S42.40

Non-Billable
ChapterS00–T88
Ranksubcategory
Official Description

Unspecified fracture of lower end 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 elbow NOS
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
S42.4Fracture of lower end of humerus
S42.40Unspecified fracture of lower end of humerusNot billable
S42.401Unspecified fracture of lower end of right humerusBillable
S42.402Unspecified fracture of lower end of left humerusBillable
S42.409Unspecified fracture of lower end of unspecified humerusBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to S42.40:

subcategoryS42.4
Fracture of lower end of humerus
View context instructions
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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