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S89.221 vs S89.222

S89.221 (Salter-Harris Type II physeal fracture of upper end of right fibula) compared with S89.222 (Salter-Harris Type II physeal fracture of upper end of left fibula), from the official CMS tabular data. S89.221 and S89.222 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S89.221
Right
Salter-Harris Type II physeal fracture of upper end of right fibula
S89.222
Left
Salter-Harris Type II physeal fracture of upper end of left fibula

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. S89.221 and S89.222 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

S89.221Salter-Harris Type II physeal fracture of upper end of right fibulaS89.222Salter-Harris Type II physeal fracture of upper end of left fibula
Billing statusNon-billable header

Report instead: S89.221A, S89.221D, S89.221G, S89.221K, S89.221P

Non-billable header

Report instead: S89.222A, S89.222D, S89.222G, S89.222K, S89.222P

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)
DefinitionSalter-Harris Type II physeal fracture of upper end of right fibula is a non-billable ICD-10-CM category code (S89.221).Salter-Harris Type II physeal fracture of upper end of left fibula is a non-billable ICD-10-CM category code (S89.222).
7th characterThe appropriate 7th character is to be added to each code from subcategories S89.0, S89.1, S89.2, and S89.3The appropriate 7th character is to be added to each code from subcategories S89.0, S89.1, S89.2, and S89.3

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