Skip to main content

S42.211G vs S42.212G

S42.211G (Unspecified displaced fracture of surgical neck of right humerus, subsequent encounter for fracture with delayed healing) compared with S42.212G (Unspecified displaced fracture of surgical neck of left humerus, subsequent encounter for fracture with delayed healing), from the official CMS tabular data. S42.211G and S42.212G code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

S42.211G
Right
Unspecified displaced fracture of surgical neck of right humerus, subsequent encounter for fracture with delayed healing
↔
S42.212G
Left
Unspecified displaced fracture of surgical neck of left humerus, subsequent encounter for fracture with delayed 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. S42.211G and S42.212G 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

S42.211GUnspecified displaced fracture of surgical neck of right humerus, subsequent encounter for fracture with delayed healingS42.212GUnspecified displaced fracture of surgical neck of left humerus, subsequent encounter for fracture with delayed healing
Billing statusBillableBillable
ClassificationS00-T88 — Injury, poisoning and certain other consequences of external causesS00-T88 — Injury, poisoning and certain other consequences of external causes
DefinitionUnspecified displaced fracture of surgical neck of right humerus, subsequent encounter for fracture with delayed healing is a billable ICD-10-CM diagnosis code (S42.211G).Unspecified displaced fracture of surgical neck of left humerus, subsequent encounter for fracture with delayed healing is a billable ICD-10-CM diagnosis code (S42.212G).
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
Edit this comparisonCheck a whole claim

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources