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S41.042 vs S41.049

S41.042 (Puncture wound with foreign body of left shoulder) compared with S41.049 (Puncture wound with foreign body of unspecified shoulder), from the official CMS tabular data. S41.042 and S41.049 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S41.042
Left
Puncture wound with foreign body of left shoulder
S41.049
Unspecified
Puncture wound with foreign body of unspecified shoulder

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. S41.042 and S41.049 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

S41.042Puncture wound with foreign body of left shoulderS41.049Puncture wound with foreign body of unspecified shoulder
Billing statusNon-billable header

Report instead: S41.042A, S41.042D, S41.042S

Non-billable header

Report instead: S41.049A, S41.049D, S41.049S

ClassificationS00-T88 — Injury, poisoning and certain other consequences of external causesS00-T88 — Injury, poisoning and certain other consequences of external causes
DefinitionPuncture wound with foreign body of left shoulder is a non-billable ICD-10-CM category code (S41.042).Puncture wound with foreign body of unspecified shoulder is a non-billable ICD-10-CM category code (S41.049).
7th characterThe appropriate 7th character is to be added to each code from category S41The appropriate 7th character is to be added to each code from category S41
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