S99.192D
S99.192D: Other physeal fracture of left metatarsal, subsequent encounter for fracture with routine healing
Billable / specific codeICD-10-CMPOA exemptleft
S99.192D is a billable, specific ICD-10-CM code for other physeal fracture of left metatarsal, subsequent encounter for fracture with routine healing. It is valid for submission on a claim.
Check S99.192D with the rest of the claim: free scrubber7th character "D": subsequent encounter for fracture with routine healing
The appropriate 7th character is to be added to each code from subcategories S99.1
- 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
S99.192D is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53058Billing and Coding: Home Health Physical Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under S99.192
- S99.192AOther physeal fracture of left metatarsal, initial encounter for closed fracture
- S99.192BOther physeal fracture of left metatarsal, initial encounter for open fracture
- S99.192GOther physeal fracture of left metatarsal, subsequent encounter for fracture with delayed healing
- S99.192KOther physeal fracture of left metatarsal, subsequent encounter for fracture with nonunion
- S99.192POther physeal fracture of left metatarsal, subsequent encounter for fracture with malunion
- S99.192SOther physeal fracture of left metatarsal, sequela