S99.101K (Unspecified physeal fracture of right metatarsal, subsequent encounter for fracture with nonunion)
compared with
S99.109K (Unspecified physeal fracture of unspecified metatarsal, subsequent encounter for fracture with nonunion),
from the official CMS tabular data. S99.101K and S99.109K code the same condition on opposite sides.
Unspecified physeal fracture of unspecified metatarsal, subsequent encounter for fracture with nonunion
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. S99.101K and S99.109K 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.
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
Unspecified physeal fracture of right metatarsal, subsequent encounter for fracture with nonunion is a billable ICD-10-CM diagnosis code (S99.101K).
Unspecified physeal fracture of unspecified metatarsal, subsequent encounter for fracture with nonunion is a billable ICD-10-CM diagnosis code (S99.109K).
7th character
The appropriate 7th character is to be added to each code from subcategories S99.1
The appropriate 7th character is to be added to each code from subcategories S99.1