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S21.042D vs S21.049D

S21.042D (Puncture wound with foreign body of left breast, subsequent encounter) compared with S21.049D (Puncture wound with foreign body of unspecified breast, subsequent encounter), from the official CMS tabular data. S21.042D and S21.049D code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S21.042D
Left
Puncture wound with foreign body of left breast, subsequent encounter
S21.049D
Unspecified
Puncture wound with foreign body of unspecified breast, subsequent encounter

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. S21.042D and S21.049D 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

S21.042DPuncture wound with foreign body of left breast, subsequent encounterS21.049DPuncture wound with foreign body of unspecified breast, subsequent encounter
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)
DefinitionPuncture wound with foreign body of left breast, subsequent encounter is a billable ICD-10-CM diagnosis code (S21.042D).Puncture wound with foreign body of unspecified breast, subsequent encounter is a billable ICD-10-CM diagnosis code (S21.049D).
7th characterThe appropriate 7th character is to be added to each code from category S21The appropriate 7th character is to be added to each code from category S21
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