S99.022A vs S99.022B
S99.022A (Salter-Harris Type II physeal fracture of left calcaneus, initial encounter for closed fracture) compared with S99.022B (Salter-Harris Type II physeal fracture of left calcaneus, initial encounter for open fracture), from the official CMS tabular data. S99.022A and S99.022B code the same injury at a different phase of treatment.
Can these codes be reported together?
Same injury, other encounter phase. S99.022A and S99.022B code the same injury at a different phase of treatment, set by the 7th character.
The 7th character records the type of care given at the encounter being coded (ICD-10-CM Official Guidelines, Section I.C.19.a), so one encounter takes one of these, not both.
Side by side
| S99.022ASalter-Harris Type II physeal fracture of left calcaneus, initial encounter for closed fracture | S99.022BSalter-Harris Type II physeal fracture of left calcaneus, initial encounter for open fracture | |
|---|---|---|
| Billing status | Billable | Billable |
| 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 | Salter-Harris Type II physeal fracture of left calcaneus, initial encounter for closed fracture is a billable ICD-10-CM diagnosis code (S99.022A). | Salter-Harris Type II physeal fracture of left calcaneus, initial encounter for open fracture is a billable ICD-10-CM diagnosis code (S99.022B). |
| 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 |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources