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S99.142D vs S99.149D

S99.142D (Salter-Harris Type IV physeal fracture of left metatarsal, subsequent encounter for fracture with routine healing) compared with S99.149D (Salter-Harris Type IV physeal fracture of unspecified metatarsal, subsequent encounter for fracture with routine healing), from the official CMS tabular data. S99.142D and S99.149D code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

S99.142D
Left
Salter-Harris Type IV physeal fracture of left metatarsal, subsequent encounter for fracture with routine healing
S99.149D
Unspecified
Salter-Harris Type IV physeal fracture of unspecified metatarsal, subsequent encounter for fracture with routine healing

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. S99.142D and S99.149D 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

S99.142DSalter-Harris Type IV physeal fracture of left metatarsal, subsequent encounter for fracture with routine healingS99.149DSalter-Harris Type IV physeal fracture of unspecified metatarsal, subsequent encounter for fracture with routine healing
Billing statusBillableBillable
ClassificationS00-T88 — Injury, poisoning and certain other consequences of external causesS00-T88 — Injury, poisoning and certain other consequences of external causes
DefinitionSalter-Harris Type IV physeal fracture of left metatarsal, subsequent encounter for fracture with routine healing is a billable ICD-10-CM diagnosis code (S99.142D).Salter-Harris Type IV physeal fracture of unspecified metatarsal, subsequent encounter for fracture with routine healing is a billable ICD-10-CM diagnosis code (S99.149D).
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