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S42.11

Non-billable

Fracture of body of scapula

Fracture of body of scapula

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

Parent Code

S42.1

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)

  • birth trauma (P10-P15)
  • obstetric trauma (O70-O71)
  • traumatic amputation of shoulder and upper arm (S48.-)

Excludes 2

Conditions not included here, but the patient may have both

  • burns and corrosions (T20-T32)
  • frostbite (T33-T34)
  • injuries of elbow (S50-S59)
  • insect bite or sting, venomous (T63.4)
  • periprosthetic fracture around internal prosthetic shoulder joint (M97.3)

Use Additional Code

Additional codes that should follow this code

  • code to identify any retained foreign body, if applicable (Z18.-)

Child Codes (6)

S42.111

Displaced fracture of body of scapula, right shoulder

S42.112

Displaced fracture of body of scapula, left shoulder

S42.113

Displaced fracture of body of scapula, unspecified shoulder

S42.114

Nondisplaced fracture of body of scapula, right shoulder

S42.115

Nondisplaced fracture of body of scapula, left shoulder

S42.116

Nondisp fx of body of scapula, unspecified shoulder

Also Known As / Clinical Terms

UMLS

Frequently Asked Questions

What is the ICD-10 code for fracture of body of scapula?

The ICD-10-CM code for fracture of body of scapula is S42.11. The full clinical description is "Fracture of body of scapula". S42.11 is a non-billable header code. Use a more specific child code for billing purposes.

What does ICD-10 code S42.11 mean?

ICD-10-CM code S42.11 represents "Fracture of body of scapula". 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 S42.11 a billable code?

No, S42.11 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 S42.11.

What chapter is S42.11 in?

S42.11 is in Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (codes S00-T88).

What codes cannot be used with S42.11?

S42.11 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 S42.11?

S42.11 has 6 child codes, including: S42.111 (Displaced fracture of body of scapula, right shoulder), S42.112 (Displaced fracture of body of scapula, left shoulder), S42.113 (Displaced fracture of body of scapula, unspecified shoulder), S42.114 (Nondisplaced fracture of body of scapula, right shoulder), and 2 more.

Are additional codes required with S42.11?

Yes, when using S42.11 you should also code: code to identify any retained foreign body, if applicable (Z18.-).

What are the UMLS CUIs for S42.11?

S42.11 is linked to 1 UMLS Concept Unique Identifier: C0272607. 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.