S99.119
Salter-Harris Type I physeal fracture of unspecified metatarsal
Clinical Classification Guidelines
Medical Intelligence & Overview
A Salter-Harris Type I physeal fracture occurs through the growth plate (physis) of a bone. When this type affects an unspecified metatarsal—the long bones in the foot—it is classified under ICD-10 code S99.119. These fractures are common in children and adolescents whose growth plates haven’t yet fused and can result from trauma or twisting injuries. Recognizing and understanding this injury can help in seeking appropriate treatment and ensuring proper recovery.
Causes & Symptoms
Clinical Causes: Sports injuries, especially from running, jumping, or twisting maneuvers Falls or direct impacts to the foot Accidental trauma during physical activities or accidents Overuse or repetitive stress in young athletes Sudden twisting or pivoting movements Inappropriate footwear or footwear that does not support the foot properly
Key Symptoms: Pain localized at the top or side of the affected foot Swelling around the affected area Tenderness when touching the foot or trying to move it Limited range of movement in the toes or foot Possible bruising or discoloration Difficulty bearing weight or walking comfortably
Diagnostic & Treatment
Diagnosis Path: Diagnosis typically involves a physical examination by a healthcare professional, focusing on swelling, tenderness, and movement restrictions. To confirm the type and location of the fracture, imaging tests such as X-rays are essential. These images help identify the fracture through the growth plate, which distinguishes a Salter-Harris Type I injury from other types.
Treatment Protocols: Immobilization with a cast or splint to keep the bone in place during healing Rest and elevation of the foot to reduce swelling Use of crutches to avoid putting weight on the affected foot Pain management with over-the-counter medications as recommended by a healthcare provider Monitoring of healing process through follow-up examinations and imaging In some cases, surgical intervention might be necessary if the fracture is displaced or does not heal properly, although it's less common for Type I fractures
Clinical Advice & FAQs
Billing Guidance
Is S99.119 a billable ICD-10 code?
Yes, S99.119 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S99.119?
Clinical documentation must specify the nature of Salter-Harris Type I physeal fracture of unspecified metatarsal and any associated comorbidities for accurate reporting.
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