S99.0
Physeal fracture of calcaneus
Clinical Classification Guidelines
7th Character Definition
The appropriate 7th character is to be added to each code from subcategories S99.0
Medical Intelligence & Overview
A physeal fracture of the calcaneus involves a break in the growth plate area of the heel bone. The calcaneus is the largest tarsal bone in the foot, forming the heel. This type of fracture typically affects children and adolescents whose growth plates are still open. Although less common than other foot fractures, a physeal fracture of the calcaneus requires careful diagnosis and management to ensure proper healing and avoid long-term complications.
Causes & Symptoms
Clinical Causes: High-impact injuries, such as falls from a height onto the heel Crush injuries to the heel Sports-related trauma involving direct blow or excessive force Motor vehicle accidents impacting the rear of the foot
Key Symptoms: Pain in the heel, especially when bearing weight Swelling and tenderness around the heel area Bruising visible over the heel Difficulty walking or standing Limited range of motion in the ankle and foot Possible deformity if the fracture is severe
Diagnostic & Treatment
Diagnosis Path: The diagnosis of a physeal fracture of the calcaneus involves a combination of clinical examination and imaging tests. Initial assessment includes evaluating the patient's history and physical findings. Imaging studies play a crucial role, with the following commonly used:
Treatment Protocols: Managing a physeal fracture of the calcaneus typically depends on the severity and displacement of the fracture. Common treatment options include:
Clinical Advice & FAQs
Billing Guidance
Is S99.0 a billable ICD-10 code?
Yes, S99.0 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S99.0?
Clinical documentation must specify the nature of Physeal fracture of calcaneus and any associated comorbidities for accurate reporting.
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