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S72.422Q vs S72.423Q

S72.422Q (Displaced fracture of lateral condyle of left femur, subsequent encounter for open fracture type I or II with malunion) compared with S72.423Q (Displaced fracture of lateral condyle of unspecified femur, subsequent encounter for open fracture type I or II with malunion), from the official CMS tabular data. S72.422Q and S72.423Q code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S72.422Q
Left
Displaced fracture of lateral condyle of left femur, subsequent encounter for open fracture type I or II with malunion
S72.423Q
Unspecified
Displaced fracture of lateral condyle of unspecified femur, subsequent encounter for open fracture type I or II with malunion

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. S72.422Q and S72.423Q 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

S72.422QDisplaced fracture of lateral condyle of left femur, subsequent encounter for open fracture type I or II with malunionS72.423QDisplaced fracture of lateral condyle of unspecified femur, subsequent encounter for open fracture type I or II with malunion
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 fracture of lateral condyle of left femur, subsequent encounter for open fracture type I or II with malunion is a billable ICD-10-CM diagnosis code (S72.422Q).Displaced fracture of lateral condyle of unspecified femur, subsequent encounter for open fracture type I or II with malunion is a billable ICD-10-CM diagnosis code (S72.423Q).
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