Harris Type II physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with malunionCMS: Sltr-haris Type II physl fx low end humer, unsp arm, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S49.129S | Salter-Harris Type II physeal fracture of lower end of humerus, unspecified arm, sequelaCMS: Sltr-haris Type II physl fx lower end humer, unsp arm, sqla | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.13 Salter-Harris Type III physeal fracture of lower end of humerus | ||||
| S49.131 Salter-Harris Type III physeal fracture of lower end of humerus, right arm | ||||
| S49.131A | Salter-Harris Type III physeal fracture of lower end of humerus, right arm, initial encounter for closed fractureCMS: Sltr-haris Type III physl fx low end humer, right arm, init | Can lead a claim | E | None |
| S49.131D | Salter-Harris Type III physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with routine healingCMS: Sltr-haris Type III physl fx low end humer, right arm, 7thD | Can lead a claim | E | None |
| S49.131G | Salter-Harris Type III physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with delayed healingCMS: Sltr-haris Type III physl fx low end humer, right arm, 7thG | Can lead a claim | E | None |
| S49.131K | Salter-Harris Type III physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with nonunionCMS: Sltr-haris Type III physl fx low end humer, right arm, 7thK | Can lead a claim | E | None |
| S49.131P | Salter-Harris Type III physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with malunionCMS: Sltr-haris Type III physl fx low end humer, right arm, 7thP | Can lead a claim | E | None |
| S49.131S | Salter-Harris Type III physeal fracture of lower end of humerus, right arm, sequelaCMS: Sltr-haris Type III physl fx low end humer, right arm, sqla | Can lead a claim | E | None |
| S49.132 Salter-Harris Type III physeal fracture of lower end of humerus, left arm | ||||
| S49.132A | Salter-Harris Type III physeal fracture of lower end of humerus, left arm, initial encounter for closed fractureCMS: Sltr-haris Type III physl fx lower end humer, left arm, init | Can lead a claim | E | None |
| S49.132D | Salter-Harris Type III physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with routine healingCMS: Sltr-haris Type III physl fx lower end humer, left arm, 7thD | Can lead a claim | E | None |
| S49.132G | Salter-Harris Type III physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with delayed healingCMS: Sltr-haris Type III physl fx lower end humer, left arm, 7thG | Can lead a claim | E | None |
| S49.132K | Salter-Harris Type III physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with nonunionCMS: Sltr-haris Type III physl fx lower end humer, left arm, 7thK | Can lead a claim | E | None |
| S49.132P | Salter-Harris Type III physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with malunionCMS: Sltr-haris Type III physl fx lower end humer, left arm, 7thP | Can lead a claim | E | None |
| S49.132S | Salter-Harris Type III physeal fracture of lower end of humerus, left arm, sequelaCMS: Sltr-haris Type III physl fx lower end humer, left arm, sqla | Can lead a claim | E | None |
| S49.139 Salter-Harris Type III physeal fracture of lower end of humerus, unspecified arm | ||||
| S49.139A | Salter-Harris Type III physeal fracture of lower end of humerus, unspecified arm, initial encounter for closed fractureCMS: Sltr-haris Type III physl fx lower end humer, unsp arm, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S49.139D | Salter-Harris Type III physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with routine healingCMS: Sltr-haris Type III physl fx lower end humer, unsp arm, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.139G | Salter-Harris Type III physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with delayed healingCMS: Sltr-haris Type III physl fx lower end humer, unsp arm, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.139K | Salter-Harris Type III physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with nonunionCMS: Sltr-haris Type III physl fx lower end humer, unsp arm, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S49.139P | Salter-Harris Type III physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with malunionCMS: Sltr-haris Type III physl fx lower end humer, unsp arm, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S49.139S | Salter-Harris Type III physeal fracture of lower end of humerus, unspecified arm, sequelaCMS: Sltr-haris Type III physl fx lower end humer, unsp arm, sqla | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.14 Salter-Harris Type IV physeal fracture of lower end of humerus | ||||
| S49.141 Salter-Harris Type IV physeal fracture of lower end of humerus, right arm | ||||
| S49.141A | Salter-Harris Type IV physeal fracture of lower end of humerus, right arm, initial encounter for closed fractureCMS: Sltr-haris Type IV physl fx lower end humer, right arm, init | Can lead a claim | E | None |
| S49.141D | Salter-Harris Type IV physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with routine healingCMS: Sltr-haris Type IV physl fx low end humer, r arm, 7thD | Can lead a claim | E | None |
| S49.141G | Salter-Harris Type IV physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with delayed healingCMS: Sltr-haris Type IV physl fx low end humer, r arm, 7thG | Can lead a claim | E | None |
| S49.141K | Salter-Harris Type IV physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with nonunionCMS: Sltr-haris Type IV physl fx low end humer, r arm, 7thK | Can lead a claim | E | None |
| S49.141P | Salter-Harris Type IV physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with malunionCMS: Sltr-haris Type IV physl fx low end humer, r arm, 7thP | Can lead a claim | E | None |
| S49.141S | Salter-Harris Type IV physeal fracture of lower end of humerus, right arm, sequelaCMS: Sltr-haris Type IV physl fx lower end humer, right arm, sqla | Can lead a claim | E | None |
| S49.142 Salter-Harris Type IV physeal fracture of lower end of humerus, left arm | ||||
| S49.142A | Salter-Harris Type IV physeal fracture of lower end of humerus, left arm, initial encounter for closed fractureCMS: Sltr-haris Type IV physl fx lower end humer, left arm, init | Can lead a claim | E | None |
| S49.142D | Salter-Harris Type IV physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with routine healingCMS: Sltr-haris Type IV physl fx low end humer, l arm, 7thD | Can lead a claim | E | None |
| S49.142G | Salter-Harris Type IV physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with delayed healingCMS: Sltr-haris Type IV physl fx low end humer, l arm, 7thG | Can lead a claim | E | None |
| S49.142K | Salter-Harris Type IV physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with nonunionCMS: Sltr-haris Type IV physl fx low end humer, l arm, 7thK | Can lead a claim | E | None |
| S49.142P | Salter-Harris Type IV physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with malunionCMS: Sltr-haris Type IV physl fx low end humer, l arm, 7thP | Can lead a claim | E | None |
| S49.142S | Salter-Harris Type IV physeal fracture of lower end of humerus, left arm, sequelaCMS: Sltr-haris Type IV physl fx lower end humer, left arm, sqla | Can lead a claim | E | None |
| S49.149 Salter-Harris Type IV physeal fracture of lower end of humerus, unspecified arm | ||||
| S49.149A | Salter-Harris Type IV physeal fracture of lower end of humerus, unspecified arm, initial encounter for closed fractureCMS: Sltr-haris Type IV physl fx lower end humer, unsp arm, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S49.149D | Salter-Harris Type IV physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with routine healingCMS: Sltr-haris Type IV physl fx low end humer, unsp arm, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.149G | Salter-Harris Type IV physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with delayed healingCMS: Sltr-haris Type IV physl fx low end humer, unsp arm, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.149K | Salter-Harris Type IV physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with nonunionCMS: Sltr-haris Type IV physl fx low end humer, unsp arm, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S49.149P | Salter-Harris Type IV physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with malunionCMS: Sltr-haris Type IV physl fx low end humer, unsp arm, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S49.149S | Salter-Harris Type IV physeal fracture of lower end of humerus, unspecified arm, sequelaCMS: Sltr-haris Type IV physl fx lower end humer, unsp arm, sqla | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.19 Other physeal fracture of lower end of humerus | ||||
| S49.191 Other physeal fracture of lower end of humerus, right arm | ||||
| S49.191A | Other physeal fracture of lower end of humerus, right arm, initial encounter for closed fractureCMS: Oth physeal fx lower end of humerus, right arm, init | Can lead a claim | E | None |
| S49.191D | Other physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with routine healingCMS: Oth physl fx low end humer, r arm, subs for fx w routn heal | Can lead a claim | E | None |
| S49.191G | Other physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with delayed healingCMS: Oth physl fx low end humer, r arm, subs for fx w delay heal | Can lead a claim | E | None |
| S49.191K | Other physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with nonunionCMS: Oth physl fx low end humer, r arm, subs for fx w nonunion | Can lead a claim | E | None |
| S49.191P | Other physeal fracture of lower end of humerus, right arm, subsequent encounter for fracture with malunionCMS: Oth physl fx low end humer, r arm, subs for fx w malunion | Can lead a claim | E | None |
| S49.191S | Other physeal fracture of lower end of humerus, right arm, sequelaCMS: Oth physeal fx lower end of humerus, right arm, sequela | Can lead a claim | E | None |
| S49.192 Other physeal fracture of lower end of humerus, left arm | ||||
| S49.192A | Other physeal fracture of lower end of humerus, left arm, initial encounter for closed fractureCMS: Oth physeal fracture of lower end of humerus, left arm, init | Can lead a claim | E | None |
| S49.192D | Other physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with routine healingCMS: Oth physl fx low end humer, l arm, subs for fx w routn heal | Can lead a claim | E | None |
| S49.192G | Other physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with delayed healingCMS: Oth physl fx low end humer, l arm, subs for fx w delay heal | Can lead a claim | E | None |
| S49.192K | Other physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with nonunionCMS: Oth physl fx low end humer, left arm, subs for fx w nonunion | Can lead a claim | E | None |
| S49.192P | Other physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with malunionCMS: Oth physl fx low end humer, left arm, subs for fx w malunion | Can lead a claim | E | None |
| S49.192S | Other physeal fracture of lower end of humerus, left arm, sequelaCMS: Oth physeal fx lower end of humerus, left arm, sequela | Can lead a claim | E | None |
| S49.199 Other physeal fracture of lower end of humerus, unspecified arm | ||||
| S49.199A | Other physeal fracture of lower end of humerus, unspecified arm, initial encounter for closed fractureCMS: Oth physeal fracture of lower end of humerus, unsp arm, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S49.199D | Other physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with routine healingCMS: Oth physl fx low end humer, unsp arm, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.199G | Other physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with delayed healingCMS: Oth physl fx low end humer, unsp arm, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.199K | Other physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with nonunionCMS: Oth physl fx low end humer, unsp arm, subs for fx w nonunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S49.199P | Other physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with malunionCMS: Oth physl fx low end humer, unsp arm, subs for fx w malunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S49.199S | Other physeal fracture of lower end of humerus, unspecified arm, sequelaCMS: Oth physeal fx lower end of humerus, unsp arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.8 Other specified injuries of shoulder and upper arm | ||||
| S49.80 Other specified injuries of shoulder and upper arm, unspecified arm | ||||
| S49.80XA | Other specified injuries of shoulder and upper arm, unspecified arm, initial encounterCMS: Oth injuries of shoulder and upper arm, unsp arm, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.80XD | Other specified injuries of shoulder and upper arm, unspecified arm, subsequent encounterCMS: Oth injuries of shoulder and upper arm, unsp arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.80XS | Other specified injuries of shoulder and upper arm, unspecified arm, sequelaCMS: Oth injuries of shoulder and upper arm, unsp arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.81 Other specified injuries of right shoulder and upper arm | ||||
| S49.81XA | Other specified injuries of right shoulder and upper arm, initial encounterCMS: Oth injuries of right shoulder and upper arm, init encntr | Can lead a claim | A | None |
| S49.81XD | Other specified injuries of right shoulder and upper arm, subsequent encounterCMS: Oth injuries of right shoulder and upper arm, subs encntr | Can lead a claim | A | None |
| S49.81XS | Other specified injuries of right shoulder and upper arm, sequelaCMS: Oth injuries of right shoulder and upper arm, sequela | Can lead a claim | A | None |
| S49.82 Other specified injuries of left shoulder and upper arm | ||||
| S49.82XA | Other specified injuries of left shoulder and upper arm, initial encounterCMS: Oth injuries of left shoulder and upper arm, init encntr | Can lead a claim | A | None |
| S49.82XD | Other specified injuries of left shoulder and upper arm, subsequent encounterCMS: Oth injuries of left shoulder and upper arm, subs encntr | Can lead a claim | A | None |
| S49.82XS | Other specified injuries of left shoulder and upper arm, sequelaCMS: Oth injuries of left shoulder and upper arm, sequela | Can lead a claim | A | None |
| S49.9 Unspecified injury of shoulder and upper arm | ||||
| S49.90 Unspecified injury of shoulder and upper arm, unspecified arm | ||||
| S49.90XA | Unspecified injury of shoulder and upper arm, unspecified arm, initial encounterCMS: Unsp injury of shoulder and upper arm, unsp arm, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.90XD | Unspecified injury of shoulder and upper arm, unspecified arm, subsequent encounterCMS: Unsp injury of shoulder and upper arm, unsp arm, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.90XS | Unspecified injury of shoulder and upper arm, unspecified arm, sequelaCMS: Unsp injury of shoulder and upper arm, unsp arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.91 Unspecified injury of right shoulder and upper arm | ||||
| S49.91XA | Unspecified injury of right shoulder and upper arm, initial encounterCMS: Unsp injury of right shoulder and upper arm, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.91XD | Unspecified injury of right shoulder and upper arm, subsequent encounterCMS: Unsp injury of right shoulder and upper arm, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.91XS | Unspecified injury of right shoulder and upper arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.92 Unspecified injury of left shoulder and upper arm | ||||
| S49.92XA | Unspecified injury of left shoulder and upper arm, initial encounterCMS: Unsp injury of left shoulder and upper arm, init encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.92XD | Unspecified injury of left shoulder and upper arm, subsequent encounterCMS: Unsp injury of left shoulder and upper arm, subs encntr | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S49.92XS | Unspecified injury of left shoulder and upper arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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