2026 ICD-10-CM Diagnosis Code S99.139KSalter-Harris Type III physeal fracture of unspecified metatarsal, subsequent encounter for fracture with nonunion
S99.139K is a billable ICD-10-CM diagnosis code for Salter-Harris Type III physeal fracture of unspecified metatarsal, subsequent encounter for fracture with nonunion. The 7th character K reports a subsequent encounter for a fracture that has failed to heal, called a nonunion. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 949 through 950. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Fracture of lower limb (except hip), subsequent encounter.
Code Identity
Code Classification
Present on Admission (POA)Billing
S99.139K is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.
Coding GuidelinesGuidance
The principles of multiple coding of injuries should be followed in coding fractures. Fractures of specified sites are coded individually by site, to 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) while 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).
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).
Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2026, published by CMS and the National Center for Health Statistics.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
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:
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert S99.139K to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code History & ChangesHistory
Replacement S99.139K replaces the following previously assigned code(s):
- S92.009K - Unsp fracture of unsp calcaneus, subs for fx w nonunion
Questions About S99.139KOverview
Is S99.139K a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report Salter-Harris Type III physeal fracture of unspecified metatarsal, subsequent encounter for fracture with nonunion on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character K in S99.139K mean?
The final character K reports a subsequent encounter where the Salter-Harris Type III physeal fracture of unspecified metatarsal has failed to heal, called a nonunion.
What MS-DRG does S99.139K group to?
When Salter-Harris Type III physeal fracture of unspecified metatarsal, subsequent encounter for fracture with nonunion is the principal diagnosis on an inpatient stay, it groups to MS-DRG 949, 950, with relative weights from 0.6277 to 1.1897 depending on complications. Higher weights mean higher Medicare reimbursement.
Is S99.139K exempt from POA reporting?
Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for Salter-Harris Type III physeal fracture of unspecified metatarsal, subsequent encounter for fracture with nonunion on inpatient claims.
What is the ICD-9 equivalent of S99.139K?
Under the General Equivalence Mappings, Salter-Harris Type III physeal fracture of unspecified metatarsal, subsequent encounter for fracture with nonunion converts to ICD-9-CM 733.82 (nonunion of fracture). The mapping is approximate, so confirm the match fits the documentation.
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.
