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S42.011S vs S42.012S

S42.011S (Anterior displaced fracture of sternal end of right clavicle, sequela) compared with S42.012S (Anterior displaced fracture of sternal end of left clavicle, sequela), from the official CMS tabular data. S42.011S and S42.012S code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

S42.011S
Right
Anterior displaced fracture of sternal end of right clavicle, sequela
S42.012S
Left
Anterior displaced fracture of sternal end of left clavicle, sequela

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. S42.011S and S42.012S 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

S42.011SAnterior displaced fracture of sternal end of right clavicle, sequelaS42.012SAnterior displaced fracture of sternal end of left clavicle, sequela
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)
DefinitionAnterior displaced fracture of sternal end of right clavicle, sequela is a billable ICD-10-CM diagnosis code (S42.011S).Anterior displaced fracture of sternal end of left clavicle, sequela is a billable ICD-10-CM diagnosis code (S42.012S).
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

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources