S99.111
Salter-Harris Type I physeal fracture of right metatarsal
Clinical Classification Guidelines
Medical Intelligence & Overview
A Salter-Harris Type I physeal fracture of the right metatarsal is a specific type of injury affecting the growth plate area of one of the long bones in the foot. This injury involves a fracture that passes through the growth plate (physis) of the metatarsal, which are the long bones connecting the toes to the midfoot. Although this type of fracture often occurs in children and adolescents, recognizing the injury early is crucial for proper management and healing.
Causes & Symptoms
Clinical Causes: Trauma or direct injury, such as dropping heavy objects on the foot Sports injuries, especially involving twisting or impact during activities like running or jumping Falls or accidents that involve a sudden force to the foot Twisting injuries caused by missteps or awkward landings
Key Symptoms: Sudden pain in the affected area of the foot, especially over the metatarsal Swelling around the wounded site Tenderness when touching the affected area Bruising may appear on the foot Difficulty in walking or putting weight on the affected foot Possible deformity or misalignment of the toe or foot if the injury is severe
Diagnostic & Treatment
Diagnosis Path: Diagnosing a Salter-Harris Type I fracture often involves a physical examination to assess swelling, tenderness, and range of motion. Imaging studies, particularly X-rays, are essential to confirm the presence of the fracture and to determine its exact location and severity. Since growth plate injuries can sometimes be subtle on X-ray images, additional imaging or follow-up scans may be necessary for a definitive diagnosis.
Treatment Protocols: Immobilization of the foot with a cast or walking boot to keep the bone stable while healing Elevation and rest to reduce swelling and pain Pain management with over-the-counter medications as advised by a healthcare professional In some cases, minor procedures or adjustments may be necessary if the fracture causes misalignment Monitoring of growth and healing through follow-up visits and X-rays to ensure proper recovery
Clinical Advice & FAQs
Billing Guidance
Is S99.111 a billable ICD-10 code?
Yes, S99.111 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S99.111?
Clinical documentation must specify the nature of Salter-Harris Type I physeal fracture of right metatarsal and any associated comorbidities for accurate reporting.
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