Skip to main content

S70.242 vs S70.249

S70.242 (External constriction, left hip) compared with S70.249 (External constriction, unspecified hip), from the official CMS tabular data. S70.242 and S70.249 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

S70.242
Left
External constriction, left hip
S70.249
Unspecified
External constriction, unspecified hip

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. S70.242 and S70.249 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

S70.242External constriction, left hipS70.249External constriction, unspecified hip
Billing statusNon-billable header

Report instead: S70.242A, S70.242D, S70.242S

Non-billable header

Report instead: S70.249A, S70.249D, S70.249S

ClassificationS00-T88 — Injury, poisoning and certain other consequences of external causesS00-T88 — Injury, poisoning and certain other consequences of external causes
DefinitionExternal constriction, left hip is a non-billable ICD-10-CM category code (S70.242).External constriction, unspecified hip is a non-billable ICD-10-CM category code (S70.249).
7th characterThe appropriate 7th character is to be added to each code from category S70The appropriate 7th character is to be added to each code from category S70

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