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S49.91XS vs S49.92XS

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

Relationship

Review

Laterality relationship

S49.91XS
Right
Unspecified injury of right shoulder and upper arm, sequela
S49.92XS
Left
Unspecified injury of left shoulder and upper arm, sequela

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. S49.91XS and S49.92XS 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

S49.91XSUnspecified injury of right shoulder and upper arm, sequelaS49.92XSUnspecified injury of left shoulder and upper arm, sequela
Billing statusBillableBillable
ClassificationS00-T88 — Injury, poisoning and certain other consequences of external causesS00-T88 — Injury, poisoning and certain other consequences of external causes
DefinitionUnspecified injury of right shoulder and upper arm, sequela is a billable ICD-10-CM diagnosis code (S49.91S).Unspecified injury of left shoulder and upper arm, sequela is a billable ICD-10-CM diagnosis code (S49.92S).
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