S99.042A — Salter-Harris Type IV physeal fracture of left calcaneus, initial encounter for closed fracture
Is S99.042A billable?
Yes — S99.042A is billable for FY2027. S99.042A is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. S99.042A may be submitted for encounters from October 1, 2026 through September 30, 2027.
S99.042A at a glance
| Code | S99.042A |
|---|---|
| Description | Salter-Harris Type IV physeal fracture of left calcaneus, initial encounter for closed fracture |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "A" | initial encounter for closed fracture |
What does the 7th character "A" mean in S99.042A?
In S99.042A, the 7th character A means initial encounter for closed fracture. The 7th character is required for S99.042A to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
- Ainitial encounter for closed fractureS99.042A
- Binitial encounter for open fractureS99.042B
- Dsubsequent encounter for fracture with routine healingS99.042D
- Gsubsequent encounter for fracture with delayed healingS99.042G
- Ksubsequent encounter for fracture with nonunionS99.042K
- Psubsequent encounter for fracture with malunionS99.042P
- SsequelaS99.042S
Which MS-DRGs does S99.042A group to?
S99.042A sits in MDC 21 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 913Traumatic Injury with MCCmedical
- 914Traumatic Injury without MCCmedical
How is S99.042A listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S99.04, the nearest indexed parent of S99.042A. Use them to find the family, then select the specific code.
- Fracture, traumatic › tarsal bone › calcaneus › physeal › Salter-Harris › Type IV (abduction) (adduction) (separation)
Use additional code — inherited from Chapter 19
Report an additional code alongside S99.042A to fully describe the condition. S99.042A is sequenced first.
- code to identify any retained foreign body, if applicable (Z18.-)
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of S99.042A, but a patient may have both at the same time. When documentation supports it, S99.042A and the excluded code may both be reported.
Excludes2 — not included here — inherited from S90-S99
The conditions below are not part of S99.042A, but a patient may have both at the same time. When documentation supports it, S99.042A and the excluded code may both be reported.
How long has S99.042A existed?
S99.042A first appears in FY2018 (FY2017 is not available, so it may have appeared then).
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.