Skip to main content

S42.424P vs S42.425P

S42.424P (Nondisplaced comminuted supracondylar fracture without intercondylar fracture of right humerus, subsequent encounter for fracture with malunion) compared with S42.425P (Nondisplaced comminuted supracondylar fracture without intercondylar fracture of left humerus, subsequent encounter for fracture with malunion), from the official CMS tabular data. S42.424P and S42.425P code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

S42.424P
Right
Nondisplaced comminuted supracondylar fracture without intercondylar fracture of right humerus, subsequent encounter for fracture with malunion
S42.425P
Left
Nondisplaced comminuted supracondylar fracture without intercondylar fracture of left humerus, subsequent encounter for fracture with malunion

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. S42.424P and S42.425P 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

S42.424PNondisplaced comminuted supracondylar fracture without intercondylar fracture of right humerus, subsequent encounter for fracture with malunionS42.425PNondisplaced comminuted supracondylar fracture without intercondylar fracture of left humerus, subsequent encounter for fracture with malunion
Billing statusBillableBillable
ClassificationS00-T88 — Injury, poisoning and certain other consequences of external causesS00-T88 — Injury, poisoning and certain other consequences of external causes
DefinitionNondisplaced comminuted supracondylar fracture without intercondylar fracture of right humerus, subsequent encounter for fracture with malunion is a billable ICD-10-CM diagnosis code (S42.424P).Nondisplaced comminuted supracondylar fracture without intercondylar fracture of left humerus, subsequent encounter for fracture with malunion is a billable ICD-10-CM diagnosis code (S42.425P).
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