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S99.101S vs S99.109S

S99.101S (Unspecified physeal fracture of right metatarsal, sequela) compared with S99.109S (Unspecified physeal fracture of unspecified metatarsal, sequela), from the official CMS tabular data. S99.101S and S99.109S code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S99.101S
Right
Unspecified physeal fracture of right metatarsal, sequela
S99.109S
Unspecified
Unspecified physeal fracture of unspecified metatarsal, sequela

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. S99.101S and S99.109S 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

S99.101SUnspecified physeal fracture of right metatarsal, sequelaS99.109SUnspecified physeal fracture of unspecified metatarsal, sequela
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)
DefinitionUnspecified physeal fracture of right metatarsal, sequela is a billable ICD-10-CM diagnosis code (S99.101S).Unspecified physeal fracture of unspecified metatarsal, sequela is a billable ICD-10-CM diagnosis code (S99.109S).
7th characterThe appropriate 7th character is to be added to each code from subcategories S99.1The appropriate 7th character is to be added to each code from subcategories S99.1

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