S42.216

Billable

ChapterS00–T88

Ranksubcategory

Official Description

Unspecified nondisplaced fracture of surgical neck of unspecified humerus

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

S42.2Fracture of upper end of humerus

S42.21Unspecified fracture of surgical neck of humerus

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

S42.216AUnspecified nondisplaced fracture of surgical neck of unspecified humerus, initial encounter for closed fractureBillable

S42.216BUnspecified nondisplaced fracture of surgical neck of unspecified humerus, initial encounter for open fractureBillable

S42.216DUnspecified nondisplaced fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with routine healingBillable

S42.216GUnspecified nondisplaced fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with delayed healingBillable

S42.216KUnspecified nondisplaced fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with nonunionBillable

S42.216PUnspecified nondisplaced fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with malunionBillable

S42.216SUnspecified nondisplaced fracture of surgical neck of unspecified humerus, sequelaBillable

The following parent sections contain instructions or notes that apply to S42.216:

subcategoryS42.21

Unspecified fracture of surgical neck of humerus

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 nondisplaced fracture of surgical neck of unspecified humerus.