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S59.092P vs S59.099P

S59.092P (Other physeal fracture of lower end of ulna, left arm, subsequent encounter for fracture with malunion) compared with S59.099P (Other physeal fracture of lower end of ulna, unspecified arm, subsequent encounter for fracture with malunion), from the official CMS tabular data. S59.092P and S59.099P code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

S59.092P
Left
Other physeal fracture of lower end of ulna, left arm, subsequent encounter for fracture with malunion
S59.099P
Unspecified
Other physeal fracture of lower end of ulna, unspecified arm, subsequent encounter for fracture with malunion

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. S59.092P and S59.099P name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

S59.092POther physeal fracture of lower end of ulna, left arm, subsequent encounter for fracture with malunionS59.099POther physeal fracture of lower end of ulna, unspecified arm, subsequent encounter for fracture with malunion
Billing statusBillableBillable
ClassificationS00-T88 — Injury, poisoning and certain other consequences of external causesS00-T88 — Injury, poisoning and certain other consequences of external causes
DefinitionOther physeal fracture of lower end of ulna, left arm, subsequent encounter for fracture with malunion is a billable ICD-10-CM diagnosis code (S59.092P).Other physeal fracture of lower end of ulna, unspecified arm, subsequent encounter for fracture with malunion is a billable ICD-10-CM diagnosis code (S59.099P).
7th characterThe appropriate 7th character is to be added to each code from subcategories S59.0, S59.1, and S59.2The appropriate 7th character is to be added to each code from subcategories S59.0, S59.1, and S59.2

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources