S42.101A vs S42.102A

S42.101A (Fracture of unspecified part of scapula, right shoulder, initial encounter for closed fracture) compared with S42.102A (Fracture of unspecified part of scapula, left shoulder, initial encounter for closed fracture), from the official CMS tabular data. S42.101A and S42.102A code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S42.101A

Right

Fracture of unspecified part of scapula, right shoulder, initial encounter for closed fracture

↔

S42.102A

Left

Fracture of unspecified part of scapula, left shoulder, initial encounter for closed fracture

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. S42.101A and S42.102A 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

	S42.101AFracture of unspecified part of scapula, right shoulder, initial encounter for closed fracture	S42.102AFracture of unspecified part of scapula, left shoulder, initial encounter for closed fracture
Billing status	Billable	Billable
Classification	S00-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)
Definition	Fracture of unspecified part of scapula, right shoulder, initial encounter for closed fracture is a billable ICD-10-CM diagnosis code (S42.101A).	Fracture of unspecified part of scapula, left shoulder, initial encounter for closed fracture is a billable ICD-10-CM diagnosis code (S42.102A).
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

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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