S99.209A
S99.209A — Unspecified physeal fracture of phalanx of unspecified toe, initial encounter for closed fracture
Billable / specific codeICD-10-CM
S99.209A is a billable, specific ICD-10-CM code for unspecified physeal fracture of phalanx of unspecified toe, initial encounter for closed fracture. It is valid for submission on a claim.
7th character "A" — initial encounter for closed fracture
The appropriate 7th character is to be added to each code from subcategories S99.2
- 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
S99.209A does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Related codes at this level
Codes that share S99.209. If S99.209A is not quite right, the correct code is usually one of these.
- S99.209BUnspecified physeal fracture of phalanx of unspecified toe, initial encounter for open fracture
- S99.209DUnspecified physeal fracture of phalanx of unspecified toe, subsequent encounter for fracture with routine healing
- S99.209GUnspecified physeal fracture of phalanx of unspecified toe, subsequent encounter for fracture with delayed healing
- S99.209KUnspecified physeal fracture of phalanx of unspecified toe, subsequent encounter for fracture with nonunion
- S99.209PUnspecified physeal fracture of phalanx of unspecified toe, subsequent encounter for fracture with malunion
- S99.209SUnspecified physeal fracture of phalanx of unspecified toe, sequela
Questions about S99.209A
- Is S99.209A a billable ICD-10-CM code?
- Yes. S99.209A is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S99.209A sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the ankle and foot (S90-S99).