Skip to main content

S49.91XD vs S49.92XD

S49.91XD (Unspecified injury of right shoulder and upper arm, subsequent encounter) compared with S49.92XD (Unspecified injury of left shoulder and upper arm, subsequent encounter), from the official CMS tabular data. S49.91XD and S49.92XD code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

S49.91XD
Right
Unspecified injury of right shoulder and upper arm, subsequent encounter
S49.92XD
Left
Unspecified injury of left shoulder and upper arm, subsequent encounter

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. S49.91XD and S49.92XD 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

S49.91XDUnspecified injury of right shoulder and upper arm, subsequent encounterS49.92XDUnspecified injury of left shoulder and upper arm, subsequent encounter
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)
DefinitionUnspecified injury of right shoulder and upper arm, subsequent encounter is a billable ICD-10-CM diagnosis code (S49.91XD).Unspecified injury of left shoulder and upper arm, subsequent encounter is a billable ICD-10-CM diagnosis code (S49.92XD).
7th characterThe appropriate 7th character is to be added to each code in subcategory S49.9The appropriate 7th character is to be added to each code in subcategory S49.9
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