S42
Non-billableFracture of shoulder and upper arm
Fracture of shoulder and upper arm
This is a header/category code. For billing purposes, use a more specific child code from the list below.
Coding Notes
Includes
Conditions included under this code
- injuries of axilla
- injuries of scapular region
Excludes 1
Codes that cannot be used together with this code (mutual exclusion)
Excludes 2
Conditions not included here, but the patient may have both
Use Additional Code
Additional codes that should follow this code
7th Character Definitions
- A - initial encounter for closed fracture
- B - initial encounter for open fracture
- D - subsequent encounter for fracture with routine healing
- G - subsequent encounter for fracture with delayed healing
- K - subsequent encounter for fracture with nonunion
- P - subsequent encounter for fracture with malunion
- S - sequela
Child Codes (6)
Related Conditions
ICD-11 Equivalents(1)
ICD-11 Equivalents
View full mappingCorresponding ICD-11 codes from the WHO crosswalk mapping
Also Known As / Clinical Terms(1)
Frequently Asked Questions
What is the ICD-10 code for fracture of shoulder and upper arm?
The ICD-10-CM code for fracture of shoulder and upper arm is S42. The full clinical description is "Fracture of shoulder and upper arm". S42 is a non-billable header code. Use a more specific child code for billing purposes.
What does ICD-10 code S42 mean?
ICD-10-CM code S42 represents “Fracture of shoulder and upper arm”. It is classified under Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes and is a non-billable header code. Use a more specific child code for billing purposes.
Is S42 a billable code?
No, S42 is a non-billable header code. You need to use one of its more specific child codes for billing. There are 6 child codes under S42.
What chapter is S42 in?
S42 is in Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (codes S00-T88).
What codes cannot be used with S42?
S42 has Excludes1 notes indicating codes that cannot be used together with it, including: birth trauma (P10-P15); obstetric trauma (O70-O71); traumatic amputation of shoulder and upper arm (S48.-).
What are the subcategories under S42?
S42 has 6 child codes, including: S42.0 (Fracture of clavicle), S42.1 (Fracture of scapula), S42.2 (Fracture of upper end of humerus), S42.3 (Fracture of shaft of humerus), and 2 more.
Are additional codes required with S42?
Yes, when using S42, also report: any retained foreign body, if applicable (Z18.-).
What are the UMLS CUIs for S42?
S42 is linked to 1 UMLS Concept Unique Identifier: C0495860. The UMLS (Unified Medical Language System) integrates multiple biomedical vocabularies maintained by the U.S. National Library of Medicine.
How does S42 relate to ICF functioning codes?
ICF (International Classification of Functioning, Disability and Health) codes describe how conditions like fracture of shoulder and upper arm affect a person's functioning — body functions, activities, participation, and environmental factors. AutoICD provides ICF Core Sets for 12+ conditions and can map clinical text to ICF categories automatically. Browse the ICF directory to explore functioning codes.
What is the ICD-11 equivalent of S42?
S42 maps to the ICD-11 code: NC12.Z (Fracture of shoulder or upper arm, unspecified).
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Includes SNOMED Clinical Terms® (SNOMED CT®) used by permission of SNOMED International. Includes content from the UMLS Metathesaurus, courtesy of the U.S. National Library of Medicine.