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S21.052A vs S21.059A

S21.052A (Open bite of left breast, initial encounter) compared with S21.059A (Open bite of unspecified breast, initial encounter), from the official CMS tabular data. S21.052A and S21.059A code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S21.052A
Left
Open bite of left breast, initial encounter
S21.059A
Unspecified
Open bite of unspecified breast, initial 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. S21.052A and S21.059A 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

S21.052AOpen bite of left breast, initial encounterS21.059AOpen bite of unspecified breast, initial 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)
DefinitionOpen bite of left breast, initial encounter is a billable ICD-10-CM diagnosis code (S21.052A).Open bite of unspecified breast, initial encounter is a billable ICD-10-CM diagnosis code (S21.059A).
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