S99.142
Salter-Harris Type IV physeal fracture of left metatarsal
Clinical Classification Guidelines
Medical Intelligence & Overview
A Salter-Harris Type IV physeal fracture of the left metatarsal is a specific type of growth plate injury that occurs in children and adolescents. This fracture involves the growth plate (physis), the end of the bone where growth occurs, and crosses through the metaphysis and epiphysis. When this fracture affects the left metatarsal, it involves one of the long bones in the foot that connects the toes to the midfoot. Early diagnosis and appropriate management are crucial to ensure proper healing and maintain normal growth of the bone.
Causes & Symptoms
Clinical Causes: Trauma or an injury to the foot from falls, sports injuries, or accidents Sudden twisting or bending motions that put stress on the foot High-impact impacts such as car accidents or falls from a height Stress fractures from repetitive activities over time
Key Symptoms: Pain localized over the affected area of the foot, especially near the base of the toe Swelling and tenderness around the affected metatarsal Bruising or discoloration in the area Difficulty bearing weight or walking Decreased range of motion in the toes or foot
Diagnostic & Treatment
Diagnosis Path: Diagnosing a Salter-Harris Type IV fracture typically involves a thorough clinical examination and imaging tests. X-rays are the primary method used to visualize the fracture, revealing the extent and exact location of the injury crossing through the growth plate. In some cases, additional imaging such as MRI or CT scans may be necessary to assess the injury's severity and involvement of surrounding structures. Accurate diagnosis is essential for planning appropriate treatment and preventing complications.
Treatment Protocols: Treatment options depend on the severity of the fracture and the age of the patient. Common approaches include:
Clinical Advice & FAQs
Billing Guidance
Is S99.142 a billable ICD-10 code?
Yes, S99.142 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S99.142?
Clinical documentation must specify the nature of Salter-Harris Type IV physeal fracture of left metatarsal and any associated comorbidities for accurate reporting.
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