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S99.141B vs S99.149B

S99.141B (Salter-Harris Type IV physeal fracture of right metatarsal, initial encounter for open fracture) compared with S99.149B (Salter-Harris Type IV physeal fracture of unspecified metatarsal, initial encounter for open fracture), from the official CMS tabular data. S99.141B and S99.149B code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

S99.141B
Right
Salter-Harris Type IV physeal fracture of right metatarsal, initial encounter for open fracture
S99.149B
Unspecified
Salter-Harris Type IV physeal fracture of unspecified metatarsal, 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. S99.141B and S99.149B 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

S99.141BSalter-Harris Type IV physeal fracture of right metatarsal, initial encounter for open fractureS99.149BSalter-Harris Type IV physeal fracture of unspecified metatarsal, 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)
DefinitionSalter-Harris Type IV physeal fracture of right metatarsal, initial encounter for open fracture is a billable ICD-10-CM diagnosis code (S99.141B).Salter-Harris Type IV physeal fracture of unspecified metatarsal, initial encounter for open fracture is a billable ICD-10-CM diagnosis code (S99.149B).
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