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S99.191 vs S99.192

S99.191 (Other physeal fracture of right metatarsal) compared with S99.192 (Other physeal fracture of left metatarsal), from the official CMS tabular data. S99.191 and S99.192 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

S99.191
Right
Other physeal fracture of right metatarsal
S99.192
Left
Other physeal fracture of left metatarsal

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. S99.191 and S99.192 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

S99.191Other physeal fracture of right metatarsalS99.192Other physeal fracture of left metatarsal
Billing statusNon-billable header

Report instead: S99.191A, S99.191B, S99.191D, S99.191G, S99.191K

Non-billable header

Report instead: S99.192A, S99.192B, S99.192D, S99.192G, S99.192K

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 right metatarsal is a non-billable ICD-10-CM category code (S99.191).Other physeal fracture of left metatarsal is a non-billable ICD-10-CM category code (S99.192).
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