Skip to main content

S42.491D vs S42.493D

S42.491D (Other displaced fracture of lower end of right humerus, subsequent encounter for fracture with routine healing) compared with S42.493D (Other displaced fracture of lower end of unspecified humerus, subsequent encounter for fracture with routine healing), from the official CMS tabular data. S42.491D and S42.493D code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S42.491D
Right
Other displaced fracture of lower end of right humerus, subsequent encounter for fracture with routine healing
↔
S42.493D
Unspecified
Other displaced fracture of lower end of unspecified humerus, subsequent encounter for fracture with routine 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. S42.491D and S42.493D 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

S42.491DOther displaced fracture of lower end of right humerus, subsequent encounter for fracture with routine healingS42.493DOther displaced fracture of lower end of unspecified humerus, subsequent encounter for fracture with routine healing
Billing statusBillableBillable
ClassificationS00-T88 — Injury, poisoning and certain other consequences of external causesS00-T88 — Injury, poisoning and certain other consequences of external causes
DefinitionOther displaced fracture of lower end of right humerus, subsequent encounter for fracture with routine healing is a billable ICD-10-CM diagnosis code (S42.491D).Other displaced fracture of lower end of unspecified humerus, subsequent encounter for fracture with routine healing is a billable ICD-10-CM diagnosis code (S42.493D).
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
Edit this comparisonCheck a whole claim

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources