ICD-10-CM Billable Code

S89.221

Salter-Harris Type II physeal fracture of upper end of right fibula

Clinical Classification Guidelines

Medical Intelligence & Overview

A Salter-Harris Type II physeal fracture is a specific type of growth plate injury that affects children and adolescents. When it occurs at the upper end of the right fibula, it involves the part of the small bone located on the outer side of the lower leg. This injury is classified under ICD-10 code S89.221 and requires proper diagnosis and treatment to ensure proper healing and growth.

Causes & Symptoms

Clinical Causes: Trauma or sudden impact, such as falls or sports injuries Twisting motions during physical activities Direct blow to the outer lower leg Accidental falls or collisions

Key Symptoms: Pain and tenderness along the outer side of the lower leg Swelling and bruising in the area Difficulty bearing weight or walking Decreased movement or stiffness Visible deformity or misalignment in severe cases

Diagnostic & Treatment

Diagnosis Path: The diagnosis typically involves a detailed physical examination by a healthcare professional, focusing on the injury site and assessing movement and stability. Imaging studies are crucial for confirming the type and extent of the fracture. These include:

Treatment Protocols: Managing a Salter-Harris Type II fracture involves several steps aimed at promoting proper healing and preserving the growth potential of the bone. Typical treatment options include:

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 S89.221 a billable ICD-10 code?
Yes, S89.221 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S89.221?
Clinical documentation must specify the nature of Salter-Harris Type II physeal fracture of upper end of right fibula and any associated comorbidities for accurate reporting.

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