S89.099S

S89.099S: Other physeal fracture of upper end of unspecified tibia, sequela

Billable / specific codeICD-10-CMPOA exempt

S89.099S is a billable, specific ICD-10-CM code for other physeal fracture of upper end of unspecified tibia, sequela. It is valid for submission on a claim.

Check S89.099S 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 S89.0, S89.1, S89.2, and S89.3

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

Excludes2 inherited from the categories above S89.099S

Not part of this code, but both may be coded when both are present.

Written on S89: Other and unspecified injuries of lower leg

other and unspecified injuries of ankle and foot (S99.-)

Risk adjustment

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

Medicare coverage

S89.099S is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A53064Billing and Coding: Outpatient Occupational Therapy

Code history

Unchanged in every release from FY2024 to FY2027.