S42Non-billable
Fracture of shoulder and upper arm
Chapter 19: Injury, poisoning and certain other consequences of external causes
Excludes1
1 item
Excludes1
- •traumatic amputation of shoulder and upper arm (S48.-)
Excludes2
1 item
Excludes2
- •periprosthetic fracture around internal prosthetic shoulder joint (M97.3)
Notes
2 items
Notes
2 items- •A fracture not indicated as displaced or nondisplaced should be coded to displaced
- •A fracture not indicated as open or closed should be coded to closed
Coding Guidance
S42 should not be used for reimbursement purposes as there are more specific codes below it that contain a greater level of detail. See Related Codes to drill down to more specific billable codes for appropriate reimbursement.
7th Character Information
The appropriate 7th character is to be added to all codes from category S42
7th Character Values:
- •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
Additional Information from Parent Codes
The following information may apply to this code from its parent codes in the ICD-10 hierarchy. This information is important for proper coding and classification.
Parent Codes Referenced:
Excludes1
2 items
Excludes1
Use Additional Code
1 item
Use Additional Code
From S00-T88:
- •code to identify any retained foreign body, if applicable (Z18.-)