S89.319
Salter-Harris Type I physeal fracture of lower end of unspecified fibula
Clinical Classification Guidelines
Medical Intelligence & Overview
A Salter-Harris Type I physeal fracture is a fracture that occurs through the growth plate (also known as the physis) at the end of a long bone. When this type of fracture affects the lower end of the fibula, it involves the part of the fibula located near the ankle. This injury often occurs in children and adolescents whose growth plates are still open and actively growing. The ICD-10 code S89.319 pertains specifically to a Salter-Harris Type I fracture at the lower end of an unspecified fibula, emphasizing the location and nature of the injury.
Causes & Symptoms
Clinical Causes: Falls onto the ankle or side of the leg Sports-related injuries, especially contact sports or those with awkward landings Motor vehicle accidents Twisting or rolling injuries of the ankle Direct blow to the side of the lower leg
Key Symptoms: Swelling around the ankle Pain localized at the lower side of the leg or near the ankle joint Tenderness when touching the affected area Limited range of motion in the ankle Difficulty bearing weight or walking Possible deformity or visible swelling in severe cases
Diagnostic & Treatment
Diagnosis Path: Diagnosis typically involves a thorough physical examination and imaging studies. The doctor will review the patient's history and examine the ankle for signs of swelling, tenderness, and deformity. X-rays are essential to confirm the presence of a fracture, determine its type, and assess the involvement of the growth plate. Since growth plate injuries are unique to children and adolescents, their skeletal maturity is also considered during evaluation.
Treatment Protocols: Management of a Salter-Harris Type I physeal fracture generally depends on its severity and the stability of the bone. Common treatments include:
Clinical Advice & FAQs
Billing Guidance
Is S89.319 a billable ICD-10 code?
Yes, S89.319 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S89.319?
Clinical documentation must specify the nature of Salter-Harris Type I physeal fracture of lower end of unspecified fibula and any associated comorbidities for accurate reporting.
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