S99.212S
S99.212S — Salter-Harris Type I physeal fracture of phalanx of left toe, sequela
Billable / specific codeICD-10-CMPOA exemptleft
S99.212S is a billable, specific ICD-10-CM code for salter-harris type i physeal fracture of phalanx of left toe, sequela. It is valid for submission on a claim.
7th character "S" — sequela
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
S99.212S 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.
Medicare coverage
S99.212S is named in 4 Medicare coverage policies — 4 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A53057Billing and Coding: Home Health Occupational Therapy
- A53058Billing and Coding: Home Health Physical Therapy
- A53064Billing and Coding: Outpatient Occupational Therapy
- A53065Billing and Coding: Outpatient Physical Therapy
Related codes at this level
Codes that share S99.212. If S99.212S is not quite right, the correct code is usually one of these.
- S99.212ASalter-Harris Type I physeal fracture of phalanx of left toe, initial encounter for closed fracture
- S99.212BSalter-Harris Type I physeal fracture of phalanx of left toe, initial encounter for open fracture
- S99.212DSalter-Harris Type I physeal fracture of phalanx of left toe, subsequent encounter for fracture with routine healing
- S99.212GSalter-Harris Type I physeal fracture of phalanx of left toe, subsequent encounter for fracture with delayed healing
- S99.212KSalter-Harris Type I physeal fracture of phalanx of left toe, subsequent encounter for fracture with nonunion
- S99.212PSalter-Harris Type I physeal fracture of phalanx of left toe, subsequent encounter for fracture with malunion
Questions about S99.212S
- Is S99.212S a billable ICD-10-CM code?
- Yes. S99.212S is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does S99.212S 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).