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S42.411 vs S42.412

S42.411 (Displaced simple supracondylar fracture without intercondylar fracture of right humerus) compared with S42.412 (Displaced simple supracondylar fracture without intercondylar fracture of left humerus), from the official CMS tabular data. S42.411 and S42.412 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S42.411
Right
Displaced simple supracondylar fracture without intercondylar fracture of right humerus
S42.412
Left
Displaced simple supracondylar fracture without intercondylar fracture of left humerus

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. S42.411 and S42.412 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

S42.411Displaced simple supracondylar fracture without intercondylar fracture of right humerusS42.412Displaced simple supracondylar fracture without intercondylar fracture of left humerus
Billing statusNon-billable header

Report instead: S42.411A, S42.411B, S42.411D, S42.411G, S42.411K

Non-billable header

Report instead: S42.412A, S42.412B, S42.412D, S42.412G, S42.412K

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 simple supracondylar fracture without intercondylar fracture of right humerus is a non-billable ICD-10-CM category code (S42.411).Displaced simple supracondylar fracture without intercondylar fracture of left humerus is a non-billable ICD-10-CM category code (S42.412).
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