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ICD-10/S99.242

S99.242 ICD-10-CM Code: Salter-Harris Type IV 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

Salter-Harris Type IV physeal fracture of phalanx of left toe is a non-billable ICD-10-CM category code (S99.242). A more specific billable subcode must be selected for claims submission.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S99.242 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 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.

Contextual Map

Every relationship of S99.242 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]
  • S99.232K — Salter-Harris Type III physeal fracture of phalanx of left toe, subsequent encounter for fracture with nonunion [Sibling]
  • S99.232P — Salter-Harris Type III physeal fracture of phalanx of left toe, subsequent encounter for fracture with malunion [Sibling]
  • S99.232S — Salter-Harris Type III physeal fracture of phalanx of left toe, sequela [Sibling]
  • S99.239 — Salter-Harris Type III physeal fracture of phalanx of unspecified toe [Sibling]
  • S99.239A — Salter-Harris Type III physeal fracture of phalanx of unspecified toe, initial encounter for closed fracture [Sibling]
  • S99.239B — Salter-Harris Type III physeal fracture of phalanx of unspecified toe, initial encounter for open fracture [Sibling]
  • S99.239D — Salter-Harris Type III physeal fracture of phalanx of unspecified toe, subsequent encounter for fracture with routine healing [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 S99.242 or its code family.

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

Frequently Asked Questions (FAQ) & Clinical Guidance

Can S99.242 be billed directly?

No. S99.242 (Salter-Harris Type IV 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 S99.242 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 S99.242 in its code family, with their registry titles.

  • S99.241D — Salter-Harris Type IV physeal fracture of phalanx of right toe, subsequent encounter for fracture with routine healing
  • S99.241G — Salter-Harris Type IV physeal fracture of phalanx of right toe, subsequent encounter for fracture with delayed healing
  • S99.241K — Salter-Harris Type IV physeal fracture of phalanx of right toe, subsequent encounter for fracture with nonunion
  • S99.241P — Salter-Harris Type IV physeal fracture of phalanx of right toe, subsequent encounter for fracture with malunion
  • S99.241S — Salter-Harris Type IV physeal fracture of phalanx of right toe, sequela
  • S99.242A — Salter-Harris Type IV physeal fracture of phalanx of left toe, initial encounter for closed fracture
  • S99.242B — Salter-Harris Type IV physeal fracture of phalanx of left toe, initial encounter for open fracture
  • S99.242D — Salter-Harris Type IV physeal fracture of phalanx of left toe, subsequent encounter for fracture with routine healing
  • S99.242G — Salter-Harris Type IV physeal fracture of phalanx of left toe, subsequent encounter for fracture with delayed healing
  • S99.242K — Salter-Harris Type IV physeal fracture of phalanx of left toe, subsequent encounter for fracture with nonunion

View all codes in the S99 family