DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

S89 Other and unspecified injuries of lower leg

  • Header · not billable
  • Codes take a 7th character

S89 is not billable. The category heads 378 billable codes in FY2027, grouped under 6 subdivisions. Its codes take a 7th character, so none is complete with fewer than 7 characters.

Index → code

Where it sits

  1. Chapter 19 Injury, poisoning and certain other consequences of external causes (S00-T88)
  2. S80-S89 Injuries to the knee and lower leg (S80-S89)
  3. S89 Other and unspecified injuries of lower leg
Billable codes
378
Subdivisions
6
CC / MCC codes
138 / 0
HCC V28 codes
0
New FY2027
0
Index entries
26

Codes in S89

  1. S89.0
    Physeal fracture of upper end of tibia
    Header
  2. S89.00
    Unspecified physeal fracture of upper end of tibia
    Header
  3. S89.001
    Unspecified physeal fracture of upper end of right tibia +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  4. S89.002
    Unspecified physeal fracture of upper end of left tibia +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  5. S89.009
    Unspecified physeal fracture of upper end of unspecified tibia +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  6. S89.01
    Salter-Harris Type I physeal fracture of upper end of tibia
    Header
  7. S89.011
    Salter-Harris Type I physeal fracture of upper end of right tibia +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  8. S89.012
    Salter-Harris Type I physeal fracture of upper end of left tibia +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  9. S89.019
    Salter-Harris Type I physeal fracture of upper end of unspecified tibia +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  10. S89.02
    Salter-Harris Type II physeal fracture of upper end of tibia
    Header
  11. S89.021
    Salter-Harris Type II physeal fracture of upper end of right tibia +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  12. S89.022
    Salter-Harris Type II physeal fracture of upper end of left tibia +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  13. S89.029
    Salter-Harris Type II physeal fracture of upper end of unspecified tibia +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  14. S89.03
    Salter-Harris Type III physeal fracture of upper end of tibia
    Header
  15. S89.031
    Salter-Harris Type III physeal fracture of upper end of right tibia +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  16. S89.032
    Salter-Harris Type III physeal fracture of upper end of left tibia +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  17. S89.039
    Salter-Harris Type III physeal fracture of upper end of unspecified tibia +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  18. S89.04
    Salter-Harris Type IV physeal fracture of upper end of tibia
    Header
  19. S89.041
    Salter-Harris Type IV physeal fracture of upper end of right tibia +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  20. S89.042
    Salter-Harris Type IV physeal fracture of upper end of left tibia +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  21. S89.049
    Salter-Harris Type IV physeal fracture of upper end of unspecified tibia +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  22. S89.09
    Other physeal fracture of upper end of tibia
    Header
  23. S89.091
    Other physeal fracture of upper end of right tibia +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  24. S89.092
    Other physeal fracture of upper end of left tibia +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  25. S89.099
    Other physeal fracture of upper end of unspecified tibia +7th: A D G K P S
    Needs 7th characterCC A K PExempt: 5 of 6 7th characters
  26. S89.1
    Physeal fracture of lower end of tibia
    Header
  27. S89.10
    Unspecified physeal fracture of lower end of tibia
    Header
  28. S89.101
    Unspecified physeal fracture of lower end of right tibia +7th: A D G K P S
    Needs 7th characterCC K PExempt: 5 of 6 7th characters
  29. S89.102
    Unspecified physeal fracture of lower end of left tibia +7th: A D G K P S
    Needs 7th characterCC K PExempt: 5 of 6 7th characters
  30. S89.109
    Unspecified physeal fracture of lower end of unspecified tibia +7th: A D G K P S
    Needs 7th characterCC K PExempt: 5 of 6 7th characters
  31. S89.11
    Salter-Harris Type I physeal fracture of lower end of tibia
    Header
  32. S89.111
    Salter-Harris Type I physeal fracture of lower end of right tibia +7th: A D G K P S
    Needs 7th characterCC K PExempt: 5 of 6 7th characters
  33. S89.112
    Salter-Harris Type I physeal fracture of lower end of left tibia +7th: A D G K P S
    Needs 7th characterCC K PExempt: 5 of 6 7th characters
  34. S89.119
    Salter-Harris Type I physeal fracture of lower end of unspecified tibia +7th: A D G K P S
    Needs 7th characterCC K PExempt: 5 of 6 7th characters
  35. S89.12
    Salter-Harris Type II physeal fracture of lower end of tibia
    Header
  36. S89.121
    Salter-Harris Type II physeal fracture of lower end of right tibia +7th: A D G K P S
    Needs 7th characterCC K PExempt: 5 of 6 7th characters
  37. S89.122
    Salter-Harris Type II physeal fracture of lower end of left tibia +7th: A D G K P S
    Needs 7th characterCC K PExempt: 5 of 6 7th characters
  38. S89.129
    Salter-Harris Type II physeal fracture of lower end of unspecified tibia +7th: A D G K P S
    Needs 7th characterCC K PExempt: 5 of 6 7th characters
  39. S89.13
    Salter-Harris Type III physeal fracture of lower end of tibia
    Header
    Excludes1 1

    Excludes1

    • fracture of medial malleolus (adult) (S82.5-) S82.5
  40. S89.131
    Salter-Harris Type III physeal fracture of lower end of right tibia +7th: A D G K P S
    Needs 7th characterCC K PExempt: 5 of 6 7th characters
  41. S89.132
    Salter-Harris Type III physeal fracture of lower end of left tibia +7th: A D G K P S
    Needs 7th characterCC K PExempt: 5 of 6 7th characters
  42. S89.139
    Salter-Harris Type III physeal fracture of lower end of unspecified tibia +7th: A D G K P S
    Needs 7th characterCC K PExempt: 5 of 6 7th characters
  43. S89.14
    Salter-Harris Type IV physeal fracture of lower end of tibia
    Header
    Excludes1 1

    Excludes1

    • fracture of medial malleolus (adult) (S82.5-) S82.5
  44. S89.141
    Salter-Harris Type IV physeal fracture of lower end of right tibia +7th: A D G K P S
    Needs 7th characterCC K PExempt: 5 of 6 7th characters
  45. S89.142
    Salter-Harris Type IV physeal fracture of lower end of left tibia +7th: A D G K P S
    Needs 7th characterCC K PExempt: 5 of 6 7th characters
  46. S89.149
    Salter-Harris Type IV physeal fracture of lower end of unspecified tibia +7th: A D G K P S
    Needs 7th characterCC K PExempt: 5 of 6 7th characters
  47. S89.19
    Other physeal fracture of lower end of tibia
    Header
  48. S89.191
    Other physeal fracture of lower end of right tibia +7th: A D G K P S
    Needs 7th characterCC K PExempt: 5 of 6 7th characters
  49. S89.192
    Other physeal fracture of lower end of left tibia +7th: A D G K P S
    Needs 7th characterCC K PExempt: 5 of 6 7th characters
  50. S89.199
    Other physeal fracture of lower end of unspecified tibia +7th: A D G K P S
    Needs 7th characterCC K PExempt: 5 of 6 7th characters
  51. S89.2
    Physeal fracture of upper end of fibula
    Header
  52. S89.20
    Unspecified physeal fracture of upper end of fibula
    Header
  53. S89.201
    Unspecified physeal fracture of upper end of right fibula +7th: A D G K P S
    Needs 7th characterCC K PExempt: 5 of 6 7th characters
  54. S89.202
    Unspecified physeal fracture of upper end of left fibula +7th: A D G K P S
    Needs 7th characterCC K PExempt: 5 of 6 7th characters
  55. S89.209
    Unspecified physeal fracture of upper end of unspecified fibula +7th: A D G K P S
    Needs 7th characterCC K PExempt: 5 of 6 7th characters
  56. S89.21
    Salter-Harris Type I physeal fracture of upper end of fibula
    Header
  57. S89.211
    Salter-Harris Type I physeal fracture of upper end of right fibula +7th: A D G K P S
    Needs 7th characterCC K PExempt: 5 of 6 7th characters
  58. S89.212
    Salter-Harris Type I physeal fracture of upper end of left fibula +7th: A D G K P S
    Needs 7th characterCC K PExempt: 5 of 6 7th characters
  59. S89.219
    Salter-Harris Type I physeal fracture of upper end of unspecified fibula +7th: A D G K P S
    Needs 7th characterCC K PExempt: 5 of 6 7th characters
  60. S89.22
    Salter-Harris Type II physeal fracture of upper end of fibula
    Header
  61. S89.221
    Salter-Harris Type II physeal fracture of upper end of right fibula +7th: A D G K P S
    Needs 7th characterCC K PExempt: 5 of 6 7th characters
  62. S89.222
    Salter-Harris Type II physeal fracture of upper end of left fibula +7th: A D G K P S
    Needs 7th characterCC K PExempt: 5 of 6 7th characters
  63. S89.229
    Salter-Harris Type II physeal fracture of upper end of unspecified fibula +7th: A D G K P S
    Needs 7th characterCC K PExempt: 5 of 6 7th characters
  64. S89.29
    Other physeal fracture of upper end of fibula
    Header
  65. S89.291
    Other physeal fracture of upper end of right fibula +7th: A D G K P S
    Needs 7th characterCC K PExempt: 5 of 6 7th characters
  66. S89.292
    Other physeal fracture of upper end of left fibula +7th: A D G K P S
    Needs 7th characterCC K PExempt: 5 of 6 7th characters
  67. S89.299
    Other physeal fracture of upper end of unspecified fibula +7th: A D G K P S
    Needs 7th characterCC K PExempt: 5 of 6 7th characters
  68. S89.3
    Physeal fracture of lower end of fibula
    Header
  69. S89.30
    Unspecified physeal fracture of lower end of fibula
    Header
  70. S89.301
    Unspecified physeal fracture of lower end of right fibula +7th: A D G K P S
    Needs 7th characterCC K PExempt: 5 of 6 7th characters
  71. S89.302
    Unspecified physeal fracture of lower end of left fibula +7th: A D G K P S
    Needs 7th characterCC K PExempt: 5 of 6 7th characters
  72. S89.309
    Unspecified physeal fracture of lower end of unspecified fibula +7th: A D G K P S
    Needs 7th characterCC K PExempt: 5 of 6 7th characters
  73. S89.31
    Salter-Harris Type I physeal fracture of lower end of fibula
    Header
  74. S89.311
    Salter-Harris Type I physeal fracture of lower end of right fibula +7th: A D G K P S
    Needs 7th characterCC K PExempt: 5 of 6 7th characters
  75. S89.312
    Salter-Harris Type I physeal fracture of lower end of left fibula +7th: A D G K P S
    Needs 7th characterCC K PExempt: 5 of 6 7th characters
  76. S89.319
    Salter-Harris Type I physeal fracture of lower end of unspecified fibula +7th: A D G K P S
    Needs 7th characterCC K PExempt: 5 of 6 7th characters
  77. S89.32
    Salter-Harris Type II physeal fracture of lower end of fibula
    Header
  78. S89.321
    Salter-Harris Type II physeal fracture of lower end of right fibula +7th: A D G K P S
    Needs 7th characterCC K PExempt: 5 of 6 7th characters
  79. S89.322
    Salter-Harris Type II physeal fracture of lower end of left fibula +7th: A D G K P S
    Needs 7th characterCC K PExempt: 5 of 6 7th characters
  80. S89.329
    Salter-Harris Type II physeal fracture of lower end of unspecified fibula +7th: A D G K P S
    Needs 7th characterCC K PExempt: 5 of 6 7th characters
  81. S89.39
    Other physeal fracture of lower end of fibula
    Header
  82. S89.391
    Other physeal fracture of lower end of right fibula +7th: A D G K P S
    Needs 7th characterCC K PExempt: 5 of 6 7th characters
  83. S89.392
    Other physeal fracture of lower end of left fibula +7th: A D G K P S
    Needs 7th characterCC K PExempt: 5 of 6 7th characters
  84. S89.399
    Other physeal fracture of lower end of unspecified fibula +7th: A D G K P S
    Needs 7th characterCC K PExempt: 5 of 6 7th characters
  85. S89.8
    Other specified injuries of lower leg
    Header
  86. S89.80
    Other specified injuries of unspecified lower leg +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  87. S89.81
    Other specified injuries of right lower leg +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  88. S89.82
    Other specified injuries of left lower leg +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  89. S89.9
    Unspecified injury of lower leg
    Header
  90. S89.90
    Unspecified injury of unspecified lower leg +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  91. S89.91
    Unspecified injury of right lower leg +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters
  92. S89.92
    Unspecified injury of left lower leg +7th: A D S
    Needs 7th characterExempt: 2 of 3 7th characters

CC/MCC: as a secondary diagnosis, unless the principal diagnosis is on the code’s PDX exclusion list (MS-DRG v44 Appendix C; list on the code card).

Sources of each column. Rows marked +7th need a 7th character: pick one to build the full code; its code card has its own flags.

Instructions

At S89

Notes

  • A fracture not indicated as open or closed should be coded to closed

Excludes2

  • other and unspecified injuries of ankle and foot (S99.-) S99

Notes that also apply

Block S80-S89 instructions (Excludes2 4): printed on the block page.

Chapter 19 instructions (Notes 2, Excludes2 2, Use additional code 1): printed on the chapter 19 page.

7th characters

7th characters for S89 defined here

The appropriate 7th character is to be added to each code from subcategories S89.0, S89.1, S89.2, and S89.3

7th characters for S89
7thMeaning (NCHS)
Ainitial encounter for closed fracture
Dsubsequent encounter for fracture with routine healing
Gsubsequent encounter for fracture with delayed healing
Ksubsequent encounter for fracture with nonunion
Psubsequent encounter for fracture with malunion
Ssequela

7th characters for S89.8 defined at S89.8

The appropriate 7th character is to be added to each code in subcategory S89.8

7th characters for S89.8
7thMeaning (NCHS)
Ainitial encounter
Dsubsequent encounter
Ssequela

7th characters for S89.9 defined at S89.9

The appropriate 7th character is to be added to each code in subcategory S89.9

7th characters for S89.9
7thMeaning (NCHS)
Ainitial encounter
Dsubsequent encounter
Ssequela

A code that takes a 7th character is invalid without it; the placeholder X fills a code shorter than 6 characters (Official Guidelines I.A.5). How 7th characters work.

Index entries

  • Surfer's knots or nodules → S89.8-
  • Knot(s)surfer → S89.8-
  • Injuryknee → S89.9-
  • Injuryleg (lower) → S89.9-
  • Injurykneespecified NEC → S89.8-
  • Injuryleg (lower)specified NEC → S89.8-
  • Fracture, traumatic (abduction) (adduction) (separation)tibia (shaft)upper endphyseal → S89.00-
  • Fracture, traumatic (abduction) (adduction) (separation)tibia (shaft)lower endphyseal → S89.10-
  • Fracture, traumatic (abduction) (adduction) (separation)fibula (shaft) (styloid)upper endphyseal → S89.20-
  • Fracture, traumatic (abduction) (adduction) (separation)fibula (shaft) (styloid)lower endphyseal → S89.30-
  • Fracture, traumatic (abduction) (adduction) (separation)tibia (shaft)upper endphysealspecified NEC → S89.09-
  • Fracture, traumatic (abduction) (adduction) (separation)tibia (shaft)lower endphysealspecified NEC → S89.19-
  • Fracture, traumatic (abduction) (adduction) (separation)fibula (shaft) (styloid)upper endphysealspecified NEC → S89.29-
  • Fracture, traumatic (abduction) (adduction) (separation)fibula (shaft) (styloid)lower endphysealspecified NEC → S89.39-
  • Fracture, traumatic (abduction) (adduction) (separation)tibia (shaft)upper endphysealSalter-HarrisType I → S89.01-
  • Fracture, traumatic (abduction) (adduction) (separation)tibia (shaft)upper endphysealSalter-HarrisType II → S89.02-
  • Fracture, traumatic (abduction) (adduction) (separation)tibia (shaft)upper endphysealSalter-HarrisType III → S89.03-
  • Fracture, traumatic (abduction) (adduction) (separation)tibia (shaft)upper endphysealSalter-HarrisType IV → S89.04-
  • Fracture, traumatic (abduction) (adduction) (separation)tibia (shaft)lower endphysealSalter-HarrisType I → S89.11-
  • Fracture, traumatic (abduction) (adduction) (separation)tibia (shaft)lower endphysealSalter-HarrisType II → S89.12-
  • Fracture, traumatic (abduction) (adduction) (separation)tibia (shaft)lower endphysealSalter-HarrisType III → S89.13-
  • Fracture, traumatic (abduction) (adduction) (separation)tibia (shaft)lower endphysealSalter-HarrisType IV → S89.14-
  • Fracture, traumatic (abduction) (adduction) (separation)fibula (shaft) (styloid)upper endphysealSalter-HarrisType I → S89.21-
  • Fracture, traumatic (abduction) (adduction) (separation)fibula (shaft) (styloid)upper endphysealSalter-HarrisType II → S89.22-
  • Fracture, traumatic (abduction) (adduction) (separation)fibula (shaft) (styloid)lower endphysealSalter-HarrisType I → S89.31-
  • Fracture, traumatic (abduction) (adduction) (separation)fibula (shaft) (styloid)lower endphysealSalter-HarrisType II → S89.32-

NCHS Alphabetic Index. Index first, then the Tabular List.

Hierarchy