ICD-10 Code S99.109G

Unspecified physeal fracture of unspecified metatarsal, subsequent encounter for fracture with delayed healing

Version 2019 Billable Code POA Exempt
ICD-10: S99.109G
Short Description:Unspecified physeal fracture of unspecified metatarsal, 7thG
Long Description:Unspecified physeal fracture of unspecified metatarsal, subsequent encounter for fracture with delayed healing

Valid for Submission

ICD-10 S99.109G is a billable code used to specify a medical diagnosis of unspecified physeal fracture of unspecified metatarsal, subsequent encounter for fracture with delayed healing. The code is valid for the year 2019 for the submission of HIPAA-covered transactions.

Code Classification

  • Injury, poisoning and certain other consequences of external causes (S00–T98)
    • Injuries to the ankle and foot (S90-S99)
      • Other and unspecified injuries of ankle and foot (S99)

Information for Medical Professionals

Convert S99.109G to ICD-9

The following crosswalk between ICD-10 to ICD-9 is based based on the General Equivalence Mappings (GEMS) information:

  • V54.16 - Aftrcre traum fx low leg (Approximate Flag)

Present on Admission (POA)

S99.109G is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.

CMS POA Indicator Options and Definitions
POA Indicator CodePOA Reason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Replacement Code

S99109G replaces the following previously assigned ICD-10 code(s):

  • S92.009G - Unsp fracture of unsp calcaneus, subs for fx w delay heal

Information for Patients


Foot Injuries and Disorders

Each of your feet has 26 bones, 33 joints, and more than 100 tendons, muscles, and ligaments. No wonder a lot of things can go wrong. Here are a few common problems:

  • Bunions - hard, painful bumps on the big toe joint
  • Corns and calluses - thickened skin from friction or pressure
  • Plantar warts - warts on the soles of your feet
  • Fallen arches - also called flat feet

Ill-fitting shoes often cause these problems. Aging and being overweight also increase your chances of having foot problems.

  • Claw foot (Medical Encyclopedia)
  • Clubfoot (Medical Encyclopedia)
  • Common peroneal nerve dysfunction (Medical Encyclopedia)
  • Extremity x-ray (Medical Encyclopedia)
  • Flat feet (Medical Encyclopedia)
  • Foot pain (Medical Encyclopedia)
  • Foot sprain - aftercare (Medical Encyclopedia)
  • Foot, leg, and ankle swelling (Medical Encyclopedia)
  • Hand or foot spasms (Medical Encyclopedia)
  • High arch (Medical Encyclopedia)
  • Metatarsal fracture (acute) - aftercare (Medical Encyclopedia)
  • Metatarsal stress fractures - aftercare (Medical Encyclopedia)
  • Metatarsus adductus (Medical Encyclopedia)
  • Morton neuroma (Medical Encyclopedia)

[Learn More]

Fractures

Also called: Broken bone

A fracture is a break, usually in a bone. If the broken bone punctures the skin, it is called an open or compound fracture. Fractures commonly happen because of car accidents, falls, or sports injuries. Other causes are low bone density and osteoporosis, which cause weakening of the bones. Overuse can cause stress fractures, which are very small cracks in the bone.

Symptoms of a fracture are

  • Intense pain
  • Deformity - the limb looks out of place
  • Swelling, bruising, or tenderness around the injury
  • Numbness and tingling
  • Problems moving a limb

You need to get medical care right away for any fracture. An x-ray can tell if your bone is broken. You may need to wear a cast or splint. Sometimes you need surgery to put in plates, pins or screws to keep the bone in place.

  • Broken bone (Medical Encyclopedia)
  • Closed reduction of a fractured bone (Medical Encyclopedia)
  • Closed reduction of a fractured bone - aftercare (Medical Encyclopedia)

[Learn More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.