S79.099S

S79.099S: Other physeal fracture of upper end of unspecified femur, sequela

Billable / specific codeICD-10-CMPOA exempt

S79.099S is a billable, specific ICD-10-CM code for other physeal fracture of upper end of unspecified femur, sequela. It is valid for submission on a claim.

Check S79.099S with the rest of the claim: free scrubber

7th character "S": sequela

The appropriate 7th character is to be added to each code from subcategories S79.0 and S79.1

A: initial encounter for closed 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

Excludes1 inherited from the categories above S79.099S

A category’s note binds every code beneath it.

Written on S79.0: Physeal fracture of upper end of femur

apophyseal fracture of upper end of femur (S72.13-)
nontraumatic slipped upper femoral epiphysis (M93.0-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

S79.099S is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A53064Billing and Coding: Outpatient Occupational Therapy
A57765Billing and Coding: Major Joint Replacement (Hip and Knee)

Code history

Unchanged in every release from FY2024 to FY2027.