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S80.241 vs S80.249

S80.241 (External constriction, right knee) compared with S80.249 (External constriction, unspecified knee), from the official CMS tabular data. S80.241 and S80.249 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S80.241
Right
External constriction, right knee
S80.249
Unspecified
External constriction, unspecified knee

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. S80.241 and S80.249 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

S80.241External constriction, right kneeS80.249External constriction, unspecified knee
Billing statusNon-billable header

Report instead: S80.241A, S80.241D, S80.241S

Non-billable header

Report instead: S80.249A, S80.249D, S80.249S

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)
DefinitionExternal constriction, right knee is a non-billable ICD-10-CM category code (S80.241).External constriction, unspecified knee is a non-billable ICD-10-CM category code (S80.249).
7th characterThe appropriate 7th character is to be added to each code from category S80The appropriate 7th character is to be added to each code from category S80

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