S42.109

Billable

ChapterS00–T88

Ranksubcategory

Official Description

Fracture of unspecified part of scapula, unspecified shoulder

Metadata & Insights

•Billable/specific code (valid for reimbursement).
•Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88).

General instructions are available for the parent sections:

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 arm

S42.1Fracture of scapula

S42.10Fracture of unspecified part of scapula

S42.109Fracture of unspecified part of scapula, unspecified shoulderBillable

S42.109AFracture of unspecified part of scapula, unspecified shoulder, initial encounter for closed fractureBillable

S42.109BFracture of unspecified part of scapula, unspecified shoulder, initial encounter for open fractureBillable

S42.109DFracture of unspecified part of scapula, unspecified shoulder, subsequent encounter for fracture with routine healingBillable

S42.109GFracture of unspecified part of scapula, unspecified shoulder, subsequent encounter for fracture with delayed healingBillable

S42.109KFracture of unspecified part of scapula, unspecified shoulder, subsequent encounter for fracture with nonunionBillable

S42.109PFracture of unspecified part of scapula, unspecified shoulder, subsequent encounter for fracture with malunionBillable

S42.109SFracture of unspecified part of scapula, unspecified shoulder, sequelaBillable

The following parent sections contain instructions or notes that apply to S42.109:

categoryS42

Fracture of shoulder and upper arm

Injuries to the shoulder and upper arm (S40-S49)

chapterCH19

Injury, poisoning and certain other consequences of external causes (S00-T88)

2026

No direct MS-DRG triggers identified.

Find surgical and procedural codes related to Fracture of unspecified part of scapula, unspecified shoulder.