S42.489A vs S42.489G

S42.489A (Torus fracture of lower end of unspecified humerus, initial encounter for closed fracture) compared with S42.489G (Torus fracture of lower end of unspecified humerus, subsequent encounter for fracture with delayed healing), from the official CMS tabular data. S42.489A and S42.489G code the same injury at a different phase of treatment. MedCoder-derived

Relationship

Review

Encounter relationship

S42.489A

Initial encounter

Torus fracture of lower end of unspecified humerus, initial encounter for closed fracture

↔

S42.489G

Subsequent encounter

Torus fracture of lower end of unspecified humerus, subsequent encounter for fracture with delayed healing

Same underlying diagnosis, different encounter phase.

The 7th character records the phase of care for the encounter being coded, so a single encounter takes one of these characters, not several. Review whether both phases belong on the same episode of care.

Source: ICD-10-CM Official Guidelines, Section I.C.19.a

Can these codes be reported together?

Same injury, other encounter phase. S42.489A and S42.489G code the same injury at a different phase of treatment, set by the 7th character.

The 7th character records the type of care given at the encounter being coded (ICD-10-CM Official Guidelines, Section I.C.19.a), so one encounter takes one of these, not both.

Side by side

	S42.489ATorus fracture of lower end of unspecified humerus, initial encounter for closed fracture	S42.489GTorus fracture of lower end of unspecified humerus, subsequent encounter for fracture with delayed healing
Billing status	Billable	Billable
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	Torus fracture of lower end of unspecified humerus, initial encounter for closed fracture is a billable ICD-10-CM diagnosis code (S42.489A).	Torus fracture of lower end of unspecified humerus, subsequent encounter for fracture with delayed healing is a billable ICD-10-CM diagnosis code (S42.489G).
7th character	The appropriate 7th character is to be added to all codes in subcategory S42.48	The appropriate 7th character is to be added to all codes in subcategory S42.48
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