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S42.40
Non-billable

Unspecified fracture of lower end of humerus

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

Inclusion Terms

1 item
  • Fracture of elbow NOS

Coding Guidance

S42.40 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.

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 S42.4:

  • Fracture of distal 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 S42.4:

  • fracture of shaft of humerus (S42.3-)
  • physeal fracture of lower end of humerus (S49.1-)

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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