ICD-10-CM › S00-T88 › S40-S49 › S42 Fracture of shoulder and upper arm › S42.3
Fracture of shaft of humerus
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 8 more specific codes instead:
- S42.30 Unspecified fracture of shaft of humerus (also a header)
- S42.31 Greenstick fracture of shaft of humerus (also a header)
- S42.32 Transverse fracture of shaft of humerus (also a header)
- S42.33 Oblique fracture of shaft of humerus (also a header)
- S42.34 Spiral fracture of shaft of humerus (also a header)
- S42.35 Comminuted fracture of shaft of humerus (also a header)
- S42.36 Segmental fracture of shaft of humerus (also a header)
- S42.39 Other fracture of shaft of humerus (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 shaft of humerus
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
Codes in the same group
| Code | Description | Status |
|---|---|---|
| S42.0 | Fracture of clavicle | Not billable |
| S42.1 | Fracture of scapula | Not billable |
| S42.2 | Fracture of upper end of humerus | Not billable |
| S42.4 | Fracture of lower end of humerus | Not billable |
| S42.9 | Fracture of shoulder girdle, part unspecified | Not billable |