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S99.202 ICD-10-CM Code: Unspecified physeal fracture of phalanx of left toe

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

Official Registry Overview & Definition

Unspecified physeal fracture of phalanx of left toe is a non-billable ICD-10-CM category code (S99.202). A more specific billable subcode must be selected for claims submission.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S99.202 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 S99.202 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
    Unspecified physeal fracture of phalanx of left toe
    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 S99.202 or its code family.

3 Excludes2 notes: S89 (via S99.-), S92.4 (via S99.2.-), S92.5 (via S99.2.-).

Contextual Map

Every relationship of S99.202 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
  • S92.4 — Fracture of great toe [Excludes2](via S99.2.-): “Physeal fracture of phalanx of toe (S99.2-)” · check together
  • S92.5 — Fracture of lesser toe(s) [Excludes2](via S99.2.-): “Physeal fracture of phalanx of toe (S99.2-)” · check together

Nearest codes (40)

  • S99 — Other and unspecified injuries of ankle and foot [Sibling]
  • S99.192P — Other physeal fracture of left metatarsal, subsequent encounter for fracture with malunion [Sibling]
  • S99.192S — Other physeal fracture of left metatarsal, sequela [Sibling]
  • S99.199 — Other physeal fracture of unspecified metatarsal [Sibling]
  • S99.199A — Other physeal fracture of unspecified metatarsal, initial encounter for closed fracture [Sibling]
  • S99.199B — Other physeal fracture of unspecified metatarsal, initial encounter for open fracture [Sibling]
  • S99.199D — Other physeal fracture of unspecified metatarsal, subsequent encounter for fracture with routine healing [Sibling]
  • S99.199G — Other physeal fracture of unspecified metatarsal, subsequent encounter for fracture with delayed healing [Sibling]
  • and 32 more

Change history

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

Frequently Asked Questions (FAQ) & Clinical Guidance

Can S99.202 be billed directly?

No. S99.202 (Unspecified physeal fracture of phalanx of left toe) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Does S99.202 require a 7th character?

Yes. The appropriate 7th character is to be added to each code from subcategories S99.2.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to S99.202 in its code family, with their registry titles.

  • S99.201D — Unspecified physeal fracture of phalanx of right toe, subsequent encounter for fracture with routine healing
  • S99.201G — Unspecified physeal fracture of phalanx of right toe, subsequent encounter for fracture with delayed healing
  • S99.201K — Unspecified physeal fracture of phalanx of right toe, subsequent encounter for fracture with nonunion
  • S99.201P — Unspecified physeal fracture of phalanx of right toe, subsequent encounter for fracture with malunion
  • S99.201S — Unspecified physeal fracture of phalanx of right toe, sequela
  • S99.202A — Unspecified physeal fracture of phalanx of left toe, initial encounter for closed fracture
  • S99.202B — Unspecified physeal fracture of phalanx of left toe, initial encounter for open fracture
  • S99.202D — Unspecified physeal fracture of phalanx of left toe, subsequent encounter for fracture with routine healing
  • S99.202G — Unspecified physeal fracture of phalanx of left toe, subsequent encounter for fracture with delayed healing
  • S99.202K — Unspecified physeal fracture of phalanx of left toe, subsequent encounter for fracture with nonunion

View all codes in the S99 family