S42.26

Non-Billable

ChapterS00–T88

Ranksubcategory

Official Description

Fracture of lesser tuberosity 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).

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

S42.26Fracture of lesser tuberosity of humerusNot billable

S42.261Displaced fracture of lesser tuberosity of right humerusBillable

S42.262Displaced fracture of lesser tuberosity of left humerusBillable

S42.263Displaced fracture of lesser tuberosity of unspecified humerusBillable

S42.264Nondisplaced fracture of lesser tuberosity of right humerusBillable

S42.265Nondisplaced fracture of lesser tuberosity of left humerusBillable

S42.266Nondisplaced fracture of lesser tuberosity of unspecified humerusBillable

The following parent sections contain instructions or notes that apply to S42.26:

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 Fracture of lesser tuberosity of humerus.