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S51.042D vs S51.049D

S51.042D (Puncture wound with foreign body of left elbow, subsequent encounter) compared with S51.049D (Puncture wound with foreign body of unspecified elbow, subsequent encounter), from the official CMS tabular data. S51.042D and S51.049D code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S51.042D
Left
Puncture wound with foreign body of left elbow, subsequent encounter
S51.049D
Unspecified
Puncture wound with foreign body of unspecified elbow, 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. S51.042D and S51.049D 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

S51.042DPuncture wound with foreign body of left elbow, subsequent encounterS51.049DPuncture wound with foreign body of unspecified elbow, 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)
DefinitionPuncture wound with foreign body of left elbow, subsequent encounter is a billable ICD-10-CM diagnosis code (S51.042D).Puncture wound with foreign body of unspecified elbow, subsequent encounter is a billable ICD-10-CM diagnosis code (S51.049D).
7th characterThe appropriate 7th character is to be added to each code from category S51The appropriate 7th character is to be added to each code from category S51

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