ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 S59.232

Non-Billable Header

Salter-Harris Type III physeal fracture of lower end of radius, left arm

S59
Block
0
Synonyms
0
LCDs
0
Payer Policies
0
Linked CPTs

About ICD-10-CM S59.232

ICD-10-CM code S59.232 represents Salter-Harris Type III physeal fracture of lower end of radius, left arm. This is a non-billable header code in the Injury, Poisoning, and External Causes chapter (block S59). The 2026 edition of ICD-10-CM S59.232 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.

Coding Tips for S59.232

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

Injury chapter (S00-T88): 7th character extension required

Injury codes require a 7th character: A (initial encounter, active treatment), D (subsequent, healing/recovery), S (sequela, late effect of original injury). Codes with fewer than 6 characters need the placeholder X to bring them to 6 characters before adding the 7th. Wrong or missing 7th character is the #1 cause of injury claim denials.

Medicare LCD Coverage for S59.232

Local Coverage Determinations (LCDs) from CMS MACs that list S59.232 as a covered diagnosis.

No Medicare LCDs reference S59.232 as covered

This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.

Commercial Payer Coverage

Coverage policies from major commercial payers referencing S59.232.

No commercial payer policies reference S59.232 on file

Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but S59.232 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.

CPT Codes Commonly Billed with S59.232

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for S59.232

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

ICD-10 S59.232, Billing FAQ

Is ICD-10 code S59.232 billable? +

No, S59.232 is a non-billable header code. Use a more specific child code from block S59 when submitting claims.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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