S42.11

Non-Billable

ChapterS00–T88

Ranksubcategory

Official Description

Fracture of body of scapula

Use a more specific code (6 billable)

Metadata & Insights

•Non-billable category (requires more specific sub-code).
•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

S42.11Fracture of body of scapulaNot billable

S42.111Displaced fracture of body of scapula, right shoulderBillable

S42.112Displaced fracture of body of scapula, left shoulderBillable

S42.113Displaced fracture of body of scapula, unspecified shoulderBillable

S42.114Nondisplaced fracture of body of scapula, right shoulderBillable

S42.115Nondisplaced fracture of body of scapula, left shoulderBillable

S42.116Nondisplaced fracture of body of scapula, unspecified shoulderBillable

The following parent sections contain instructions or notes that apply to S42.11:

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 body of scapula.