Skip to main content

S20.441S vs S20.442S

S20.441S (External constriction of right back wall of thorax, sequela) compared with S20.442S (External constriction of left back wall of thorax, sequela), from the official CMS tabular data. S20.441S and S20.442S code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S20.441S
Right
External constriction of right back wall of thorax, sequela
S20.442S
Left
External constriction of left back wall of thorax, sequela

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. S20.441S and S20.442S name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

S20.441SExternal constriction of right back wall of thorax, sequelaS20.442SExternal constriction of left back wall of thorax, sequela
Billing statusBillableBillable
ClassificationS00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionExternal constriction of right back wall of thorax, sequela is a billable ICD-10-CM diagnosis code (S20.441S).External constriction of left back wall of thorax, sequela is a billable ICD-10-CM diagnosis code (S20.442S).
7th characterThe appropriate 7th character is to be added to each code from category S20The appropriate 7th character is to be added to each code from category S20
Includes
injuries of breast
injuries of chest (wall)
injuries of interscapular area
injuries of breast
injuries of chest (wall)
injuries of interscapular area

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources