S99.091B
S99.091B: Other physeal fracture of right calcaneus, initial encounter for open fracture
Billable / specific codeICD-10-CMright
S99.091B is a billable, specific ICD-10-CM code for other physeal fracture of right calcaneus, initial encounter for open fracture. It is valid for submission on a claim.
Check S99.091B with the rest of the claim: free scrubber7th character "B": initial encounter for open fracture
The appropriate 7th character is to be added to each code from subcategories S99.0
- 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
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
S99.091B is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A54767Billing and Coding: Medicare Preventive Coverage for Certain Vaccines
- A56900Billing and Coding: Immunizations
- A58872Billing and Coding: Tetanus Immunization
- A58873Billing and Coding: Tetanus Immunization
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S99.091
- S99.091AOther physeal fracture of right calcaneus, initial encounter for closed fracture
- S99.091DOther physeal fracture of right calcaneus, subsequent encounter for fracture with routine healing
- S99.091GOther physeal fracture of right calcaneus, subsequent encounter for fracture with delayed healing
- S99.091KOther physeal fracture of right calcaneus, subsequent encounter for fracture with nonunion
- S99.091POther physeal fracture of right calcaneus, subsequent encounter for fracture with malunion
- S99.091SOther physeal fracture of right calcaneus, sequela