S42.21

Non-Billable

ChapterS00–T88

Ranksubcategory

Official Description

Unspecified fracture of surgical neck of humerus

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).

Includes

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

S42.2Fracture of upper end of humerus

S42.21Unspecified fracture of surgical neck of humerusNot billable

S42.211Unspecified displaced fracture of surgical neck of right humerusBillable

S42.212Unspecified displaced fracture of surgical neck of left humerusBillable

S42.213Unspecified displaced fracture of surgical neck of unspecified humerusBillable

S42.214Unspecified nondisplaced fracture of surgical neck of right humerusBillable

S42.215Unspecified nondisplaced fracture of surgical neck of left humerusBillable

S42.216Unspecified nondisplaced fracture of surgical neck of unspecified humerusBillable

The following parent sections contain instructions or notes that apply to S42.21:

subcategoryS42.2

Fracture of upper end of humerus

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 Unspecified fracture of surgical neck of humerus.