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S42.26

Non-billable

Fracture of lesser tuberosity of humerus

Fracture of lesser tuberosity 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

S42.2

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)
  • 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 (6)

S42.261

Displaced fracture of lesser tuberosity of right humerus

S42.262

Displaced fracture of lesser tuberosity of left humerus

S42.263

Disp fx of lesser tuberosity of unspecified humerus

S42.264

Nondisplaced fracture of lesser tuberosity of right humerus

S42.265

Nondisplaced fracture of lesser tuberosity of left humerus

S42.266

Nondisp fx of lesser tuberosity of unspecified humerus

Also Known As / Clinical Terms

UMLS

Frequently Asked Questions

What is the ICD-10 code for fracture of lesser tuberosity of humerus?

The ICD-10-CM code for fracture of lesser tuberosity of humerus is S42.26. The full clinical description is "Fracture of lesser tuberosity of humerus". S42.26 is a non-billable header code. Use a more specific child code for billing purposes.

What does ICD-10 code S42.26 mean?

ICD-10-CM code S42.26 represents "Fracture of lesser tuberosity of humerus". 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 S42.26 a billable code?

No, S42.26 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 S42.26.

What chapter is S42.26 in?

S42.26 is in Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (codes S00-T88).

What codes cannot be used with S42.26?

S42.26 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 S42.26?

S42.26 has 6 child codes, including: S42.261 (Displaced fracture of lesser tuberosity of right humerus), S42.262 (Displaced fracture of lesser tuberosity of left humerus), S42.263 (Disp fx of lesser tuberosity of unspecified humerus), S42.264 (Nondisplaced fracture of lesser tuberosity of right humerus), and 2 more.

Are additional codes required with S42.26?

Yes, when using S42.26 you should also code: code to identify any retained foreign body, if applicable (Z18.-).

What are the UMLS CUIs for S42.26?

S42.26 is linked to 1 UMLS Concept Unique Identifier: C2841068. 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.