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S40.261D vs S40.262D

S40.261D (Insect bite (nonvenomous) of right shoulder, subsequent encounter) compared with S40.262D (Insect bite (nonvenomous) of left shoulder, subsequent encounter), from the official CMS tabular data. S40.261D and S40.262D code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S40.261D
Right
Insect bite (nonvenomous) of right shoulder, subsequent encounter
S40.262D
Left
Insect bite (nonvenomous) of left shoulder, 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. S40.261D and S40.262D 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

S40.261DInsect bite (nonvenomous) of right shoulder, subsequent encounterS40.262DInsect bite (nonvenomous) of left shoulder, 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)
DefinitionInsect bite (nonvenomous) of right shoulder, subsequent encounter is a billable ICD-10-CM diagnosis code (S40.261D).Insect bite (nonvenomous) of left shoulder, subsequent encounter is a billable ICD-10-CM diagnosis code (S40.262D).
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