Billable / Specific Code
ICD-10-CM S49.099 is the diagnosis code for Other physeal fracture of upper end of humerus, unspecified arm. This code falls under the section "Injuries to the shoulder and upper arm" within Chapter 19 — Injury, poisoning and certain other consequences of external causes (S00-T88). It is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.
Always refer to the official ICD-10-CM Tabular List for complete coding guidelines. Ensure documentation supports the specificity of the code selected. When in doubt, consult a certified medical coder or the latest CMS guidelines.
Understanding where S49.099 sits in the ICD-10-CM classification helps ensure proper coding:
Yes, S49.099 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
S49.099 is the ICD-10-CM diagnosis code for "Other physeal fracture of upper end of humerus, unspecified arm". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
The parent code of S49.099 is S49.09 ("Other physeal fracture of upper end of humerus"). S49.099 provides a more specific classification within this category.
S49.099 is located in Section S40-S49 — "Injuries to the shoulder and upper arm" within Chapter 19 of the ICD-10-CM Tabular List.
Use S49.099 when the patients documented diagnosis matches "Other physeal fracture of upper end of humerus, unspecified arm" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.
The ICD-10-CM code for Other physeal fracture of upper end of humerus, unspecified arm is S49.099.
Yes, S49.099 can be used as a primary diagnosis code since it is billable and specific.
S49.099 is in Chapter 19 of the ICD-10-CM Tabular List.
Yes, S49.099 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.