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S99.011 vs S99.019

S99.011 (Salter-Harris Type I physeal fracture of right calcaneus) compared with S99.019 (Salter-Harris Type I physeal fracture of unspecified calcaneus), from the official CMS tabular data. S99.011 and S99.019 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S99.011
Right
Salter-Harris Type I physeal fracture of right calcaneus
S99.019
Unspecified
Salter-Harris Type I physeal fracture of unspecified calcaneus

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. S99.011 and S99.019 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

S99.011Salter-Harris Type I physeal fracture of right calcaneusS99.019Salter-Harris Type I physeal fracture of unspecified calcaneus
Billing statusNon-billable header

Report instead: S99.011A, S99.011B, S99.011D, S99.011G, S99.011K

Non-billable header

Report instead: S99.019A, S99.019B, S99.019D, S99.019G, S99.019K

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 I physeal fracture of right calcaneus is a non-billable ICD-10-CM category code (S99.011).Salter-Harris Type I physeal fracture of unspecified calcaneus is a non-billable ICD-10-CM category code (S99.019).
7th characterThe appropriate 7th character is to be added to each code from subcategories S99.0The appropriate 7th character is to be added to each code from subcategories S99.0

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