Skip to main content
ICD-10/S99.149

S99.149 ICD-10-CM Code: Salter-Harris Type IV 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

Salter-Harris Type IV physeal fracture of unspecified metatarsal is a non-billable ICD-10-CM category code (S99.149). A more specific billable subcode must be selected for claims submission.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S99.149 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.

Change history

  • FY2017 — 2016-10-01
    Added to the code set
    Salter-Harris Type IV physeal fracture of unspecified metatarsal
    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.

Contextual Map

Every relationship of S99.149 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]
  • S99.139K — Salter-Harris Type III physeal fracture of unspecified metatarsal, subsequent encounter for fracture with nonunion [Sibling]
  • S99.139P — Salter-Harris Type III physeal fracture of unspecified metatarsal, subsequent encounter for fracture with malunion [Sibling]
  • S99.139S — Salter-Harris Type III physeal fracture of unspecified metatarsal, sequela [Sibling]
  • S99.14 — Salter-Harris Type IV physeal fracture of metatarsal [Sibling]
  • S99.141 — Salter-Harris Type IV physeal fracture of right metatarsal [Sibling]
  • S99.141A — Salter-Harris Type IV physeal fracture of right metatarsal, initial encounter for closed fracture [Sibling]
  • S99.141B — Salter-Harris Type IV 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 S99.149 or its code family.

2 Excludes2 notes: S89 (via S99.-), S92.3 (via S99.1.-).

Frequently Asked Questions (FAQ) & Clinical Guidance

Can S99.149 be billed directly?

No. S99.149 (Salter-Harris Type IV 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 S99.149 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 S99.149 in its code family, with their registry titles.

  • S99.142D — Salter-Harris Type IV physeal fracture of left metatarsal, subsequent encounter for fracture with routine healing
  • S99.142G — Salter-Harris Type IV physeal fracture of left metatarsal, subsequent encounter for fracture with delayed healing
  • S99.142K — Salter-Harris Type IV physeal fracture of left metatarsal, subsequent encounter for fracture with nonunion
  • S99.142P — Salter-Harris Type IV physeal fracture of left metatarsal, subsequent encounter for fracture with malunion
  • S99.142S — Salter-Harris Type IV physeal fracture of left metatarsal, sequela
  • S99.149A — Salter-Harris Type IV physeal fracture of unspecified metatarsal, initial encounter for closed fracture
  • S99.149B — Salter-Harris Type IV physeal fracture of unspecified metatarsal, initial encounter for open fracture
  • S99.149D — Salter-Harris Type IV physeal fracture of unspecified metatarsal, subsequent encounter for fracture with routine healing
  • S99.149G — Salter-Harris Type IV physeal fracture of unspecified metatarsal, subsequent encounter for fracture with delayed healing
  • S99.149K — Salter-Harris Type IV physeal fracture of unspecified metatarsal, subsequent encounter for fracture with nonunion

View all codes in the S99 family