S89.141D Salter-Harris Type IV physeal fracture of lower end of right tibia, subsequent encounter for fracture with routine healing

Billable ICD-10-CM code, FY2026.

Built from S89.141 with 7th character D (subsequent encounter for fracture with routine healing).

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

Applies from S89.14 Salter-Harris Type IV physeal fracture of lower end of tibia

Excludes1 (never code together)

• fracture of medial malleolus (adult) (S82.5-)

Code annotations containing back-references to S89.141D

Back-references to S89.14

• Type 1 Excludes: S82.5 Fracture of medial malleolus ("Salter-Harris type IV of lower end of tibia (S89.14-)")

Back-references to S89

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

Nearby codes

• S89.139P Salter-Harris Type III physeal fracture of lower end of unspecified tibia, subsequent encounter for fracture with malunion
• S89.139S Salter-Harris Type III physeal fracture of lower end of unspecified tibia, sequela
• S89.14 Salter-Harris Type IV physeal fracture of lower end of tibia
• S89.141 Salter-Harris Type IV physeal fracture of lower end of right tibia
• S89.141A Salter-Harris Type IV physeal fracture of lower end of right tibia, initial encounter for closed fracture
• S89.141D Salter-Harris Type IV physeal fracture of lower end of right tibia, subsequent encounter for fracture with routine healing (this code)
• S89.141G Salter-Harris Type IV physeal fracture of lower end of right tibia, subsequent encounter for fracture with delayed healing
• S89.141K Salter-Harris Type IV physeal fracture of lower end of right tibia, subsequent encounter for fracture with nonunion
• S89.141P Salter-Harris Type IV physeal fracture of lower end of right tibia, subsequent encounter for fracture with malunion
• S89.141S Salter-Harris Type IV physeal fracture of lower end of right tibia, sequela
• S89.142 Salter-Harris Type IV physeal fracture of lower end of left tibia