All ICD10 Codes

S42

Non-Billable
ChapterS00–T88
Rankcategory
Official Description

Fracture of shoulder and upper arm

Use a more specific code (0 billable, 6 non-billable)
S42.0Fracture of claviclehas subcodesS42.1Fracture of scapulahas subcodesS42.2Fracture of upper end of humerushas subcodesS42.3Fracture of shaft of humerushas subcodesS42.4Fracture of lower end of humerushas subcodesS42.9Fracture of shoulder girdle, part unspecifiedhas subcodes
Metadata & Insights
  • •Non-billable category (requires more specific sub-code).
  • •Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88).

CH19 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)
Use Additional Code
  • code to identify any retained foreign body, if applicable (Z18.-)

S40-S49 Parent Instructions

Includes
  • injuries of axilla
  • injuries of scapular region
Excludes2(Not included here. Code separately if applicable.)

Instructional Notes

Excludes1(Not coded here. Use a different code.)
  • traumatic amputation of shoulder and upper arm (S48.-)
Excludes2(Not included here. Code separately if applicable.)
  • periprosthetic fracture around internal prosthetic shoulder joint (M97.3)

Clinical Hierarchy

BillableHas subcodes
CH19Injury, poisoning and certain other consequences of external causes (S00-T88)
S40-S49Injuries to the shoulder and upper arm (S40-S49)
S42Fracture of shoulder and upper armNot billable
S42.0Fracture of clavicleSubcodes
S42.1Fracture of scapulaSubcodes
S42.2Fracture of upper end of humerusSubcodes
S42.3Fracture of shaft of humerusSubcodes
S42.4Fracture of lower end of humerusSubcodes
S42.9Fracture of shoulder girdle, part unspecifiedSubcodes

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to S42:

blockS40-S49
Injuries to the shoulder and upper arm (S40-S49)
View context instructions
chapterCH19
Injury, poisoning and certain other consequences of external causes (S00-T88)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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