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S99.191D vs S99.192D

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

Relationship

Review

Laterality relationship

S99.191D
Right
Other physeal fracture of right metatarsal, subsequent encounter for fracture with routine healing
↔
S99.192D
Left
Other physeal fracture of left 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. S99.191D and S99.192D 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

S99.191DOther physeal fracture of right metatarsal, subsequent encounter for fracture with routine healingS99.192DOther physeal fracture of left 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
DefinitionOther physeal fracture of right metatarsal, subsequent encounter for fracture with routine healing is a billable ICD-10-CM diagnosis code (S99.191D).Other physeal fracture of left metatarsal, subsequent encounter for fracture with routine healing is a billable ICD-10-CM diagnosis code (S99.192D).
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
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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources