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S42.151D vs S42.153D

S42.151D (Displaced fracture of neck of scapula, right shoulder, subsequent encounter for fracture with routine healing) compared with S42.153D (Displaced fracture of neck of scapula, unspecified shoulder, subsequent encounter for fracture with routine healing), from the official CMS tabular data. S42.151D and S42.153D code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S42.151D
Right
Displaced fracture of neck of scapula, right shoulder, subsequent encounter for fracture with routine healing
↔
S42.153D
Unspecified
Displaced fracture of neck of scapula, unspecified shoulder, subsequent encounter for fracture with routine healing

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. S42.151D and S42.153D 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

S42.151DDisplaced fracture of neck of scapula, right shoulder, subsequent encounter for fracture with routine healingS42.153DDisplaced fracture of neck of scapula, unspecified shoulder, subsequent encounter for fracture with routine healing
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 neck of scapula, right shoulder, subsequent encounter for fracture with routine healing is a billable ICD-10-CM diagnosis code (S42.151D).Displaced fracture of neck of scapula, unspecified shoulder, subsequent encounter for fracture with routine healing is a billable ICD-10-CM diagnosis code (S42.153D).
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
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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