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S72.341M vs S72.342M

S72.341M (Displaced spiral fracture of shaft of right femur, subsequent encounter for open fracture type I or II with nonunion) compared with S72.342M (Displaced spiral fracture of shaft of left femur, subsequent encounter for open fracture type I or II with nonunion), from the official CMS tabular data. S72.341M and S72.342M code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S72.341M
Right
Displaced spiral fracture of shaft of right femur, subsequent encounter for open fracture type I or II with nonunion
S72.342M
Left
Displaced spiral fracture of shaft of left femur, subsequent encounter for open fracture type I or II with nonunion

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. S72.341M and S72.342M 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

S72.341MDisplaced spiral fracture of shaft of right femur, subsequent encounter for open fracture type I or II with nonunionS72.342MDisplaced spiral fracture of shaft of left femur, subsequent encounter for open fracture type I or II with nonunion
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 spiral fracture of shaft of right femur, subsequent encounter for open fracture type I or II with nonunion is a billable ICD-10-CM diagnosis code (S72.341M).Displaced spiral fracture of shaft of left femur, subsequent encounter for open fracture type I or II with nonunion is a billable ICD-10-CM diagnosis code (S72.342M).
7th characterThe appropriate 7th character is to be added to all codes from category S72The appropriate 7th character is to be added to all codes from category S72

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