Skip to main content

S99.099 vs T34

S99.099 (Other physeal fracture of unspecified calcaneus) compared with T34 (Frostbite with tissue necrosis), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. S99.099 carries an Excludes2 note covering T34: “frostbite (T33-T34)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

S99.099Other physeal fracture of unspecified calcaneusT34Frostbite with tissue necrosis
Billing statusNon-billable header

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

Non-billable header

Report instead: T34.011A, T34.011D, T34.011S, T34.012A, T34.012D

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 unspecified calcaneus is a non-billable ICD-10-CM category code (S99.099).Frostbite with tissue necrosis is a non-billable ICD-10-CM category code (T34).
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 category T34

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