AutoICD API

S42.409

Non-billable

Unspecified fracture of lower end of unspecified humerus

Unspecified fracture of lower end of unspecified 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

S42.40

Child Codes

7

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 lower end of humerus (S49.1-)

Use Additional Code

Additional codes that should follow this code

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

Child Codes (7)

S42.409A

Unsp fracture of lower end of unsp humerus, init for clos fx

BillableS42.409B

Unsp fracture of lower end of unsp humerus, init for opn fx

BillableS42.409D

Unsp fx lower end of unsp humerus, subs for fx w routn heal

BillableS42.409G

Unsp fx lower end of unsp humerus, subs for fx w delay heal

BillableS42.409K

Unsp fx lower end of unsp humerus, subs for fx w nonunion

BillableS42.409P

Unsp fx lower end of unsp humerus, subs for fx w malunion

BillableS42.409S

Unsp fracture of lower end of unspecified humerus, sequela

Billable

Also Known As / Clinical Terms

UMLS

Frequently Asked Questions

What is the ICD-10 code for unspecified fracture of lower end of unspecified humerus?

The ICD-10-CM code for unspecified fracture of lower end of unspecified humerus is S42.409. The full clinical description is "Unspecified fracture of lower end of unspecified humerus". S42.409 is a non-billable header code. Use a more specific child code for billing purposes.

What does ICD-10 code S42.409 mean?

ICD-10-CM code S42.409 represents "Unspecified fracture of lower end of unspecified 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 S42.409 a billable code?

No, S42.409 is a non-billable header code. You need to use one of its more specific child codes for billing. There are 7 child codes under S42.409.

What chapter is S42.409 in?

S42.409 is in Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (codes S00-T88).

What codes cannot be used with S42.409?

S42.409 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 S42.409?

S42.409 has 7 child codes, including: S42.409A (Unsp fracture of lower end of unsp humerus, init for clos fx), S42.409B (Unsp fracture of lower end of unsp humerus, init for opn fx), S42.409D (Unsp fx lower end of unsp humerus, subs for fx w routn heal), S42.409G (Unsp fx lower end of unsp humerus, subs for fx w delay heal), and 3 more.

Are additional codes required with S42.409?

Yes, when using S42.409 you should also code: code to identify any retained foreign body, if applicable (Z18.-).

What are the UMLS CUIs for S42.409?

S42.409 is linked to 1 UMLS Concept Unique Identifier: C2841523. 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.