S99.109 ICD-10-CM Code: Unspecified physeal fracture of unspecified metatarsal
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for S99.109 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.
- burns and corrosions (T20-T32) Compare S99.109 vs T20 →
- fracture of ankle and malleolus (S82.-) Compare S99.109 vs S82 →
- frostbite (T33-T34) Compare S99.109 vs T33 →
- insect bite or sting, venomous (T63.4) Compare S99.109 vs T63.4 →
Change history
- FY2017 — 2016-10-01Added to the code setUnspecified physeal fracture of unspecified metatarsalFY2017 changes
Verify Before Coding
- Not billable as written — a more specific code is required: S99.109A, S99.109B, S99.109D, S99.109G, S99.109K.
- Requires a 7th character. "The appropriate 7th character is to be added to each code from subcategories S99.1" Options: S99.109A, S99.109B, S99.109D, S99.109G, S99.109K, S99.109P
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.
Contextual Map
Every relationship of S99.109 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]
- S90-S99 — Injuries to the ankle and foot [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
- S92.3 — Fracture of metatarsal bone(s) [Excludes2](via S99.1.-): “Physeal fracture of metatarsal (S99.1-)” · check together
Nearest codes (40)
- S99 — Other and unspecified injuries of ankle and foot [Sibling]
- S99.099P — Other physeal fracture of unspecified calcaneus, subsequent encounter for fracture with malunion [Sibling]
- S99.099S — Other physeal fracture of unspecified calcaneus, sequela [Sibling]
- S99.1 — Physeal fracture of metatarsal [Sibling]
- S99.10 — Unspecified physeal fracture of metatarsal [Sibling]
- S99.101 — Unspecified physeal fracture of right metatarsal [Sibling]
- S99.101A — Unspecified physeal fracture of right metatarsal, initial encounter for closed fracture [Sibling]
- S99.101B — Unspecified physeal fracture of right metatarsal, initial encounter for open fracture [Sibling]
- and 32 more
Change history
- FY2017 — Added to the code set [Change history]
Referenced by Other Codes
Official ICD-10-CM tabular notes on other codes that name S99.109 or its code family.
Frequently Asked Questions (FAQ) & Clinical Guidance
Can S99.109 be billed directly?
No. S99.109 (Unspecified physeal fracture of unspecified metatarsal) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Does S99.109 require a 7th character?
Yes. The appropriate 7th character is to be added to each code from subcategories S99.1.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to S99.109 in its code family, with their registry titles.
- S99.102D — Unspecified physeal fracture of left metatarsal, subsequent encounter for fracture with routine healing
- S99.102G — Unspecified physeal fracture of left metatarsal, subsequent encounter for fracture with delayed healing
- S99.102K — Unspecified physeal fracture of left metatarsal, subsequent encounter for fracture with nonunion
- S99.102P — Unspecified physeal fracture of left metatarsal, subsequent encounter for fracture with malunion
- S99.102S — Unspecified physeal fracture of left metatarsal, sequela
- S99.109A — Unspecified physeal fracture of unspecified metatarsal, initial encounter for closed fracture
- S99.109B — Unspecified physeal fracture of unspecified metatarsal, initial encounter for open fracture
- S99.109D — Unspecified physeal fracture of unspecified metatarsal, subsequent encounter for fracture with routine healing
- S99.109G — Unspecified physeal fracture of unspecified metatarsal, subsequent encounter for fracture with delayed healing
- S99.109K — Unspecified physeal fracture of unspecified metatarsal, subsequent encounter for fracture with nonunion