S92.3 vs S99.1
S92.3 (Fracture of metatarsal bone(s)) compared with S99.1 (Physeal fracture of metatarsal), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. S92.3 carries an Excludes2 note covering S99.1: “Physeal fracture of metatarsal (S99.1-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| S92.3Fracture of metatarsal bone(s) | S99.1Physeal fracture of metatarsal | |
|---|---|---|
| Billing status | Non-billable header Report instead: S92.301A, S92.301B, S92.301D, S92.301G, S92.301K | Non-billable header Report instead: S99.101A, S99.101B, S99.101D, S99.101G, S99.101K |
| Classification | S00-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) |
| Definition | Fracture of metatarsal bone(s) is a non-billable ICD-10-CM category code (S92.3). | Physeal fracture of metatarsal is a non-billable ICD-10-CM category code (S99.1). |
| 7th character | The appropriate 7th character is to be added to each code from category S92 | The appropriate 7th character is to be added to each code from subcategories S99.1 |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources