S99.139
Salter-Harris Type III physeal fracture of unspecified metatarsal
Clinical Classification Guidelines
Medical Intelligence & Overview
A Salter-Harris Type III physeal fracture of the metatarsal refers to an injury involving the growth plate (physis) of one of the long bones in the foot known as the metatarsal. This type of fracture specifically affects the growth plate and extends through the physis and the epiphysis, which is the end part of the bone. Such injuries generally occur in children and adolescents whose growth plates are still open. Prompt recognition and appropriate management are essential to ensure proper healing and avoid long-term complications.
Causes & Symptoms
Clinical Causes: Trauma or sports injuries, such as falling, twisting, or direct impact to the foot Accidental stubbing or crushing injuries from falls or heavy objects Motor vehicle accidents leading to high-force impacts
Key Symptoms: Localized pain in the midfoot or forefoot Swelling and tenderness around the affected area Difficulty bearing weight or walking comfortably Possible visible deformity or misalignment of the toe Limited range of motion in the toe or forefoot
Diagnostic & Treatment
Diagnosis Path: Diagnosing a Salter-Harris Type III growth plate fracture typically involves a clinical evaluation and imaging studies. Healthcare providers will examine the foot for signs of swelling, tenderness, and deformity. X-ray imaging is crucial to visualize the fracture's extent and confirm whether it involves the growth plate, epiphysis, or metaphysis. Sometimes, additional imaging like MRI or CT scans may be necessary if the fracture is complex or not clearly visible on standard X-rays.
Treatment Protocols: Treatment aims to realign the fractured bones and ensure proper healing of the growth plate. Depending on the severity and displacement of the fracture, the management options include:
Clinical Advice & FAQs
Billing Guidance
Is S99.139 a billable ICD-10 code?
Yes, S99.139 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S99.139?
Clinical documentation must specify the nature of Salter-Harris Type III physeal fracture of unspecified metatarsal and any associated comorbidities for accurate reporting.
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