AutoICD API

S42.2

Non-billable

Fracture of upper end of humerus

Fracture of upper end of humerus

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

Child Codes

9

Coding Notes

Inclusion Terms

Alternative clinical terms for this condition

  • Fracture of proximal end of humerus

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)
  • fracture of shaft of humerus (S42.3-)
  • physeal fracture of upper end of humerus (S49.0-)

Use Additional Code

Additional codes that should follow this code

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

Child Codes (9)

S42.20

Unspecified fracture of upper end of humerus

S42.21

Unspecified fracture of surgical neck of humerus

S42.22

2-part fracture of surgical neck of humerus

S42.23

3-part fracture of surgical neck of humerus

S42.24

4-part fracture of surgical neck of humerus

S42.25

Fracture of greater tuberosity of humerus

S42.26

Fracture of lesser tuberosity of humerus

S42.27

Torus fracture of upper end of humerus

S42.29

Other fracture of upper end of humerus

Also Known As / Clinical Terms

UMLS

Frequently Asked Questions

What is ICD-10 code S42.2?

ICD-10-CM code S42.2 represents "Fracture of upper end of humerus". It is a non-billable header code — use a more specific child code for billing purposes.

Is S42.2 a billable code?

No, S42.2 is a non-billable header code. You need to use one of its more specific child codes for billing. There are 9 child codes under S42.2.

What chapter is S42.2 in?

S42.2 is in Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (codes S00-T88).

What codes cannot be used with S42.2?

S42.2 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 S42.2?

S42.2 has 9 child codes, including: S42.20 (Unspecified fracture of upper end of humerus), S42.21 (Unspecified fracture of surgical neck of humerus), S42.22 (2-part fracture of surgical neck of humerus), S42.23 (3-part fracture of surgical neck of humerus), and 5 more.

Are additional codes required with S42.2?

Yes, when using S42.2 you should also code: code to identify any retained foreign body, if applicable (Z18.-).

What are the UMLS CUIs for S42.2?

S42.2 is linked to 1 UMLS Concept Unique Identifier: C0435531. The UMLS (Unified Medical Language System) integrates multiple biomedical vocabularies maintained by the U.S. National Library of Medicine.

Automate ICD-10 Coding With AI

Send clinical text to the AutoICD API and get back structured ICD-10 codes with confidence scores. Integrates into any EHR or billing system in minutes.

Try FreeView API Docs

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.