S49.119
Salter-Harris Type I physeal fracture of lower end of humerus, unspecified arm
Clinical Classification Guidelines
Medical Intelligence & Overview
A Salter-Harris Type I physeal fracture of the lower end of the humerus is a specific kind of growth plate injury common in children and adolescents. It involves a fracture that passes through the growth plate (physis) at the end of the humerus, which is the long bone of the upper arm. This type of injury typically occurs near the elbow and requires careful assessment to prevent future growth disturbances. The classification as 'unspecified arm' indicates that the exact arm affected is not specified in the medical coding.
Causes & Symptoms
Clinical Causes: Trauma from falls onto an outstretched arm Sports injuries involving direct impact or fall Motor vehicle accidents Any direct blow to the elbow area Bumping or hitting the arm with a hard object
Key Symptoms: Sudden onset of pain around the elbow or lower upper arm Swelling and tenderness at the injury site Limited range of motion in the elbow Possible deformity or abnormal contour of the arm Bruising around the affected area Pain that worsens with movement
Diagnostic & Treatment
Diagnosis Path: Diagnosis generally involves a thorough physical examination followed by imaging studies. X-rays are the primary tool used to identify the type of fracture and its location. Since Salter-Harris Type I fractures involve the growth plate, which may sometimes be subtle on X-rays, additional imaging such as MRI might be used if the diagnosis is uncertain. The healthcare provider will also assess for associated injuries and monitor for signs of growth disturbance or complications.
Treatment Protocols: Management of this injury aims to realign the fracture and promote healing while minimizing damage to the growth plate. Treatment options generally include:
Clinical Advice & FAQs
Billing Guidance
Is S49.119 a billable ICD-10 code?
Yes, S49.119 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S49.119?
Clinical documentation must specify the nature of Salter-Harris Type I physeal fracture of lower end of humerus, unspecified arm and any associated comorbidities for accurate reporting.
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