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S52.042C vs S52.043C

S52.042C (Displaced fracture of coronoid process of left ulna, initial encounter for open fracture type IIIA, IIIB, or IIIC) compared with S52.043C (Displaced fracture of coronoid process of unspecified ulna, initial encounter for open fracture type IIIA, IIIB, or IIIC), from the official CMS tabular data. S52.042C and S52.043C code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S52.042C
Left
Displaced fracture of coronoid process of left ulna, initial encounter for open fracture type IIIA, IIIB, or IIIC
S52.043C
Unspecified
Displaced fracture of coronoid process of unspecified ulna, initial encounter for open fracture type IIIA, IIIB, or IIIC

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. S52.042C and S52.043C 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

S52.042CDisplaced fracture of coronoid process of left ulna, initial encounter for open fracture type IIIA, IIIB, or IIICS52.043CDisplaced fracture of coronoid process of unspecified ulna, initial encounter for open fracture type IIIA, IIIB, or IIIC
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)
DefinitionDisplaced fracture of coronoid process of left ulna, initial encounter for open fracture type IIIA, IIIB, or IIIC is a billable ICD-10-CM diagnosis code (S52.042C).Displaced fracture of coronoid process of unspecified ulna, initial encounter for open fracture type IIIA, IIIB, or IIIC is a billable ICD-10-CM diagnosis code (S52.043C).
7th characterThe appropriate 7th character is to be added to all codes from category S52The appropriate 7th character is to be added to all codes from category S52

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