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S99.091B vs S99.092B

S99.091B (Other physeal fracture of right calcaneus, initial encounter for open fracture) compared with S99.092B (Other physeal fracture of left calcaneus, initial encounter for open fracture), from the official CMS tabular data. S99.091B and S99.092B code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S99.091B
Right
Other physeal fracture of right calcaneus, initial encounter for open fracture
S99.092B
Left
Other physeal fracture of left calcaneus, initial encounter for open fracture

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. S99.091B and S99.092B 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

S99.091BOther physeal fracture of right calcaneus, initial encounter for open fractureS99.092BOther physeal fracture of left calcaneus, initial encounter for open fracture
Billing statusBillableBillable
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)
DefinitionOther physeal fracture of right calcaneus, initial encounter for open fracture is a billable ICD-10-CM diagnosis code (S99.091B).Other physeal fracture of left calcaneus, initial encounter for open fracture is a billable ICD-10-CM diagnosis code (S99.092B).
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