ICD-10-CM 2027 diagnosis code
S49.032DSalter-Harris Type III physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with routine healing
S49.032D is a valid, billable ICD-10-CM code for salter-harris type iii physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with routine healing. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Sltr-haris Type III physl fx upper end humer, left arm, 7thD
Code last changed in FY2017 (effective October 1, 2016). Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data
About S49.032D
S49.032D is the ICD-10-CM diagnosis code for Salter-Harris Type III physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with routine healing. It belongs to category S49 (other and unspecified injuries of shoulder and upper arm), block S40-S49 (injuries to the shoulder and upper arm) and chapter 19 (injury, poisoning and certain other consequences of external causes). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.
The 7th character "D" means subsequent encounter for fracture with routine healing: use it for encounters after active treatment, while the patient is healing or recovering.
It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.
In MS-DRG v44.0, it is part of the grouping logic for DRG 559 (Aftercare, Musculoskeletal System and Connective Tissue with MCC, relative weight 1.8088), DRG 560 (Aftercare, Musculoskeletal System and Connective Tissue with CC, relative weight 1.1238) and DRG 561 (Aftercare, Musculoskeletal System and Connective Tissue without CC/MCC, relative weight 0.8258), in MDC 08 (Diseases and Disorders of the Musculoskeletal System and Connective Tissue), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.
It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.
It has been part of ICD-10-CM since the code set took effect on October 1, 2015, and changed in FY2017 (title revised).
Before ICD-10, this condition was coded in ICD-9-CM as V54.11 (aftercare for healing traumatic fracture of upper arm).
7th character
Dsubsequent encounter for fracture with routine healing
CC/MCC status for this injury by encounter: CC for A, K, P; Neither CC nor MCC for D, G, S.
Other encounter types for S49.032:
Notes that apply from higher levels
Instructions written at a parent level also apply to S49.032D.
Broader instructions also apply from S40-S49 Injuries to the shoulder and upper arm and Chapter 19: Injury, poisoning and certain other consequences of external causes.
MS-DRG v44.0 grouping
All DRGs →Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue
ICD-9-CM equivalent
Converter →- V54.11Aftercare for healing traumatic fracture of upper armapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- FY2017 (effective 10/1/2016): Title revised — was “Salter Harris Type III physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with routine healing”
Common questions about S49.032D
Is S49.032D billable?
- Yes. S49.032D is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
What does the "D" at the end of S49.032D mean?
- It is the 7th character for subsequent encounter for fracture with routine healing. Per the official guidelines, use it for encounters after active treatment, while the patient is healing or recovering.
Can S49.032D be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict S49.032D as a principal diagnosis.
Is S49.032D a CC or MCC?
- No. S49.032D is neither a CC nor an MCC under MS-DRG v44.0.
What DRG does S49.032D group to?
- S49.032D is used in the MS-DRG v44.0 logic for MS-DRG 559 (Aftercare, Musculoskeletal System and Connective Tissue with MCC), MS-DRG 560 (Aftercare, Musculoskeletal System and Connective Tissue with CC) and MS-DRG 561 (Aftercare, Musculoskeletal System and Connective Tissue without CC/MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.