ICD-10-CM Billable Code

S79.112

Salter-Harris Type I physeal fracture of lower end of left femur

Clinical Classification Guidelines

Medical Intelligence & Overview

A Salter-Harris Type I physeal fracture involves a break through the growth plate (physeal plate) of a bone. This type of fracture occurs at the growth plate at the lower end of the left femur, one of the thigh bones. It is commonly seen in children and adolescents whose growth plates are still open. Recognizing and properly treating this injury is important to ensure proper healing and to prevent future growth problems.

Causes & Symptoms

Clinical Causes: Trauma or direct impact to the thigh or knee area, such as falls, sports injuries, or car accidents Twisting injuries or sudden jerking movements that exert force on the growth plate High-energy impacts that compress the bone near the growth plate

Key Symptoms: Pain or tenderness at the lower end of the thigh or around the knee Swelling or bruising in the affected area Difficulty moving or bearing weight on the leg Deformity or abnormal positioning of the leg in severe cases Limited range of motion around the knee joint

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a detailed physical examination and imaging studies. X-rays are the primary tool used to visualize the fracture and determine its type. In some cases, MRI or other imaging modalities may be utilized to assess the severity and involvement of the growth plate more precisely. The key feature of a Salter-Harris Type I fracture is that the fracture line runs entirely through the growth plate without involving the bone or metaphysis.

Treatment Protocols: Immobilization with a cast or splint to keep the bone in proper position during healing Rest and elevation to reduce pain and swelling Pain management with medications as recommended by healthcare providers In some cases, minor surgical intervention may be necessary to realign the bones if displacement occurs and conservative treatment is insufficient Follow-up imaging to ensure proper healing and growth plate alignment

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is S79.112 a billable ICD-10 code?
Yes, S79.112 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S79.112?
Clinical documentation must specify the nature of Salter-Harris Type I physeal fracture of lower end of left femur and any associated comorbidities for accurate reporting.

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