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S62.242 vs S62.243

S62.242 (Displaced fracture of shaft of first metacarpal bone, left hand) compared with S62.243 (Displaced fracture of shaft of first metacarpal bone, unspecified hand), from the official CMS tabular data. S62.242 and S62.243 code the same condition on opposite sides.

Can these codes be reported together?

Same condition, opposite side. S62.242 and S62.243 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

S62.242Displaced fracture of shaft of first metacarpal bone, left handS62.243Displaced fracture of shaft of first metacarpal bone, unspecified hand
Billing statusNon-billable headerNon-billable header
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 shaft of first metacarpal bone, left hand is a non-billable ICD-10-CM category code (S62.242).Displaced fracture of shaft of first metacarpal bone, unspecified hand is a non-billable ICD-10-CM category code (S62.243).
7th characterThe appropriate 7th character is to be added to each code from category S62The appropriate 7th character is to be added to each code from category S62

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