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S41.152 vs S41.159

S41.152 (Open bite of left upper arm) compared with S41.159 (Open bite of unspecified upper arm), from the official CMS tabular data. S41.152 and S41.159 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S41.152
Left
Open bite of left upper arm
S41.159
Unspecified
Open bite 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. S41.152 and S41.159 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

S41.152Open bite of left upper armS41.159Open bite of unspecified upper arm
Billing statusNon-billable header

Report instead: S41.152A, S41.152D, S41.152S

Non-billable header

Report instead: S41.159A, S41.159D, S41.159S

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 upper arm is a non-billable ICD-10-CM category code (S41.152).Open bite of unspecified upper arm is a non-billable ICD-10-CM category code (S41.159).
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