S99.001P (Unspecified physeal fracture of right calcaneus, subsequent encounter for fracture with malunion)
compared with
S99.009P (Unspecified physeal fracture of unspecified calcaneus, subsequent encounter for fracture with malunion),
from the official CMS tabular data. S99.001P and S99.009P code the same condition on opposite sides.
Unspecified physeal fracture of unspecified calcaneus, 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. S99.001P and S99.009P 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.
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
Unspecified physeal fracture of right calcaneus, subsequent encounter for fracture with malunion is a billable ICD-10-CM diagnosis code (S99.001P).
Unspecified physeal fracture of unspecified calcaneus, subsequent encounter for fracture with malunion is a billable ICD-10-CM diagnosis code (S99.009P).
7th character
The appropriate 7th character is to be added to each code from subcategories S99.0
The appropriate 7th character is to be added to each code from subcategories S99.0