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ICD-10S42 - Fracture of shoulder and upper arm
Chapter 19
Section S40-S49
S42
ICD-10Not billable
Fracture of shoulder and upper arm
Use additional code:
code to identify any retained foreign body, if applicable (Z18.-) (per Chapter 19)
Specifically for this code:
traumatic amputation of shoulder and upper arm (S48.-)
From Chapter 19:
birth trauma (P10-P15)
obstetric trauma (O70-O71)
Specifically for this code:
A fracture not indicated as displaced or nondisplaced should be coded to displaced
A fracture not indicated as open or closed should be coded to closed
From Chapter 19:
Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
From Section S40-S49:
injuries of axilla
injuries of scapular region
From Section S40-S49:
burns and corrosions (T20-T32)
frostbite (T33-T34)
injuries of elbow (S50-S59)
insect bite or sting, venomous (T63.4)
S42 is a "category code," which means it's non-billable. Billable codes require more specificity. Use the list below to navigate to codes that are more specific:
10
S42.0
Fracture of clavicle
10
S42.1
Fracture of scapula
10
S42.2
Fracture of upper end of humerus
10
S42.3
Fracture of shaft of humerus
10
S42.4
Fracture of lower end of humerus
10
S42.9
Fracture of shoulder girdle, part unspecified
10
S42.90XA
Fracture of unspecified shoulder girdle, part unspecified, initial encounter for closed fracture
Billable
10
S42.90XB
Fracture of unspecified shoulder girdle, part unspecified, initial encounter for open fracture
Billable
10
S42.90XD
Fracture of unspecified shoulder girdle, part unspecified, subsequent encounter for fracture with routine healing
Billable
10
S42.90XG
Fracture of unspecified shoulder girdle, part unspecified, subsequent encounter for fracture with delayed healing
Billable
10
S42.90XK
Fracture of unspecified shoulder girdle, part unspecified, subsequent encounter for fracture with nonunion
Billable
10
S42.90XP
Fracture of unspecified shoulder girdle, part unspecified, subsequent encounter for fracture with malunion
Billable
10
S42.90XS
Fracture of unspecified shoulder girdle, part unspecified, sequela
Billable
10
S42.91XA
Fracture of right shoulder girdle, part unspecified, initial encounter for closed fracture
Billable
10
S42.91XB
Fracture of right shoulder girdle, part unspecified, initial encounter for open fracture
Billable
10
S42.91XD
Fracture of right shoulder girdle, part unspecified, subsequent encounter for fracture with routine healing
Billable
10
S42.91XG
Fracture of right shoulder girdle, part unspecified, subsequent encounter for fracture with delayed healing
Billable
10
S42.91XK
Fracture of right shoulder girdle, part unspecified, subsequent encounter for fracture with nonunion
Billable
10
S42.91XP
Fracture of right shoulder girdle, part unspecified, subsequent encounter for fracture with malunion
Billable
10
S42.91XS
Fracture of right shoulder girdle, part unspecified, sequela
Billable
10
S42.92XA
Fracture of left shoulder girdle, part unspecified, initial encounter for closed fracture
Billable
10
S42.92XB
Fracture of left shoulder girdle, part unspecified, initial encounter for open fracture
Billable
10
S42.92XD
Fracture of left shoulder girdle, part unspecified, subsequent encounter for fracture with routine healing
Billable
10
S42.92XG
Fracture of left shoulder girdle, part unspecified, subsequent encounter for fracture with delayed healing
Billable
10
S42.92XK
Fracture of left shoulder girdle, part unspecified, subsequent encounter for fracture with nonunion
Billable
10
S42.92XP
Fracture of left shoulder girdle, part unspecified, subsequent encounter for fracture with malunion
Billable
10
S42.92XS
Fracture of left shoulder girdle, part unspecified, sequela