S42.3

Non-Billable
ChapterS00–T88
Ranksubcategory
Official Description

Fracture of shaft of humerus

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 humerus NOS
  • Fracture of upper arm NOS
Excludes2(Not included here. Code separately if applicable.)
  • physeal fractures of upper end of humerus (S49.0-)
  • physeal fractures of lower end of humerus (S49.1-)
General instructions are available for the parent sections:

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
S42.3Fracture of shaft of humerusNot billable
S42.30Unspecified fracture of shaft of humerusSubcodes
S42.31Greenstick fracture of shaft of humerusSubcodes
S42.32Transverse fracture of shaft of humerusSubcodes
S42.33Oblique fracture of shaft of humerusSubcodes
S42.34Spiral fracture of shaft of humerusSubcodes
S42.35Comminuted fracture of shaft of humerusSubcodes
S42.36Segmental fracture of shaft of humerusSubcodes
S42.39Other fracture of shaft of humerusSubcodes

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to S42.3:

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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