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S42Fracture of shoulder and upper arm

ICD-10-CM category (non-billable header) code — part of Injuries to the shoulder and upper arm (S40-S49)

Code Details

BillableNo — use a more specific child code
ChapterChapter 19: Injury, poisoning and certain other consequences of external causes (S00-T88)
SectionInjuries to the shoulder and upper arm (S40-S49)

Valid 7th Characters

Ainitial encounter for closed fracture
Binitial encounter for open fracture
Dsubsequent encounter for fracture with routine healing
Gsubsequent encounter for fracture with delayed healing
Ksubsequent encounter for fracture with nonunion
Psubsequent encounter for fracture with malunion
Ssequela

Coding Notes

Excludes1 (never code both together)

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

Excludes2 (not part of this condition — may code both)

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

Note

  • 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 Note

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

Subcategories (6)

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