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S41.142 vs S41.149

S41.142 (Puncture wound with foreign body of left upper arm) compared with S41.149 (Puncture wound with foreign body of unspecified upper arm), from the official CMS tabular data. S41.142 and S41.149 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S41.142
Left
Puncture wound with foreign body of left upper arm
S41.149
Unspecified
Puncture wound with foreign body of unspecified upper arm

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. S41.142 and S41.149 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

S41.142Puncture wound with foreign body of left upper armS41.149Puncture wound with foreign body of unspecified upper arm
Billing statusNon-billable header

Report instead: S41.142A, S41.142D, S41.142S

Non-billable header

Report instead: S41.149A, S41.149D, S41.149S

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 upper arm is a non-billable ICD-10-CM category code (S41.142).Puncture wound with foreign body of unspecified upper arm is a non-billable ICD-10-CM category code (S41.149).
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