ICD-10-CM › S00-T88 › S40-S49 › S42.11 Fracture of body of scapula › S42.114

S42.114

Nondisplaced fracture of body of scapula, right shoulder

Not billableICD-10-CM diagnosis code.

This code exists but cannot be submitted on its own. It groups the more specific codes beneath it.

A category header for its whole life, FY2016 onwards. It has never been valid for submission on its own.

Submit one of these 7 more specific codes instead:

  • S42.114A Nondisplaced fracture of body of scapula, right shoulder, initial encounter for closed fracture
  • S42.114B Nondisplaced fracture of body of scapula, right shoulder, initial encounter for open fracture
  • S42.114D Nondisplaced fracture of body of scapula, right shoulder, subsequent encounter for fracture with routine healing
  • S42.114G Nondisplaced fracture of body of scapula, right shoulder, subsequent encounter for fracture with delayed healing
  • S42.114K Nondisplaced fracture of body of scapula, right shoulder, subsequent encounter for fracture with nonunion
  • S42.114P Nondisplaced fracture of body of scapula, right shoulder, subsequent encounter for fracture with malunion
  • S42.114S Nondisplaced fracture of body of scapula, right shoulder, sequela

This code requires a seventh character. See the rule below.

What has happened to this code

Every change the publisher made, from 2014 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.

  1. FY2014 Added to the draft code set draft Nondisplaced fracture of body of scapula, right shoulder

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.

Codes in the same group

CodeDescriptionStatus
S42.111 Displaced fracture of body of scapula, right shoulder Not billable
S42.112 Displaced fracture of body of scapula, left shoulder Not billable
S42.113 Displaced fracture of body of scapula, unspecified shoulder Not billable
S42.115 Nondisplaced fracture of body of scapula, left shoulder Not billable
S42.116 Nondisplaced fracture of body of scapula, unspecified shoulder Not billable