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S42.021K vs S42.022K

S42.021K (Displaced fracture of shaft of right clavicle, subsequent encounter for fracture with nonunion) compared with S42.022K (Displaced fracture of shaft of left clavicle, subsequent encounter for fracture with nonunion), from the official CMS tabular data. S42.021K and S42.022K code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S42.021K
Right
Displaced fracture of shaft of right clavicle, subsequent encounter for fracture with nonunion
S42.022K
Left
Displaced fracture of shaft of left clavicle, subsequent encounter for fracture with nonunion

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. S42.021K and S42.022K 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

S42.021KDisplaced fracture of shaft of right clavicle, subsequent encounter for fracture with nonunionS42.022KDisplaced fracture of shaft of left clavicle, subsequent encounter for fracture with nonunion
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)
DefinitionDisplaced fracture of shaft of right clavicle, subsequent encounter for fracture with nonunion is a billable ICD-10-CM diagnosis code (S42.021K).Displaced fracture of shaft of left clavicle, subsequent encounter for fracture with nonunion is a billable ICD-10-CM diagnosis code (S42.022K).
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