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S72.421 vs S72.422

S72.421 (Displaced fracture of lateral condyle of right femur) compared with S72.422 (Displaced fracture of lateral condyle of left femur), from the official CMS tabular data. S72.421 and S72.422 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S72.421
Right
Displaced fracture of lateral condyle of right femur
S72.422
Left
Displaced fracture of lateral condyle of left femur

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. S72.421 and S72.422 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

S72.421Displaced fracture of lateral condyle of right femurS72.422Displaced fracture of lateral condyle of left femur
Billing statusNon-billable header

Report instead: S72.421A, S72.421B, S72.421C, S72.421D, S72.421E

Non-billable header

Report instead: S72.422A, S72.422B, S72.422C, S72.422D, S72.422E

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 lateral condyle of right femur is a non-billable ICD-10-CM category code (S72.421).Displaced fracture of lateral condyle of left femur is a non-billable ICD-10-CM category code (S72.422).
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