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S49.102 vs S49.109

S49.102 (Unspecified physeal fracture of lower end of humerus, left arm) compared with S49.109 (Unspecified physeal fracture of lower end of humerus, unspecified arm), from the official CMS tabular data. S49.102 and S49.109 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

S49.102
Left
Unspecified physeal fracture of lower end of humerus, left arm
S49.109
Unspecified
Unspecified physeal fracture of lower end of humerus, unspecified arm

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. S49.102 and S49.109 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

S49.102Unspecified physeal fracture of lower end of humerus, left armS49.109Unspecified physeal fracture of lower end of humerus, unspecified arm
Billing statusNon-billable header

Report instead: S49.102A, S49.102D, S49.102G, S49.102K, S49.102P

Non-billable header

Report instead: S49.109A, S49.109D, S49.109G, S49.109K, S49.109P

ClassificationS00-T88 — Injury, poisoning and certain other consequences of external causesS00-T88 — Injury, poisoning and certain other consequences of external causes
DefinitionUnspecified physeal fracture of lower end of humerus, left arm is a non-billable ICD-10-CM category code (S49.102).Unspecified physeal fracture of lower end of humerus, unspecified arm is a non-billable ICD-10-CM category code (S49.109).
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

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