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S99.091 vs S99.099

S99.091 (Other physeal fracture of right calcaneus) compared with S99.099 (Other physeal fracture of unspecified calcaneus), from the official CMS tabular data. S99.091 and S99.099 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

S99.091
Right
Other physeal fracture of right calcaneus
S99.099
Unspecified
Other 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. S99.091 and S99.099 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

S99.091Other physeal fracture of right calcaneusS99.099Other physeal fracture of unspecified calcaneus
Billing statusNon-billable header

Report instead: S99.091A, S99.091B, S99.091D, S99.091G, S99.091K

Non-billable header

Report instead: S99.099A, S99.099B, S99.099D, S99.099G, S99.099K

ClassificationS00-T88 — Injury, poisoning and certain other consequences of external causesS00-T88 — Injury, poisoning and certain other consequences of external causes
DefinitionOther physeal fracture of right calcaneus is a non-billable ICD-10-CM category code (S99.091).Other physeal fracture of unspecified calcaneus is a non-billable ICD-10-CM category code (S99.099).
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