S99.299A (Other physeal fracture of phalanx of unspecified toe, initial encounter for closed fracture)
compared with
S99.299G (Other physeal fracture of phalanx of unspecified toe, subsequent encounter for fracture with delayed healing),
from the official CMS tabular data. S99.299A and S99.299G code the same injury at a different phase of treatment.
Other physeal fracture of phalanx of unspecified toe, subsequent encounter for fracture with delayed healing
Same underlying diagnosis, different encounter phase.
The 7th character records the phase of care for the encounter being coded, so a single encounter takes one of these characters, not several. Review whether both phases belong on the same episode of care.
Source: ICD-10-CM Official Guidelines, Section I.C.19.a
Can these codes be reported together?
Same injury, other encounter phase. S99.299A and S99.299G code the same injury at a different phase of treatment, set by the 7th character.
The 7th character records the type of care given at the encounter being coded (ICD-10-CM Official Guidelines, Section I.C.19.a), so one encounter takes one of these, not both.
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 phalanx of unspecified toe, initial encounter for closed fracture is a billable ICD-10-CM diagnosis code (S99.299A).
Other physeal fracture of phalanx of unspecified toe, subsequent encounter for fracture with delayed healing is a billable ICD-10-CM diagnosis code (S99.299G).
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