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S42.101S vs S42.102S

S42.101S (Fracture of unspecified part of scapula, right shoulder, sequela) compared with S42.102S (Fracture of unspecified part of scapula, left shoulder, sequela), from the official CMS tabular data. S42.101S and S42.102S code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

S42.101S
Right
Fracture of unspecified part of scapula, right shoulder, sequela
S42.102S
Left
Fracture of unspecified part of scapula, left shoulder, 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. S42.101S and S42.102S 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

S42.101SFracture of unspecified part of scapula, right shoulder, sequelaS42.102SFracture of unspecified part of scapula, left shoulder, sequela
Billing statusBillableBillable
ClassificationS00-T88 — Injury, poisoning and certain other consequences of external causesS00-T88 — Injury, poisoning and certain other consequences of external causes
DefinitionFracture of unspecified part of scapula, right shoulder, sequela is a billable ICD-10-CM diagnosis code (S42.101S).Fracture of unspecified part of scapula, left shoulder, sequela is a billable ICD-10-CM diagnosis code (S42.102S).
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