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S42.001P vs S42.002P

S42.001P (Fracture of unspecified part of right clavicle, subsequent encounter for fracture with malunion) compared with S42.002P (Fracture of unspecified part of left clavicle, subsequent encounter for fracture with malunion), from the official CMS tabular data. S42.001P and S42.002P code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

S42.001P
Right
Fracture of unspecified part of right clavicle, subsequent encounter for fracture with malunion
↔
S42.002P
Left
Fracture of unspecified part of left clavicle, subsequent encounter for fracture with malunion

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. S42.001P and S42.002P 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

S42.001PFracture of unspecified part of right clavicle, subsequent encounter for fracture with malunionS42.002PFracture of unspecified part of left clavicle, subsequent encounter for fracture with malunion
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)
DefinitionFracture of unspecified part of right clavicle, subsequent encounter for fracture with malunion is a billable ICD-10-CM diagnosis code (S42.001P).Fracture of unspecified part of left clavicle, subsequent encounter for fracture with malunion is a billable ICD-10-CM diagnosis code (S42.002P).
7th characterThe appropriate 7th character is to be added to all codes from category S42The appropriate 7th character is to be added to all codes from category S42
Includes
injuries of axilla
injuries of scapular region
injuries of axilla
injuries of scapular region
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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources