S89.04 Salter-Harris Type IV physeal fracture of upper end of tibia

Non-billable header with 3 child codes.

Applies from S89 Other and unspecified injuries of lower leg

Excludes2 (not included here)

• other and unspecified injuries of ankle and foot (S99.-)

7th character note

• The appropriate 7th character is to be added to each code from subcategories S89.0, S89.1, S89.2, and S89.3

Notes

• A fracture not indicated as open or closed should be coded to closed

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

Codes under S89.04

• S89.041 Salter-Harris Type IV physeal fracture of upper end of right tibia
• S89.042 Salter-Harris Type IV physeal fracture of upper end of left tibia
• S89.049 Salter-Harris Type IV physeal fracture of upper end of unspecified tibia

Code annotations containing back-references to S89.04

Back-references to S89.0

• Type 2 Excludes: S82.1 Fracture of upper end of tibia ("physeal fracture of upper end of tibia (S89.0-)")

Back-references to S89

• Type 2 Excludes: M23 Internal derangement of knee ("current injury - see injury of knee and lower leg (S80-S89)")

Diagnosis Index entries for S89.04

• Fracture, traumatic (abduction) (adduction) (separation) › tibia (shaft) › upper end › physeal › Salter-Harris › Type IV

Nearby codes

• S89.039D Salter-Harris Type III physeal fracture of upper end of unspecified tibia, subsequent encounter for fracture with routine healing
• S89.039G Salter-Harris Type III physeal fracture of upper end of unspecified tibia, subsequent encounter for fracture with delayed healing
• S89.039K Salter-Harris Type III physeal fracture of upper end of unspecified tibia, subsequent encounter for fracture with nonunion
• S89.039P Salter-Harris Type III physeal fracture of upper end of unspecified tibia, subsequent encounter for fracture with malunion
• S89.039S Salter-Harris Type III physeal fracture of upper end of unspecified tibia, sequela
• S89.04 Salter-Harris Type IV physeal fracture of upper end of tibia (this code)
• S89.041 Salter-Harris Type IV physeal fracture of upper end of right tibia
• S89.041A Salter-Harris Type IV physeal fracture of upper end of right tibia, initial encounter for closed fracture
• S89.041D Salter-Harris Type IV physeal fracture of upper end of right tibia, subsequent encounter for fracture with routine healing
• S89.041G Salter-Harris Type IV physeal fracture of upper end of right tibia, subsequent encounter for fracture with delayed healing
• S89.041K Salter-Harris Type IV physeal fracture of upper end of right tibia, subsequent encounter for fracture with nonunion