Alphabetic Index FY2027

S89.042

Salter-Harris Type IV physeal fracture of upper end of left tibia

FY2027Chapter 19: Injury, poisoning and certain other consequences of external causes/S80–S89 Injuries to the knee and lower leg

Non-billable headerNot valid on its own. Use one of the more specific codes under it.

S89.042 is a non-billable ICD-10-CM code header for salter-Harris Type IV physeal fracture of upper end of left tibia. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. A 7th character is required to complete the code. Its coding notes include a Use additional code instruction and 7 Excludes2 entries.

7th character

Category S89 requires a 7th character.

Assembled code S89.042A Open code

Guidelines tips

From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.

A fracture not stated as open or closed is coded closed, and one not stated as displaced or not displaced is coded displaced. Nonunion and malunion have their own 7th characters.

Guidelines I.C.19.cTraumatic fractures: open, closed, displaced and 7th charactersRead the official text

The 7th character depends on whether the patient is in active treatment, not on who sees the patient. An aftercare Z code is not used for injury aftercare.

Guidelines I.C.19.aInjuries: application of 7th charactersRead the official text

Each injury gets its own code unless a combination code exists, with the most serious injury first. Superficial injuries at the same site as a more severe injury are not coded. Injuries during medical care are coded as complications.

Guidelines I.C.19.bCoding of injuriesRead the official text

Only the code for the type of physeal fracture is assigned, with no separate code for the specific bone.

Guidelines I.C.19.c.3Physeal fracturesRead the official text

Use additional code

Add the listed code as a secondary code, if known.

Also from chapter/block level (1 note)
Inherited from Chapter 19 Injury, poisoning and certain other consequences of external causes
  • code to identify any retained foreign body, if applicable (Z18.-)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

Inherited from S89 Other and unspecified injuries of lower leg
  • other and unspecified injuries of ankle and foot (S99.-)
Also from chapter/block level (6 notes)
Inherited from S80–S89 Injuries to the knee and lower leg
  • 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)
Inherited from Chapter 19 Injury, poisoning and certain other consequences of external causes
  • birth trauma (P10-P15)
  • obstetric trauma (O70-O71)

Notes

Inherited from S89 Other and unspecified injuries of lower leg
  • A fracture not indicated as open or closed should be coded to closed
Also from chapter/block level (2 notes)
Inherited from Chapter 19 Injury, poisoning and certain other consequences of external causes
  • 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 codes under S89.042 6