S99.149
Salter-Harris Type IV physeal fracture of unspecified metatarsal
Clinical Classification Guidelines
Medical Intelligence & Overview
A Salter-Harris Type IV physeal fracture of an unspecified metatarsal is a specific type of bone injury that occurs near the growth plate of the foot's metatarsal bones. These fractures involve the growth plate and extend through all three bone regions—metaphysis, physis, and epiphysis—making them more complex. This injury typically affects children and adolescents whose bones are still growing. Proper diagnosis and management are essential to ensure normal foot development and prevent long-term complications.
Causes & Symptoms
Clinical Causes: Trauma or direct injury to the foot, such as falls, sports injuries, or accidents. Sudden twisting or hyperextension of the foot. Repetitive stress on the foot during athletic activities. High-impact impacts, especially in contact sports or motor vehicle accidents.
Key Symptoms: Pain localized to the top or side of the affected foot. Swelling and tenderness over the affected metatarsal. Difficulty bearing weight or walking comfortably. Deformity or unnatural positioning of the toe or foot. Bruising around the injury site.
Diagnostic & Treatment
Diagnosis Path: Diagnosing a Salter-Harris Type IV fracture involves multiple steps:
Treatment Protocols: Treatment approaches depend on the severity and specifics of the fracture:
Clinical Advice & FAQs
Billing Guidance
Is S99.149 a billable ICD-10 code?
Yes, S99.149 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S99.149?
Clinical documentation must specify the nature of Salter-Harris Type IV physeal fracture of unspecified metatarsal and any associated comorbidities for accurate reporting.
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