S99.149A Salter-Harris Type IV physeal fracture of unspecified metatarsal, initial encounter for closed fracture

Billable ICD-10-CM code, FY2026.

Built from S99.149 with 7th character A (initial encounter for closed fracture).

Applies from S99.1 Physeal fracture of metatarsal

7th character note

• The appropriate 7th character is to be added to each code from subcategories S99.1

7th character required

• 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

Code annotations containing back-references to S99.149A

Back-references to S99.1

• Type 2 Excludes: S92.3 Fracture of metatarsal bone(s) ("Physeal fracture of metatarsal (S99.1-)")

Back-references to S99

• Type 2 Excludes: S89 Other and unspecified injuries of lower leg ("other and unspecified injuries of ankle and foot (S99.-)")

Nearby codes

• S99.142G Salter-Harris Type IV physeal fracture of left metatarsal, subsequent encounter for fracture with delayed healing
• S99.142K Salter-Harris Type IV physeal fracture of left metatarsal, subsequent encounter for fracture with nonunion
• S99.142P Salter-Harris Type IV physeal fracture of left metatarsal, subsequent encounter for fracture with malunion
• S99.142S Salter-Harris Type IV physeal fracture of left metatarsal, sequela
• S99.149 Salter-Harris Type IV physeal fracture of unspecified metatarsal
• S99.149A Salter-Harris Type IV physeal fracture of unspecified metatarsal, initial encounter for closed fracture (this code)
• S99.149B Salter-Harris Type IV physeal fracture of unspecified metatarsal, initial encounter for open fracture
• S99.149D Salter-Harris Type IV physeal fracture of unspecified metatarsal, subsequent encounter for fracture with routine healing
• S99.149G Salter-Harris Type IV physeal fracture of unspecified metatarsal, subsequent encounter for fracture with delayed healing
• S99.149K Salter-Harris Type IV physeal fracture of unspecified metatarsal, subsequent encounter for fracture with nonunion
• S99.149P Salter-Harris Type IV physeal fracture of unspecified metatarsal, subsequent encounter for fracture with malunion