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S59.101 vs S59.109

S59.101 (Unspecified physeal fracture of upper end of radius, right arm) compared with S59.109 (Unspecified physeal fracture of upper end of radius, unspecified arm), from the official CMS tabular data. S59.101 and S59.109 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S59.101
Right
Unspecified physeal fracture of upper end of radius, right arm
S59.109
Unspecified
Unspecified physeal fracture of upper end of radius, unspecified arm

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. S59.101 and S59.109 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

S59.101Unspecified physeal fracture of upper end of radius, right armS59.109Unspecified physeal fracture of upper end of radius, unspecified arm
Billing statusNon-billable header

Report instead: S59.101A, S59.101D, S59.101G, S59.101K, S59.101P

Non-billable header

Report instead: S59.109A, S59.109D, S59.109G, S59.109K, S59.109P

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 physeal fracture of upper end of radius, right arm is a non-billable ICD-10-CM category code (S59.101).Unspecified physeal fracture of upper end of radius, unspecified arm is a non-billable ICD-10-CM category code (S59.109).
7th characterThe appropriate 7th character is to be added to each code from subcategories S59.0, S59.1, and S59.2The appropriate 7th character is to be added to each code from subcategories S59.0, S59.1, and S59.2

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