All ICD10 Codes

S42.2

Non-Billable
ChapterS00–T88
Ranksubcategory
Official Description

Fracture of upper end of humerus

Use a more specific code (0 billable, 9 non-billable)
S42.20Unspecified fracture of upper end of humerushas subcodesS42.21Unspecified fracture of surgical neck of humerushas subcodesS42.222-part fracture of surgical neck of humerushas subcodesS42.233-part fracture of surgical neck of humerushas subcodesS42.244-part fracture of surgical neck of humerushas subcodesS42.25Fracture of greater tuberosity of humerushas subcodesS42.26Fracture of lesser tuberosity of humerushas subcodesS42.27Torus fracture of upper end of humerushas subcodesS42.29Other fracture of upper end of humerushas subcodes
Metadata & Insights
  • •Non-billable category (requires more specific sub-code).
  • •Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88).

Instructional Notes

Includes
  • Fracture of proximal end of humerus
Excludes2(Not included here. Code separately if applicable.)
  • fracture of shaft of humerus (S42.3-)
  • physeal fracture of upper end of humerus (S49.0-)
General instructions are available for the parent sections:
View CH19 NotesView S40-S49 NotesView S42 Notes

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 arm
S42.2Fracture of upper end of humerusNot billable
S42.20Unspecified fracture of upper end of humerusSubcodes
S42.21Unspecified fracture of surgical neck of humerusSubcodes
S42.222-part fracture of surgical neck of humerusSubcodes
S42.233-part fracture of surgical neck of humerusSubcodes
S42.244-part fracture of surgical neck of humerusSubcodes
S42.25Fracture of greater tuberosity of humerusSubcodes
S42.26Fracture of lesser tuberosity of humerusSubcodes
S42.27Torus fracture of upper end of humerusSubcodes
S42.29Other fracture of upper end of humerusSubcodes

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to S42.2:

categoryS42
Fracture of shoulder and upper arm
View context instructions
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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