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S42.201K
Billable

Unspecified fracture of upper end of right humerus (subsequent encounter for fracture with nonunion)

Chapter 19: Injury, poisoning and certain other consequences of external causes

Billable Code

S42.201K is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

Referenced in Diagnoses

Conditions that use this ICD-10 code in their documentation

View documentation for proximal humerus fracture
proximal humerus fracture
View Templates

Fracture of Proximal Humerus

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.

Inclusion Terms

1 item

From S42.2:

  • Fracture of proximal end of humerus

Excludes1

3 items

From S00-T88:

From S42:

  • traumatic amputation of shoulder and upper arm (S48.-)

Excludes2

3 items

From S42:

  • periprosthetic fracture around internal prosthetic shoulder joint (M97.3)

From S42.2:

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

Use Additional Code

1 item

From S00-T88:

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

Notes

2 items

From S42:

  • 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

7th Character Notes

8 items

From S42:

  • The appropriate 7th character is to be added to all codes from category S42
  • 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
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