Version 2024

2024 ICD-10-CM Diagnosis Code S99.2

Physeal fracture of phalanx of toe

ICD-10-CM Code:
S99.2
ICD-10 Code for:
Physeal fracture of phalanx of toe
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Injury, poisoning and certain other consequences of external causes
    (S00–T88)
    • Injuries to the ankle and foot
      (S90-S99)
      • Other and unspecified injuries of ankle and foot
        (S99)

S99.2 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of physeal fracture of phalanx of toe. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding Applicable to Physeal fracture of phalanx of toe

Non-specific codes like S99.2 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for physeal fracture of phalanx of toe:

  • S99.20 for Unspecified physeal fracture of phalanx of toe - NON-BILLABLE CODE

  • S99.201 for Unspecified physeal fracture of phalanx of right toe - NON-BILLABLE CODE

  • Use S99.201A for initial encounter for closed fracture - BILLABLE CODE

  • Use S99.201B for initial encounter for open fracture - BILLABLE CODE

  • Use S99.201D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S99.201G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S99.201K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S99.201P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S99.201S for sequela - BILLABLE CODE

  • S99.202 for Unspecified physeal fracture of phalanx of left toe - NON-BILLABLE CODE

  • Use S99.202A for initial encounter for closed fracture - BILLABLE CODE

  • Use S99.202B for initial encounter for open fracture - BILLABLE CODE

  • Use S99.202D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S99.202G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S99.202K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S99.202P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S99.202S for sequela - BILLABLE CODE

  • S99.209 for Unspecified physeal fracture of phalanx of unspecified toe - NON-BILLABLE CODE

  • Use S99.209A for initial encounter for closed fracture - BILLABLE CODE

  • Use S99.209B for initial encounter for open fracture - BILLABLE CODE

  • Use S99.209D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S99.209G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S99.209K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S99.209P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S99.209S for sequela - BILLABLE CODE

  • S99.21 for Salter-Harris Type I physeal fracture of phalanx of toe - NON-BILLABLE CODE

  • S99.211 for Salter-Harris Type I physeal fracture of phalanx of right toe - NON-BILLABLE CODE

  • Use S99.211A for initial encounter for closed fracture - BILLABLE CODE

  • Use S99.211B for initial encounter for open fracture - BILLABLE CODE

  • Use S99.211D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S99.211G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S99.211K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S99.211P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S99.211S for sequela - BILLABLE CODE

  • S99.212 for Salter-Harris Type I physeal fracture of phalanx of left toe - NON-BILLABLE CODE

  • Use S99.212A for initial encounter for closed fracture - BILLABLE CODE

  • Use S99.212B for initial encounter for open fracture - BILLABLE CODE

  • Use S99.212D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S99.212G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S99.212K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S99.212P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S99.212S for sequela - BILLABLE CODE

  • S99.219 for Salter-Harris Type I physeal fracture of phalanx of unspecified toe - NON-BILLABLE CODE

  • Use S99.219A for initial encounter for closed fracture - BILLABLE CODE

  • Use S99.219B for initial encounter for open fracture - BILLABLE CODE

  • Use S99.219D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S99.219G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S99.219K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S99.219P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S99.219S for sequela - BILLABLE CODE

  • S99.22 for Salter-Harris Type II physeal fracture of phalanx of toe - NON-BILLABLE CODE

  • S99.221 for Salter-Harris Type II physeal fracture of phalanx of right toe - NON-BILLABLE CODE

  • Use S99.221A for initial encounter for closed fracture - BILLABLE CODE

  • Use S99.221B for initial encounter for open fracture - BILLABLE CODE

  • Use S99.221D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S99.221G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S99.221K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S99.221P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S99.221S for sequela - BILLABLE CODE

  • S99.222 for Salter-Harris Type II physeal fracture of phalanx of left toe - NON-BILLABLE CODE

  • Use S99.222A for initial encounter for closed fracture - BILLABLE CODE

  • Use S99.222B for initial encounter for open fracture - BILLABLE CODE

  • Use S99.222D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S99.222G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S99.222K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S99.222P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S99.222S for sequela - BILLABLE CODE

  • S99.229 for Salter-Harris Type II physeal fracture of phalanx of unspecified toe - NON-BILLABLE CODE

  • Use S99.229A for initial encounter for closed fracture - BILLABLE CODE

  • Use S99.229B for initial encounter for open fracture - BILLABLE CODE

  • Use S99.229D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S99.229G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S99.229K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S99.229P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S99.229S for sequela - BILLABLE CODE

  • S99.23 for Salter-Harris Type III physeal fracture of phalanx of toe - NON-BILLABLE CODE

  • S99.231 for Salter-Harris Type III physeal fracture of phalanx of right toe - NON-BILLABLE CODE

  • Use S99.231A for initial encounter for closed fracture - BILLABLE CODE

  • Use S99.231B for initial encounter for open fracture - BILLABLE CODE

  • Use S99.231D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S99.231G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S99.231K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S99.231P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S99.231S for sequela - BILLABLE CODE

  • S99.232 for Salter-Harris Type III physeal fracture of phalanx of left toe - NON-BILLABLE CODE

  • Use S99.232A for initial encounter for closed fracture - BILLABLE CODE

  • Use S99.232B for initial encounter for open fracture - BILLABLE CODE

  • Use S99.232D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S99.232G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S99.232K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S99.232P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S99.232S for sequela - BILLABLE CODE

  • S99.239 for Salter-Harris Type III physeal fracture of phalanx of unspecified toe - NON-BILLABLE CODE

  • Use S99.239A for initial encounter for closed fracture - BILLABLE CODE

  • Use S99.239B for initial encounter for open fracture - BILLABLE CODE

  • Use S99.239D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S99.239G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S99.239K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S99.239P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S99.239S for sequela - BILLABLE CODE

  • S99.24 for Salter-Harris Type IV physeal fracture of phalanx of toe - NON-BILLABLE CODE

  • S99.241 for Salter-Harris Type IV physeal fracture of phalanx of right toe - NON-BILLABLE CODE

  • Use S99.241A for initial encounter for closed fracture - BILLABLE CODE

  • Use S99.241B for initial encounter for open fracture - BILLABLE CODE

  • Use S99.241D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S99.241G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S99.241K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S99.241P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S99.241S for sequela - BILLABLE CODE

  • S99.242 for Salter-Harris Type IV physeal fracture of phalanx of left toe - NON-BILLABLE CODE

  • Use S99.242A for initial encounter for closed fracture - BILLABLE CODE

  • Use S99.242B for initial encounter for open fracture - BILLABLE CODE

  • Use S99.242D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S99.242G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S99.242K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S99.242P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S99.242S for sequela - BILLABLE CODE

  • S99.249 for Salter-Harris Type IV physeal fracture of phalanx of unspecified toe - NON-BILLABLE CODE

  • Use S99.249A for initial encounter for closed fracture - BILLABLE CODE

  • Use S99.249B for initial encounter for open fracture - BILLABLE CODE

  • Use S99.249D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S99.249G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S99.249K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S99.249P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S99.249S for sequela - BILLABLE CODE

  • S99.29 for Other physeal fracture of phalanx of toe - NON-BILLABLE CODE

  • S99.291 for Other physeal fracture of phalanx of right toe - NON-BILLABLE CODE

  • Use S99.291A for initial encounter for closed fracture - BILLABLE CODE

  • Use S99.291B for initial encounter for open fracture - BILLABLE CODE

  • Use S99.291D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S99.291G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S99.291K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S99.291P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S99.291S for sequela - BILLABLE CODE

  • S99.292 for Other physeal fracture of phalanx of left toe - NON-BILLABLE CODE

  • Use S99.292A for initial encounter for closed fracture - BILLABLE CODE

  • Use S99.292B for initial encounter for open fracture - BILLABLE CODE

  • Use S99.292D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S99.292G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S99.292K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S99.292P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S99.292S for sequela - BILLABLE CODE

  • S99.299 for Other physeal fracture of phalanx of unspecified toe - NON-BILLABLE CODE

  • Use S99.299A for initial encounter for closed fracture - BILLABLE CODE

  • Use S99.299B for initial encounter for open fracture - BILLABLE CODE

  • Use S99.299D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S99.299G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S99.299K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S99.299P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S99.299S for sequela - BILLABLE CODE

Coding Guidelines

The principles of multiple coding of injuries should be followed in coding fractures. Fractures of specified sites are coded individually by site nd the level of detail furnished by medical record content.

A fracture not indicated as open or closed should be coded to closed. A fracture not indicated whether displaced or not displaced should be coded to displaced.

Initial vs. Subsequent Encounter for Fractures

Traumatic fractures are coded using the appropriate 7th character for initial encounter (A, B, C) for each encounter where the patient is receiving active treatment for the fracture. The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.

Fractures are coded using the appropriate 7th character for subsequent care for encounters after the patient has completed active treatment of the fracture and is receiving routine care for the fracture during the healing or recovery phase.

Care for complications of surgical treatment for fracture repairs during the healing or recovery phase should be coded with the appropriate complication codes.

Care of complications of fractures, such as malunion and nonunion, should be reported with the appropriate 7th character for subsequent care with nonunion (K, M, N,) or subsequent care with malunion (P, Q, R).

Malunion/nonunion: The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.

The open fracture designations in the assignment of the 7th character for fractures of the forearm, femur and lower leg, including ankle are based on the Gustilo open fracture classification. When the Gustilo classification type is not specified for an open fracture, the 7th character for open fracture type I or II should be assigned (B, E, H, M, Q).

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


7th Character Note

7th Character Note
Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
  • The appropriate 7th character is to be added to each code from subcategories S99.2

7th Character

7th Character
Indicates that a seventh character is to be assigned to codes in a subcategory.
  • A - initial encounter for closed fracture
  • B - initial encounter for open fracture
  • D - subsequent encounter for fracture with routine healing
  • G - subsequent encounter for fracture with delayed healing
  • K - subsequent encounter for fracture with nonunion
  • P - subsequent encounter for fracture with malunion
  • S - sequela

Patient Education


Fractures

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.


[Learn More in MedlinePlus]

Toe Injuries and Disorders

Fourteen of the 26 bones in your feet are in your toes. The toes, particularly your big toe, help you move and keep your balance. Playing sports, running, stubbing your toe, and dropping something on your foot can damage your toes. Wearing shoes that are too loose or too tight can also cause toe problems. Certain diseases, such as severe arthritis, can cause toe problems and pain. Gout often causes pain in the big toe.

Common toe problems include :

  • Corns and bunions
  • Ingrown toenails
  • Sprains and dislocations
  • Fractures (broken bones)

Treatments for toe injuries and disorders vary. They might include shoe inserts or special shoes, padding, taping, medicines, rest, and in severe cases, surgery.


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018