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.
Status
Non-billable / Header
Block
S40-S49
Child Codes
6
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
- code to identify any retained foreign body, if applicable (Z18.-)
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)
Also Known As / Clinical Terms
Frequently Asked Questions
What is ICD-10 code S42?
ICD-10-CM code S42 represents "Fracture of shoulder and upper arm". It 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 you should also code: code to identify 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.
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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.