Skip to main content

S99.09 ICD-10-CM Code: Other physeal fracture of calcaneus

Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Official Registry Overview & Definition

Other physeal fracture of calcaneus is a non-billable ICD-10-CM category code (S99.09). A more specific billable subcode must be selected for claims submission.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S99.09 in the official ICD-10-CM tabular list.

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Frequently Compared Codes

The official Excludes notes on S99.09 name these codes. Each comparison page covers when the two can — or must not — be reported together.

Change history

  • FY2017 — 2016-10-01
    Added to the code set
    Other physeal fracture of calcaneus
    FY2017 changes

Verify Before Coding

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.

Relationships & Classification

Official ICD-10-CM tabular notes on other codes that name S99.09 or its code family.

2 Excludes2 notes: S89 (via S99.-), S92.0 (via S99.0.-).

Contextual Map

Every relationship of S99.09 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Hierarchy

  • S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88) [Hierarchy]

Referenced by Excludes2 notes

  • S89 — Other and unspecified injuries of lower leg [Excludes2](via S99.-): “other and unspecified injuries of ankle and foot (S99.-)” · check together
  • S92.0 — Fracture of calcaneus [Excludes2](via S99.0.-): “Physeal fracture of calcaneus (S99.0-)” · check together

Nearest codes (40)

  • S99 — Other and unspecified injuries of ankle and foot [Sibling]
  • S99.041G — Salter-Harris Type IV physeal fracture of right calcaneus, subsequent encounter for fracture with delayed healing [Sibling]
  • S99.041K — Salter-Harris Type IV physeal fracture of right calcaneus, subsequent encounter for fracture with nonunion [Sibling]
  • S99.041P — Salter-Harris Type IV physeal fracture of right calcaneus, subsequent encounter for fracture with malunion [Sibling]
  • S99.041S — Salter-Harris Type IV physeal fracture of right calcaneus, sequela [Sibling]
  • S99.042 — Salter-Harris Type IV physeal fracture of left calcaneus [Sibling]
  • S99.042A — Salter-Harris Type IV physeal fracture of left calcaneus, initial encounter for closed fracture [Sibling]
  • S99.042B — Salter-Harris Type IV physeal fracture of left calcaneus, initial encounter for open fracture [Sibling]
  • and 32 more

Change history

  • FY2017 — Added to the code set [Change history]

Frequently Asked Questions (FAQ) & Clinical Guidance

Can S99.09 be billed directly?

No. S99.09 (Other physeal fracture of calcaneus) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Does S99.09 require a 7th character?

Yes. The appropriate 7th character is to be added to each code from subcategories S99.0.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to S99.09 in its code family, with their registry titles.

  • S99.049D — Salter-Harris Type IV physeal fracture of unspecified calcaneus, subsequent encounter for fracture with routine healing
  • S99.049G — Salter-Harris Type IV physeal fracture of unspecified calcaneus, subsequent encounter for fracture with delayed healing
  • S99.049K — Salter-Harris Type IV physeal fracture of unspecified calcaneus, subsequent encounter for fracture with nonunion
  • S99.049P — Salter-Harris Type IV physeal fracture of unspecified calcaneus, subsequent encounter for fracture with malunion
  • S99.049S — Salter-Harris Type IV physeal fracture of unspecified calcaneus, sequela
  • S99.091 — Other physeal fracture of right calcaneus
  • S99.091A — Other physeal fracture of right calcaneus, initial encounter for closed fracture
  • S99.091B — Other physeal fracture of right calcaneus, initial encounter for open fracture
  • S99.091D — Other physeal fracture of right calcaneus, subsequent encounter for fracture with routine healing
  • S99.091G — Other physeal fracture of right calcaneus, subsequent encounter for fracture with delayed healing

View all codes in the S99 family