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S79.091 vs S79.099

S79.091 (Other physeal fracture of upper end of right femur) compared with S79.099 (Other physeal fracture of upper end of unspecified femur), from the official CMS tabular data. S79.091 and S79.099 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S79.091
Right
Other physeal fracture of upper end of right femur
S79.099
Unspecified
Other physeal fracture of upper end of unspecified femur

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. S79.091 and S79.099 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

S79.091Other physeal fracture of upper end of right femurS79.099Other physeal fracture of upper end of unspecified femur
Billing statusNon-billable header

Report instead: S79.091A, S79.091D, S79.091G, S79.091K, S79.091P

Non-billable header

Report instead: S79.099A, S79.099D, S79.099G, S79.099K, S79.099P

ClassificationS00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionOther physeal fracture of upper end of right femur is a non-billable ICD-10-CM category code (S79.091).Other physeal fracture of upper end of unspecified femur is a non-billable ICD-10-CM category code (S79.099).
7th characterThe appropriate 7th character is to be added to each code from subcategories S79.0 and S79.1The appropriate 7th character is to be added to each code from subcategories S79.0 and S79.1

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