S99.191G (Other physeal fracture of right metatarsal, subsequent encounter for fracture with delayed healing)
compared with
S99.199G (Other physeal fracture of unspecified metatarsal, subsequent encounter for fracture with delayed healing),
from the official CMS tabular data. S99.191G and S99.199G code the same condition on opposite sides. MedCoder-derived
Other physeal fracture of unspecified metatarsal, subsequent encounter for fracture with delayed 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. S99.191G and S99.199G 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.
S00-T88 — Injury, poisoning and certain other consequences of external causes
S00-T88 — Injury, poisoning and certain other consequences of external causes
Definition
Other physeal fracture of right metatarsal, subsequent encounter for fracture with delayed healing is a billable ICD-10-CM diagnosis code (S99.191G).
Other physeal fracture of unspecified metatarsal, subsequent encounter for fracture with delayed healing is a billable ICD-10-CM diagnosis code (S99.199G).
7th character
The appropriate 7th character is to be added to each code from subcategories S99.1
The appropriate 7th character is to be added to each code from subcategories S99.1