S42.295 (Other nondisplaced fracture of upper end of left humerus) compared with S42.296 (Other nondisplaced fracture of upper end of unspecified humerus), from the official CMS tabular data. S42.295 and S42.296 code the same condition on opposite sides. MedCoder-derived
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. S42.295 and S42.296 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.
| S42.295Other nondisplaced fracture of upper end of left humerus | S42.296Other nondisplaced fracture of upper end of unspecified humerus | |
|---|---|---|
| Billing status | Non-billable header Report instead: S42.295A, S42.295B, S42.295D, S42.295G, S42.295K | Non-billable header Report instead: S42.296A, S42.296B, S42.296D, S42.296G, S42.296K |
| Classification | S00-T88 — Injury, poisoning and certain other consequences of external causes | S00-T88 — Injury, poisoning and certain other consequences of external causes |
| Definition | Other nondisplaced fracture of upper end of left humerus is a non-billable ICD-10-CM category code (S42.295). | Other nondisplaced fracture of upper end of unspecified humerus is a non-billable ICD-10-CM category code (S42.296). |
| 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