ICD-10-CM › S00-T88 › S40-S49 › S42.363 Displaced segmental fracture of... › S42.363D

S42.363D

Displaced segmental fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with routine healing

ValidICD-10-CM diagnosis code.

Valid for claims with a date of service in the current code year.

Valid FY2016 onwards.

What has happened to this code

Every change the publisher made, from 2007 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. FY2007 Added to the draft code set draft Displaced segmental fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with routine healing

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
S42.363A Displaced segmental fracture of shaft of humerus, unspecified arm, initial encounter for closed fracture Valid
S42.363B Displaced segmental fracture of shaft of humerus, unspecified arm, initial encounter for open fracture Valid
S42.363G Displaced segmental fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with delayed healing Valid
S42.363K Displaced segmental fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with nonunion Valid
S42.363P Displaced segmental fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with malunion Valid
S42.363S Displaced segmental fracture of shaft of humerus, unspecified arm, sequela Valid