S99.242 (Salter-Harris Type IV physeal fracture of phalanx of left toe) compared with S99.249 (Salter-Harris Type IV physeal fracture of phalanx of unspecified toe), from the official CMS tabular data. S99.242 and S99.249 code the same condition on opposite sides.
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)
Same condition, opposite side. S99.242 and S99.249 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.
| S99.242Salter-Harris Type IV physeal fracture of phalanx of left toe | S99.249Salter-Harris Type IV physeal fracture of phalanx of unspecified toe | |
|---|---|---|
| Billing status | Non-billable header Report instead: S99.242A, S99.242B, S99.242D, S99.242G, S99.242K | Non-billable header Report instead: S99.249A, S99.249B, S99.249D, S99.249G, S99.249K |
| Classification | S00-T88 — Injury, poisoning and certain other consequences of external causes | S00-T88 — Injury, poisoning and certain other consequences of external causes |
| Definition | Salter-Harris Type IV physeal fracture of phalanx of left toe is a non-billable ICD-10-CM category code (S99.242). | Salter-Harris Type IV physeal fracture of phalanx of unspecified toe is a non-billable ICD-10-CM category code (S99.249). |
| 7th character | The appropriate 7th character is to be added to each code from subcategories S99.2 | The appropriate 7th character is to be added to each code from subcategories S99.2 |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources