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S42.474G vs S42.476G

S42.474G (Nondisplaced transcondylar fracture of right humerus, subsequent encounter for fracture with delayed healing) compared with S42.476G (Nondisplaced transcondylar fracture of unspecified humerus, subsequent encounter for fracture with delayed healing), from the official CMS tabular data. S42.474G and S42.476G code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

S42.474G
Right
Nondisplaced transcondylar fracture of right humerus, subsequent encounter for fracture with delayed healing
↔
S42.476G
Unspecified
Nondisplaced transcondylar fracture of unspecified 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. S42.474G and S42.476G 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

S42.474GNondisplaced transcondylar fracture of right humerus, subsequent encounter for fracture with delayed healingS42.476GNondisplaced transcondylar fracture of unspecified humerus, subsequent encounter for fracture with delayed healing
Billing statusBillableBillable
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)
DefinitionNondisplaced transcondylar fracture of right humerus, subsequent encounter for fracture with delayed healing is a billable ICD-10-CM diagnosis code (S42.474G).Nondisplaced transcondylar fracture of unspecified humerus, subsequent encounter for fracture with delayed healing is a billable ICD-10-CM diagnosis code (S42.476G).
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
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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources