S99.1
Header — not billablePhyseal fracture of metatarsal
The ICD-10 code for physeal fracture of metatarsal is S99.1.
S99.1 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 6 more specific codes below.
Clinical notes
7th character definitions
These definitions specify what each valid 7th-character value means for codes in this category.
- [object Object]
7th character note
This category requires a 7th character to indicate additional clinical detail (e.g. encounter type: initial, subsequent, sequela). The code is incomplete without it.
- The appropriate 7th character is to be added to each code from subcategories S99.1
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •This is a non-billable header code. Documentation must support a more specific child code before this diagnosis can be reported on a claim.
- •This category requires a 7th character. Documentation should clearly indicate the episode of care (initial encounter, subsequent encounter, or sequela).
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Child codes under S99.1
- S99.10Unspecified physeal fracture of metatarsalnon-billable header
- S99.11Salter-Harris Type I physeal fracture of metatarsalnon-billable header
- S99.12Salter-Harris Type II physeal fracture of metatarsalnon-billable header
- S99.13Salter-Harris Type III physeal fracture of metatarsalnon-billable header
- S99.14Salter-Harris Type IV physeal fracture of metatarsalnon-billable header
- S99.19Other physeal fracture of metatarsalnon-billable header