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S49.141 vs S49.149

S49.141 (Salter-Harris Type IV physeal fracture of lower end of humerus, right arm) compared with S49.149 (Salter-Harris Type IV physeal fracture of lower end of humerus, unspecified arm), from the official CMS tabular data. S49.141 and S49.149 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S49.141
Right
Salter-Harris Type IV physeal fracture of lower end of humerus, right arm
S49.149
Unspecified
Salter-Harris Type IV 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. S49.141 and S49.149 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

S49.141Salter-Harris Type IV physeal fracture of lower end of humerus, right armS49.149Salter-Harris Type IV physeal fracture of lower end of humerus, unspecified arm
Billing statusNon-billable header

Report instead: S49.141A, S49.141D, S49.141G, S49.141K, S49.141P

Non-billable header

Report instead: S49.149A, S49.149D, S49.149G, S49.149K, S49.149P

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)
DefinitionSalter-Harris Type IV physeal fracture of lower end of humerus, right arm is a non-billable ICD-10-CM category code (S49.141).Salter-Harris Type IV physeal fracture of lower end of humerus, unspecified arm is a non-billable ICD-10-CM category code (S49.149).
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