Category · FY2027
S42 Fracture of shoulder and upper arm
- Header · not billable
- Codes take a 7th character
S42 is not billable. The category heads 1,398 billable codes in FY2027, grouped under 6 subdivisions. Its codes take a 7th character, so none is complete with fewer than 7 characters.
Index → code
Where it sits
- Chapter 19 Injury, poisoning and certain other consequences of external causes (S00-T88)
- S40-S49 Injuries to the shoulder and upper arm (S40-S49)
- S42 Fracture of shoulder and upper arm
- Billable codes
- 1,398
- Subdivisions
- 6
- CC / MCC codes
- 603 / 132
- HCC V28 codes
- 0
- New FY2027
- 0
- Index entries
- 70
Codes in S42
- S42.0Fracture of clavicleHeader
- S42.00Fracture of unspecified part of clavicleHeader
- S42.001Fracture of unspecified part of right clavicle +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.002Fracture of unspecified part of left clavicle +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.009Fracture of unspecified part of unspecified clavicle +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.01Fracture of sternal end of clavicleHeader
- S42.011Anterior displaced fracture of sternal end of right clavicle +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.012Anterior displaced fracture of sternal end of left clavicle +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.013Anterior displaced fracture of sternal end of unspecified clavicle +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
Inclusion terms 1
Inclusion terms
- Displaced fracture of sternal end of clavicle NOS
- S42.014Posterior displaced fracture of sternal end of right clavicle +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.015Posterior displaced fracture of sternal end of left clavicle +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.016Posterior displaced fracture of sternal end of unspecified clavicle +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.017Nondisplaced fracture of sternal end of right clavicle +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.018Nondisplaced fracture of sternal end of left clavicle +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.019Nondisplaced fracture of sternal end of unspecified clavicle +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.02Fracture of shaft of clavicleHeader
- S42.021Displaced fracture of shaft of right clavicle +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.022Displaced fracture of shaft of left clavicle +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.023Displaced fracture of shaft of unspecified clavicle +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.024Nondisplaced fracture of shaft of right clavicle +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.025Nondisplaced fracture of shaft of left clavicle +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.026Nondisplaced fracture of shaft of unspecified clavicle +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.03Fracture of lateral end of clavicleHeader
Inclusion terms 1
Inclusion terms
- Fracture of acromial end of clavicle
- S42.031Displaced fracture of lateral end of right clavicle +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.032Displaced fracture of lateral end of left clavicle +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.033Displaced fracture of lateral end of unspecified clavicle +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.034Nondisplaced fracture of lateral end of right clavicle +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.035Nondisplaced fracture of lateral end of left clavicle +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.036Nondisplaced fracture of lateral end of unspecified clavicle +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.1Fracture of scapulaHeader
- S42.10Fracture of unspecified part of scapulaHeader
- S42.101Fracture of unspecified part of scapula, right shoulder +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.102Fracture of unspecified part of scapula, left shoulder +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.109Fracture of unspecified part of scapula, unspecified shoulder +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.11Fracture of body of scapulaHeader
- S42.111Displaced fracture of body of scapula, right shoulder +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.112Displaced fracture of body of scapula, left shoulder +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.113Displaced fracture of body of scapula, unspecified shoulder +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.114Nondisplaced fracture of body of scapula, right shoulder +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.115Nondisplaced fracture of body of scapula, left shoulder +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.116Nondisplaced fracture of body of scapula, unspecified shoulder +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.12Fracture of acromial processHeader
- S42.121Displaced fracture of acromial process, right shoulder +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.122Displaced fracture of acromial process, left shoulder +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.123Displaced fracture of acromial process, unspecified shoulder +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.124Nondisplaced fracture of acromial process, right shoulder +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.125Nondisplaced fracture of acromial process, left shoulder +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.126Nondisplaced fracture of acromial process, unspecified shoulder +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.13Fracture of coracoid processHeader
- S42.131Displaced fracture of coracoid process, right shoulder +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.132Displaced fracture of coracoid process, left shoulder +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.133Displaced fracture of coracoid process, unspecified shoulder +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.134Nondisplaced fracture of coracoid process, right shoulder +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.135Nondisplaced fracture of coracoid process, left shoulder +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.136Nondisplaced fracture of coracoid process, unspecified shoulder +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.14Fracture of glenoid cavity of scapulaHeader
- S42.141Displaced fracture of glenoid cavity of scapula, right shoulder +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.142Displaced fracture of glenoid cavity of scapula, left shoulder +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.143Displaced fracture of glenoid cavity of scapula, unspecified shoulder +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.144Nondisplaced fracture of glenoid cavity of scapula, right shoulder +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.145Nondisplaced fracture of glenoid cavity of scapula, left shoulder +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.146Nondisplaced fracture of glenoid cavity of scapula, unspecified shoulder +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.15Fracture of neck of scapulaHeader
- S42.151Displaced fracture of neck of scapula, right shoulder +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.152Displaced fracture of neck of scapula, left shoulder +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.153Displaced fracture of neck of scapula, unspecified shoulder +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.154Nondisplaced fracture of neck of scapula, right shoulder +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.155Nondisplaced fracture of neck of scapula, left shoulder +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.156Nondisplaced fracture of neck of scapula, unspecified shoulder +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.19Fracture of other part of scapulaHeader
- S42.191Fracture of other part of scapula, right shoulder +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.192Fracture of other part of scapula, left shoulder +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.199Fracture of other part of scapula, unspecified shoulder +7th: A B D G K P SNeeds 7th characterCC B K PExempt: 5 of 7 7th characters
- S42.2
- S42.20Unspecified fracture of upper end of humerusHeader
- S42.201Unspecified fracture of upper end of right humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.202Unspecified fracture of upper end of left humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.209Unspecified fracture of upper end of unspecified humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.21Unspecified fracture of surgical neck of humerusHeader
Inclusion terms 1
Inclusion terms
- Fracture of neck of humerus NOS
- S42.211Unspecified displaced fracture of surgical neck of right humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.212Unspecified displaced fracture of surgical neck of left humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.213Unspecified displaced fracture of surgical neck of unspecified humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.214Unspecified nondisplaced fracture of surgical neck of right humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.215Unspecified nondisplaced fracture of surgical neck of left humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.216Unspecified nondisplaced fracture of surgical neck of unspecified humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.222-part fracture of surgical neck of humerusHeader
- S42.2212-part displaced fracture of surgical neck of right humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.2222-part displaced fracture of surgical neck of left humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.2232-part displaced fracture of surgical neck of unspecified humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.2242-part nondisplaced fracture of surgical neck of right humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.2252-part nondisplaced fracture of surgical neck of left humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.2262-part nondisplaced fracture of surgical neck of unspecified humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.233-part fracture of surgical neck of humerusHeader
- S42.2313-part fracture of surgical neck of right humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.2323-part fracture of surgical neck of left humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.2393-part fracture of surgical neck of unspecified humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.244-part fracture of surgical neck of humerusHeader
- S42.2414-part fracture of surgical neck of right humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.2424-part fracture of surgical neck of left humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.2494-part fracture of surgical neck of unspecified humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.25Fracture of greater tuberosity of humerusHeader
- S42.251Displaced fracture of greater tuberosity of right humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.252Displaced fracture of greater tuberosity of left humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.253Displaced fracture of greater tuberosity of unspecified humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.254Nondisplaced fracture of greater tuberosity of right humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.255Nondisplaced fracture of greater tuberosity of left humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.256Nondisplaced fracture of greater tuberosity of unspecified humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.26Fracture of lesser tuberosity of humerusHeader
- S42.261Displaced fracture of lesser tuberosity of right humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.262Displaced fracture of lesser tuberosity of left humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.263Displaced fracture of lesser tuberosity of unspecified humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.264Nondisplaced fracture of lesser tuberosity of right humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.265Nondisplaced fracture of lesser tuberosity of left humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.266Nondisplaced fracture of lesser tuberosity of unspecified humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.27Torus fracture of upper end of humerusHeader
- S42.271Torus fracture of upper end of right humerus +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- S42.272Torus fracture of upper end of left humerus +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- S42.279Torus fracture of upper end of unspecified humerus +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- S42.29Other fracture of upper end of humerusHeader
Inclusion terms 2
Inclusion terms
- Fracture of anatomical neck of humerus
- Fracture of articular head of humerus
- S42.291Other displaced fracture of upper end of right humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.292Other displaced fracture of upper end of left humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.293Other displaced fracture of upper end of unspecified humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.294Other nondisplaced fracture of upper end of right humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.295Other nondisplaced fracture of upper end of left humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.296Other nondisplaced fracture of upper end of unspecified humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.3
- S42.30Unspecified fracture of shaft of humerusHeader
- S42.301Unspecified fracture of shaft of humerus, right arm +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.302Unspecified fracture of shaft of humerus, left arm +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.309Unspecified fracture of shaft of humerus, unspecified arm +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.31Greenstick fracture of shaft of humerusHeader
- S42.311Greenstick fracture of shaft of humerus, right arm +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- S42.312Greenstick fracture of shaft of humerus, left arm +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- S42.319Greenstick fracture of shaft of humerus, unspecified arm +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- S42.32Transverse fracture of shaft of humerusHeader
- S42.321Displaced transverse fracture of shaft of humerus, right arm +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.322Displaced transverse fracture of shaft of humerus, left arm +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.323Displaced transverse fracture of shaft of humerus, unspecified arm +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.324Nondisplaced transverse fracture of shaft of humerus, right arm +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.325Nondisplaced transverse fracture of shaft of humerus, left arm +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.326Nondisplaced transverse fracture of shaft of humerus, unspecified arm +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.33Oblique fracture of shaft of humerusHeader
- S42.331Displaced oblique fracture of shaft of humerus, right arm +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.332Displaced oblique fracture of shaft of humerus, left arm +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.333Displaced oblique fracture of shaft of humerus, unspecified arm +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.334Nondisplaced oblique fracture of shaft of humerus, right arm +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.335Nondisplaced oblique fracture of shaft of humerus, left arm +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.336Nondisplaced oblique fracture of shaft of humerus, unspecified arm +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.34Spiral fracture of shaft of humerusHeader
- S42.341Displaced spiral fracture of shaft of humerus, right arm +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.342Displaced spiral fracture of shaft of humerus, left arm +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.343Displaced spiral fracture of shaft of humerus, unspecified arm +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.344Nondisplaced spiral fracture of shaft of humerus, right arm +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.345Nondisplaced spiral fracture of shaft of humerus, left arm +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.346Nondisplaced spiral fracture of shaft of humerus, unspecified arm +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.35Comminuted fracture of shaft of humerusHeader
- S42.351Displaced comminuted fracture of shaft of humerus, right arm +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.352Displaced comminuted fracture of shaft of humerus, left arm +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.353Displaced comminuted fracture of shaft of humerus, unspecified arm +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.354Nondisplaced comminuted fracture of shaft of humerus, right arm +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.355Nondisplaced comminuted fracture of shaft of humerus, left arm +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.356Nondisplaced comminuted fracture of shaft of humerus, unspecified arm +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.36Segmental fracture of shaft of humerusHeader
- S42.361Displaced segmental fracture of shaft of humerus, right arm +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.362Displaced segmental fracture of shaft of humerus, left arm +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.363Displaced segmental fracture of shaft of humerus, unspecified arm +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.364Nondisplaced segmental fracture of shaft of humerus, right arm +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.365Nondisplaced segmental fracture of shaft of humerus, left arm +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.366Nondisplaced segmental fracture of shaft of humerus, unspecified arm +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.39Other fracture of shaft of humerusHeader
- S42.391Other fracture of shaft of right humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.392Other fracture of shaft of left humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.399Other fracture of shaft of unspecified humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.4
- S42.40Unspecified fracture of lower end of humerusHeader
Inclusion terms 1
Inclusion terms
- Fracture of elbow NOS
- S42.401Unspecified fracture of lower end of right humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.402Unspecified fracture of lower end of left humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.409Unspecified fracture of lower end of unspecified humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.41Simple supracondylar fracture without intercondylar fracture of humerusHeader
- S42.411Displaced simple supracondylar fracture without intercondylar fracture of right humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.412Displaced simple supracondylar fracture without intercondylar fracture of left humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.413Displaced simple supracondylar fracture without intercondylar fracture of unspecified humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.414Nondisplaced simple supracondylar fracture without intercondylar fracture of right humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.415Nondisplaced simple supracondylar fracture without intercondylar fracture of left humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.416Nondisplaced simple supracondylar fracture without intercondylar fracture of unspecified humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.42Comminuted supracondylar fracture without intercondylar fracture of humerusHeader
- S42.421Displaced comminuted supracondylar fracture without intercondylar fracture of right humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.422Displaced comminuted supracondylar fracture without intercondylar fracture of left humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.423Displaced comminuted supracondylar fracture without intercondylar fracture of unspecified humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.424Nondisplaced comminuted supracondylar fracture without intercondylar fracture of right humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.425Nondisplaced comminuted supracondylar fracture without intercondylar fracture of left humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.426Nondisplaced comminuted supracondylar fracture without intercondylar fracture of unspecified humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.43Fracture (avulsion) of lateral epicondyle of humerusHeader
- S42.431Displaced fracture (avulsion) of lateral epicondyle of right humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.432Displaced fracture (avulsion) of lateral epicondyle of left humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.433Displaced fracture (avulsion) of lateral epicondyle of unspecified humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.434Nondisplaced fracture (avulsion) of lateral epicondyle of right humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.435Nondisplaced fracture (avulsion) of lateral epicondyle of left humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.436Nondisplaced fracture (avulsion) of lateral epicondyle of unspecified humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.44Fracture (avulsion) of medial epicondyle of humerusHeader
- S42.441Displaced fracture (avulsion) of medial epicondyle of right humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.442Displaced fracture (avulsion) of medial epicondyle of left humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.443Displaced fracture (avulsion) of medial epicondyle of unspecified humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.444Nondisplaced fracture (avulsion) of medial epicondyle of right humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.445Nondisplaced fracture (avulsion) of medial epicondyle of left humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.446Nondisplaced fracture (avulsion) of medial epicondyle of unspecified humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.447Incarcerated fracture (avulsion) of medial epicondyle of right humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.448Incarcerated fracture (avulsion) of medial epicondyle of left humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.449Incarcerated fracture (avulsion) of medial epicondyle of unspecified humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.45Fracture of lateral condyle of humerusHeader
Inclusion terms 1
Inclusion terms
- Fracture of capitellum of humerus
- S42.451Displaced fracture of lateral condyle of right humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.452Displaced fracture of lateral condyle of left humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.453Displaced fracture of lateral condyle of unspecified humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.454Nondisplaced fracture of lateral condyle of right humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.455Nondisplaced fracture of lateral condyle of left humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.456Nondisplaced fracture of lateral condyle of unspecified humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.46Fracture of medial condyle of humerusHeader
Inclusion terms 1
Inclusion terms
- Trochlea fracture of humerus
- S42.461Displaced fracture of medial condyle of right humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.462Displaced fracture of medial condyle of left humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.463Displaced fracture of medial condyle of unspecified humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.464Nondisplaced fracture of medial condyle of right humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.465Nondisplaced fracture of medial condyle of left humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.466Nondisplaced fracture of medial condyle of unspecified humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.47Transcondylar fracture of humerusHeader
- S42.471Displaced transcondylar fracture of right humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.472Displaced transcondylar fracture of left humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.473Displaced transcondylar fracture of unspecified humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.474Nondisplaced transcondylar fracture of right humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.475Nondisplaced transcondylar fracture of left humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.476Nondisplaced transcondylar fracture of unspecified humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.48Torus fracture of lower end of humerusHeader
- S42.481Torus fracture of lower end of right humerus +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- S42.482Torus fracture of lower end of left humerus +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- S42.489Torus fracture of lower end of unspecified humerus +7th: A D G K P SNeeds 7th characterCC A K PExempt: 5 of 6 7th characters
- S42.49Other fracture of lower end of humerusHeader
- S42.491Other displaced fracture of lower end of right humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.492Other displaced fracture of lower end of left humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.493Other displaced fracture of lower end of unspecified humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.494Other nondisplaced fracture of lower end of right humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.495Other nondisplaced fracture of lower end of left humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.496Other nondisplaced fracture of lower end of unspecified humerus +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.9Fracture of shoulder girdle, part unspecifiedHeader
Inclusion terms 1
Inclusion terms
- Fracture of shoulder NOS
- S42.90Fracture of unspecified shoulder girdle, part unspecified +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.91Fracture of right shoulder girdle, part unspecified +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
- S42.92Fracture of left shoulder girdle, part unspecified +7th: A B D G K P SNeeds 7th characterCC A K P MCC BExempt: 5 of 7 7th characters
CC/MCC: as a secondary diagnosis, unless the principal diagnosis is on the code’s PDX exclusion list (MS-DRG v44 Appendix C; list on the code card).
Sources of each column. Rows marked +7th need a 7th character: pick one to build the full code; its code card has its own flags.
Instructions
At S42
Notes
- 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
Excludes1
- traumatic amputation of shoulder and upper arm (S48.-) S48
Excludes2
- periprosthetic fracture around internal prosthetic shoulder joint (M97.3) M97.3
Notes that also apply
Block S40-S49 instructions (Includes 2, Excludes2 4): printed on the block page.
Chapter 19 instructions (Notes 2, Excludes2 2, Use additional code 1): printed on the chapter 19 page.
7th characters
7th characters for S42 defined here
The appropriate 7th character is to be added to all codes from category S42
| 7th | Meaning (NCHS) |
|---|---|
| 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 |
7th characters for S42.27 defined at S42.27
The appropriate 7th character is to be added to all codes in subcategory S42.27
| 7th | Meaning (NCHS) |
|---|---|
| A | initial encounter for closed 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 |
7th characters for S42.31 defined at S42.31
The appropriate 7th character is to be added to all codes in subcategory S42.31
| 7th | Meaning (NCHS) |
|---|---|
| A | initial encounter for closed 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 |
7th characters for S42.48 defined at S42.48
The appropriate 7th character is to be added to all codes in subcategory S42.48
| 7th | Meaning (NCHS) |
|---|---|
| A | initial encounter for closed 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 |
A code that takes a 7th character is invalid without it; the placeholder X fills a code shorter than 6 characters (Official Guidelines I.A.5). How 7th characters work.
Index entries
- Fracture, traumatic (abduction) (adduction) (separation)›clavicle → S42.00-
- Fracture, traumatic (abduction) (adduction) (separation)›scapula → S42.10-
- Fracture, traumatic (abduction) (adduction) (separation)›Hill-Sachs → S42.29-
- Fracture, traumatic (abduction) (adduction) (separation)›humerus → S42.30-
- Fracture, traumatic (abduction) (adduction) (separation)›elbow → S42.40-
- Fracture, traumatic (abduction) (adduction) (separation)›shoulder (girdle) → S42.9-
- Fracture, traumatic (abduction) (adduction) (separation)›clavicle›sternal end (anterior) (displaced) → S42.01-
- Fracture, traumatic (abduction) (adduction) (separation)›clavicle›shaft (displaced) → S42.02-
- Fracture, traumatic (abduction) (adduction) (separation)›clavicle›acromial end (displaced) → S42.03-
- Fracture, traumatic (abduction) (adduction) (separation)›scapula›body (displaced) → S42.11-
- Fracture, traumatic (abduction) (adduction) (separation)›scapula›acromial process (displaced) → S42.12-
- Fracture, traumatic (abduction) (adduction) (separation)›scapula›coracoid process (displaced) → S42.13-
- Fracture, traumatic (abduction) (adduction) (separation)›scapula›glenoid cavity (displaced) → S42.14-
- Fracture, traumatic (abduction) (adduction) (separation)›scapula›neck (displaced) → S42.15-
- Fracture, traumatic (abduction) (adduction) (separation)›scapula›specified NEC → S42.19-
- Fracture, traumatic (abduction) (adduction) (separation)›humerus›upper end → S42.20-
- Fracture, traumatic (abduction) (adduction) (separation)›humerus›shaft → S42.30-
- Fracture, traumatic (abduction) (adduction) (separation)›humerus›lower end → S42.40-
- Fracture, traumatic (abduction) (adduction) (separation)›clavicle›sternal end (anterior) (displaced)›nondisplaced → S42.01-
- Fracture, traumatic (abduction) (adduction) (separation)›clavicle›sternal end (anterior) (displaced)›posterior → S42.01-
- Fracture, traumatic (abduction) (adduction) (separation)›clavicle›shaft (displaced)›nondisplaced → S42.02-
- Fracture, traumatic (abduction) (adduction) (separation)›clavicle›acromial end (displaced)›nondisplaced → S42.03-
- Fracture, traumatic (abduction) (adduction) (separation)›scapula›body (displaced)›nondisplaced → S42.11-
- Fracture, traumatic (abduction) (adduction) (separation)›scapula›acromial process (displaced)›nondisplaced → S42.12-
- Fracture, traumatic (abduction) (adduction) (separation)›scapula›coracoid process (displaced)›nondisplaced → S42.13-
- Fracture, traumatic (abduction) (adduction) (separation)›scapula›glenoid cavity (displaced)›nondisplaced → S42.14-
- Fracture, traumatic (abduction) (adduction) (separation)›scapula›neck (displaced)›nondisplaced → S42.15-
- Fracture, traumatic (abduction) (adduction) (separation)›humerus›upper end›surgical neck (displaced) → S42.21-
- Fracture, traumatic (abduction) (adduction) (separation)›humerus›upper end›greater tuberosity (displaced) → S42.25-
- Fracture, traumatic (abduction) (adduction) (separation)›humerus›upper end›lesser tuberosity (displaced) → S42.26-
- Fracture, traumatic (abduction) (adduction) (separation)›humerus›upper end›torus → S42.27-
- Fracture, traumatic (abduction) (adduction) (separation)›humerus›upper end›specified NEC (displaced) → S42.29-
- Fracture, traumatic (abduction) (adduction) (separation)›humerus›shaft›greenstick → S42.31-
- Fracture, traumatic (abduction) (adduction) (separation)›humerus›shaft›transverse (displaced) → S42.32-
- Fracture, traumatic (abduction) (adduction) (separation)›humerus›shaft›oblique (displaced) → S42.33-
- Fracture, traumatic (abduction) (adduction) (separation)›humerus›shaft›spiral (displaced) → S42.34-
- Fracture, traumatic (abduction) (adduction) (separation)›humerus›shaft›comminuted (displaced) → S42.35-
- Fracture, traumatic (abduction) (adduction) (separation)›humerus›shaft›segmental (displaced) → S42.36-
- Fracture, traumatic (abduction) (adduction) (separation)›humerus›shaft›specified NEC → S42.39-
- Fracture, traumatic (abduction) (adduction) (separation)›humerus›lower end›supracondylar (simple) (displaced) → S42.41-
30 more, longer entries are not listed; the search box finds them by word.
NCHS Alphabetic Index. Index first, then the Tabular List.