ICD-10-CM › S00-T88 › S40-S49 › S42.0 Fracture of clavicle › S42.03
Fracture of lateral end of clavicle
Not billableICD-10-CM diagnosis code.
This code exists but cannot be submitted on its own. It groups the more specific codes beneath it.
Submit one of these 6 more specific codes instead:
- S42.031 Displaced fracture of lateral end of right clavicle (also a header)
- S42.032 Displaced fracture of lateral end of left clavicle (also a header)
- S42.033 Displaced fracture of lateral end of unspecified clavicle (also a header)
- S42.034 Nondisplaced fracture of lateral end of right clavicle (also a header)
- S42.035 Nondisplaced fracture of lateral end of left clavicle (also a header)
- S42.036 Nondisplaced fracture of lateral end of unspecified clavicle (also a header)
This code requires a seventh character. See the rule below.
What has happened to this code
Every change the publisher made, from 2012 to now. Entries marked draft are from the pre-implementation releases: ICD-10 took effect on 1 October 2015, so nothing before FY2016 was ever valid on a claim.
- FY2012 Added to the draft code set draft Fracture of lateral end of clavicle
Official coding rules
Published by CDC for FY2027. A rule attached to a category binds every code beneath it, so the rules inherited from this code's ancestors are shown with the code they come from.
Inherited from S42 Fracture of shoulder and upper arm
Seventh character required
- The appropriate 7th character is to be added to all codes from category S42
Excludes1 - never coded here
- traumatic amputation of shoulder and upper arm (S48.-)
Excludes2 - not included here
- periprosthetic fracture around internal prosthetic shoulder joint (M97.3)
Note
- A fracture not indicated as displaced or nondisplaced should be coded to displaced
- A fracture not indicated as open or closed should be coded to closed
Inherited from the S40-S49 section Injuries to the shoulder and upper arm (S40-S49)
Excludes2 - not included here
- burns and corrosions (T20-T32)
- frostbite (T33-T34)
- injuries of elbow (S50-S59)
- insect bite or sting, venomous (T63.4)
Includes
- injuries of axilla
- injuries of scapular region
How CDC's index refers to this code
Wording from the official alphabetic index. Much of it appears nowhere in the code description, which is why a search for the everyday phrase so often finds nothing.
- Fracture, traumatic > clavicle > lateral end
- Fracture, traumatic > clavicle > acromial end
- Fracture, traumatic > clavicle > acromial end > nondisplaced
Codes in the same group
| Code | Description | Status |
|---|---|---|
| S42.00 | Fracture of unspecified part of clavicle | Not billable |
| S42.01 | Fracture of sternal end of clavicle | Not billable |
| S42.02 | Fracture of shaft of clavicle | Not billable |