S49.149A Salter-Harris Type IV physeal fracture of lower end of humerus, unspecified arm, initial encounter for closed fracture

Billable ICD-10-CM code, FY2026.

Built from S49.149 with 7th character A (initial encounter for closed fracture).

Applies from S49 Other and unspecified injuries of shoulder and upper arm

7th character note

• The appropriate 7th character is to be added to each code from subcategories S49.0 and S49.1

7th character required

• A — initial encounter for closed fracture
• D — subsequent encounter for fracture with routine healing
• G — subsequent encounter for fracture with delayed healing
• K — subsequent encounter for fracture with nonunion
• P — subsequent encounter for fracture with malunion
• S — sequela

Medicare Code Edits (MCE v43.1 (April 2026))

• Unspecified code (laterality): Unspecified codes for which a more specific code identifying laterality (right, left, bilateral) exists within the same code family.

Code annotations containing back-references to S49.149A

Back-references to S49.1

• Type 2 Excludes: S42.3 Fracture of shaft of humerus ("physeal fractures of lower end of humerus (S49.1-)")
• Type 2 Excludes: S42.4 Fracture of lower end of humerus ("physeal fracture of lower end of humerus (S49.1-)")

Nearby codes

• S49.142G Salter-Harris Type IV physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with delayed healing
• S49.142K Salter-Harris Type IV physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with nonunion
• S49.142P Salter-Harris Type IV physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with malunion
• S49.142S Salter-Harris Type IV physeal fracture of lower end of humerus, left arm, sequela
• 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 fracture (this code)
• S49.149D Salter-Harris Type IV physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with routine healing
• S49.149G Salter-Harris Type IV physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with delayed healing
• S49.149K Salter-Harris Type IV physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with nonunion
• S49.149P Salter-Harris Type IV physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with malunion
• S49.149S Salter-Harris Type IV physeal fracture of lower end of humerus, unspecified arm, sequela