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S49.091K vs S49.092K

S49.091K (Other physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with nonunion) compared with S49.092K (Other physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with nonunion), from the official CMS tabular data. S49.091K and S49.092K code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S49.091K
Right
Other physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with nonunion
↔
S49.092K
Left
Other physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with nonunion

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. S49.091K and S49.092K 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

S49.091KOther physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with nonunionS49.092KOther physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with nonunion
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)
DefinitionOther physeal fracture of upper end of humerus, right arm, subsequent encounter for fracture with nonunion is a billable ICD-10-CM diagnosis code (S49.091K).Other physeal fracture of upper end of humerus, left arm, subsequent encounter for fracture with nonunion is a billable ICD-10-CM diagnosis code (S49.092K).
7th characterThe appropriate 7th character is to be added to each code from subcategories S49.0 and S49.1The appropriate 7th character is to be added to each code from subcategories S49.0 and S49.1
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