S42.101 (Fracture of unspecified part of scapula, right shoulder) compared with S42.109 (Fracture of unspecified part of scapula, unspecified shoulder), from the official CMS tabular data. S42.101 and S42.109 code the same condition on opposite sides. MedCoder-derived
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)
Same condition, opposite side. S42.101 and S42.109 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.
| S42.101Fracture of unspecified part of scapula, right shoulder | S42.109Fracture of unspecified part of scapula, unspecified shoulder | |
|---|---|---|
| Billing status | Non-billable header Report instead: S42.101A, S42.101B, S42.101D, S42.101G, S42.101K | Non-billable header Report instead: S42.109A, S42.109B, S42.109D, S42.109G, S42.109K |
| Classification | S00-T88 — Injury, poisoning and certain other consequences of external causes | S00-T88 — Injury, poisoning and certain other consequences of external causes |
| Definition | Fracture of unspecified part of scapula, right shoulder is a non-billable ICD-10-CM category code (S42.101). | Fracture of unspecified part of scapula, unspecified shoulder is a non-billable ICD-10-CM category code (S42.109). |
| 7th character | The appropriate 7th character is to be added to all codes from category S42 | The 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