S99.032
Salter-Harris Type III physeal fracture of left calcaneus
Clinical Classification Guidelines
Medical Intelligence & Overview
A Salter-Harris Type III physeal fracture of the left calcaneus is a specific type of break involving the growth plate (physis) of the heel bone (calcaneus) in children or adolescents. Such injuries typically occur due to trauma or falls and require careful diagnosis to ensure proper healing. Recognizing this fracture is important for managing the growth and function of the heel bone as the child ages.
Causes & Symptoms
Clinical Causes: Falls onto the heel during sports or accidental falls High-impact trauma, such as car accidents Sports injuries involving sudden twisting or direct impact to the heel Overuse or repetitive stress, leading to microfractures that may weaken the bone structure
Key Symptoms: Pain localized around the heel, especially near the growth plate Swelling and tenderness at the back or underside of the heel Difficulty bearing weight or walking on the affected foot Possible bruising or discoloration over the heel area Restricted movement due to pain
Diagnostic & Treatment
Diagnosis Path: Diagnosis generally involves a detailed physical examination and imaging studies such as X-rays. The specific appearance of the fracture on images helps to classify it as a Salter-Harris Type III injury, characterized by a fracture line crossing through the growth plate and into the bone. Sometimes, advanced imaging like MRI may be used for detailed assessment of the injury and surrounding tissues.
Treatment Protocols: Immobilization with a cast or brace to restrict movement and allow healing Rest and elevation of the affected limb to reduce swelling Pain management with appropriate medications as prescribed by a healthcare provider Surgical intervention may be necessary if the fracture is displaced and needs realignment Follow-up imaging to monitor healing progress Physical therapy may be required after initial healing to restore movement and strength
Clinical Advice & FAQs
Billing Guidance
Is S99.032 a billable ICD-10 code?
Yes, S99.032 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S99.032?
Clinical documentation must specify the nature of Salter-Harris Type III physeal fracture of left calcaneus and any associated comorbidities for accurate reporting.
Cite this Clinical Reference