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S99.219S ICD-10-CM Code: Salter-Harris Type I physeal fracture of phalanx of unspecified toe, sequela

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Inpatient Payment Groups (MS-DRG)

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.

  • MS-DRG 913 — TRAUMATIC INJURY WITH MCC (MDC 21)
  • MS-DRG 914 — TRAUMATIC INJURY WITHOUT MCC (MDC 21)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Official Registry Overview & Definition

Salter-Harris Type I physeal fracture of phalanx of unspecified toe, sequela is a billable ICD-10-CM diagnosis code (S99.219S).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S99.219S 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 S99.219S 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
    Salter-Harris Type I physeal fracture of phalanx of unspecified toe, sequela
    FY2017 changes

Verify Before Coding

  • No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.

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 S99.219S or its code family.

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

Potential MS-DRG Relationships (FY2026)

Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.

Named in the grouper logic of 2 MS-DRGs: DRG 913 (MDC 21), DRG 914 (MDC 21).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):INJ073 — Injury, sequela (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Contextual Map

Every relationship of S99.219S 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

Clinical classification (CCSR)

  • INJ073 — Injury, sequela [CCSR]

Potential MS-DRG

  • DRG 913 — TRAUMATIC INJURY WITH MCC [MS-DRG]: “TRAUMATIC INJURY WITH MCC (MDC 21)”
  • DRG 914 — TRAUMATIC INJURY WITHOUT MCC [MS-DRG]: “TRAUMATIC INJURY WITHOUT MCC (MDC 21)”

MDC crossing · procedures (32029)

  • MDC 21 — Injuries, Poisonings and Toxic Effects of Drugs [MDC crossing]: “Injuries, Poisonings and Toxic Effects of Drugs — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
  • 0016070 — Bypass Cerebral Ventricle to Nasopharynx with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Nasopharynx with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
  • 0016071 — Bypass Cerebral Ventricle to Mastoid Sinus with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Mastoid Sinus with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
  • 0016072 — Bypass Cerebral Ventricle to Atrium with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Atrium with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
  • 0016073 — Bypass Cerebral Ventricle to Blood Vessel with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Blood Vessel with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
  • 0016074 — Bypass Cerebral Ventricle to Pleural Cavity with Autologous Tissue Substitute, Open Approach [Same-MDC procedure]: “Bypass Cerebral Ventricle to Pleural Cavity with Autologous Tissue Substitute, Open Approach — grouped in MDC 21, the procedure side of this code's crossing.” · check together
  • and 32024 more

Nearest codes (40)

  • S99 — Other and unspecified injuries of ankle and foot [Sibling]
  • S99.211D — Salter-Harris Type I physeal fracture of phalanx of right toe, subsequent encounter for fracture with routine healing [Sibling]
  • S99.211G — Salter-Harris Type I physeal fracture of phalanx of right toe, subsequent encounter for fracture with delayed healing [Sibling]
  • S99.211K — Salter-Harris Type I physeal fracture of phalanx of right toe, subsequent encounter for fracture with nonunion [Sibling]
  • S99.211P — Salter-Harris Type I physeal fracture of phalanx of right toe, subsequent encounter for fracture with malunion [Sibling]
  • S99.211S — Salter-Harris Type I physeal fracture of phalanx of right toe, sequela [Sibling]
  • S99.212 — Salter-Harris Type I physeal fracture of phalanx of left toe [Sibling]
  • S99.212A — Salter-Harris Type I physeal fracture of phalanx of left toe, initial encounter for closed fracture [Sibling]
  • and 32 more

Change history

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

Frequently Asked Questions (FAQ) & Clinical Guidance

Does S99.219S 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 S99.219S in its code family, with their registry titles.

  • S99.219B — Salter-Harris Type I physeal fracture of phalanx of unspecified toe, initial encounter for open fracture
  • S99.219D — Salter-Harris Type I physeal fracture of phalanx of unspecified toe, subsequent encounter for fracture with routine healing
  • S99.219G — Salter-Harris Type I physeal fracture of phalanx of unspecified toe, subsequent encounter for fracture with delayed healing
  • S99.219K — Salter-Harris Type I physeal fracture of phalanx of unspecified toe, subsequent encounter for fracture with nonunion
  • S99.219P — Salter-Harris Type I physeal fracture of phalanx of unspecified toe, subsequent encounter for fracture with malunion
  • S99.22 — Salter-Harris Type II physeal fracture of phalanx of toe
  • S99.221 — Salter-Harris Type II physeal fracture of phalanx of right toe
  • S99.221A — Salter-Harris Type II physeal fracture of phalanx of right toe, initial encounter for closed fracture
  • S99.221B — Salter-Harris Type II physeal fracture of phalanx of right toe, initial encounter for open fracture
  • S99.221D — Salter-Harris Type II physeal fracture of phalanx of right toe, subsequent encounter for fracture with routine healing

View all codes in the S99 family