S99.132
Salter-Harris Type III physeal fracture of left metatarsal
Clinical Classification Guidelines
Medical Intelligence & Overview
A Salter-Harris Type III physeal fracture occurs in children and adolescents when the growth plate, or physis, of a bone is fractured through the growth plate and extending into the bone itself. Specifically, when this type of fracture affects the left metatarsal—the long bones in the foot connecting the toes to the midfoot—it can impact foot function and growth if not properly treated. This injury, classified under ICD-10 code S99.132, primarily affects young individuals engaged in activities that involve twisting or direct trauma to the foot. Recognizing the injury early is crucial to prevent long-term deformities and ensure proper healing.
Causes & Symptoms
Clinical Causes: Sports injuries, especially those involving twisting or impact to the foot Falls or direct blows to the foot Accidental trauma during physical activities or accidents Repetitive stress or overuse in young athletes Improper footwear that causes foot instability
Key Symptoms: Localized pain in the midfoot, particularly around the affected metatarsal Swelling and tenderness over the site of the injury Bruising or discoloration of the skin around the foot Difficulty bearing weight or walking comfortably Decreased range of motion in the toes and foot Possible deformity or misalignment of the toes or foot structure
Diagnostic & Treatment
Diagnosis Path: Diagnosis of a Salter-Harris Type III fracture involves comprehensive clinical evaluation and imaging studies. The healthcare provider will examine the foot, assess the severity of swelling, deformity, and tenderness, and inquire about recent injuries or activities. Imaging tools such as X-rays are essential to visualize the fracture, confirm its classification, and determine whether the growth plate is involved. In some cases, additional imaging like MRI or CT scans may be utilized to evaluate the extent of the injury and guide treatment planning.
Treatment Protocols: Treatment options focus on facilitating proper healing, maintaining foot function, and preventing growth disturbances. Management may include:
Clinical Advice & FAQs
Billing Guidance
Is S99.132 a billable ICD-10 code?
Yes, S99.132 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S99.132?
Clinical documentation must specify the nature of Salter-Harris Type III physeal fracture of left metatarsal and any associated comorbidities for accurate reporting.
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