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S40.241S vs S40.249S

S40.241S (External constriction of right shoulder, sequela) compared with S40.249S (External constriction of unspecified shoulder, sequela), from the official CMS tabular data. S40.241S and S40.249S code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S40.241S
Right
External constriction of right shoulder, sequela
S40.249S
Unspecified
External constriction of unspecified shoulder, 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. S40.241S and S40.249S 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

S40.241SExternal constriction of right shoulder, sequelaS40.249SExternal constriction of unspecified shoulder, 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 shoulder, sequela is a billable ICD-10-CM diagnosis code (S40.241S).External constriction of unspecified shoulder, sequela is a billable ICD-10-CM diagnosis code (S40.249S).
7th characterThe appropriate 7th character is to be added to each code from category S40The appropriate 7th character is to be added to each code from category S40
Includes
injuries of axilla
injuries of scapular region
injuries of axilla
injuries of scapular region

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