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S49.142G vs S49.149G

S49.142G (Salter-Harris Type IV physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with delayed healing) compared with S49.149G (Salter-Harris Type IV physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with delayed healing), from the official CMS tabular data. S49.142G and S49.149G code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S49.142G
Left
Salter-Harris Type IV physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with delayed healing
↔
S49.149G
Unspecified
Salter-Harris Type IV physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with delayed 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. S49.142G and S49.149G 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

S49.142GSalter-Harris Type IV physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with delayed healingS49.149GSalter-Harris Type IV physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with delayed healing
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)
DefinitionSalter-Harris Type IV physeal fracture of lower end of humerus, left arm, subsequent encounter for fracture with delayed healing is a billable ICD-10-CM diagnosis code (S49.142G).Salter-Harris Type IV physeal fracture of lower end of humerus, unspecified arm, subsequent encounter for fracture with delayed healing is a billable ICD-10-CM diagnosis code (S49.149G).
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