S42.264 (Nondisplaced fracture of lesser tuberosity of right humerus) compared with S42.265 (Nondisplaced fracture of lesser tuberosity of left humerus), from the official CMS tabular data. S42.264 and S42.265 code the same condition on opposite sides.
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. S42.264 and S42.265 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.
| S42.264Nondisplaced fracture of lesser tuberosity of right humerus | S42.265Nondisplaced fracture of lesser tuberosity of left humerus | |
|---|---|---|
| Billing status | Non-billable header Report instead: S42.264A, S42.264B, S42.264D, S42.264G, S42.264K | Non-billable header Report instead: S42.265A, S42.265B, S42.265D, S42.265G, S42.265K |
| 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 | Nondisplaced fracture of lesser tuberosity of right humerus is a non-billable ICD-10-CM category code (S42.264). | Nondisplaced fracture of lesser tuberosity of left humerus is a non-billable ICD-10-CM category code (S42.265). |
| 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