ICD-10-CM › S00-T88 › S40-S49 › S42.49 Other fracture of lower end of humerus › S42.496
Other nondisplaced fracture of lower end of unspecified 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 7 more specific codes instead:
- S42.496A Other nondisplaced fracture of lower end of unspecified humerus, initial encounter for closed fracture
- S42.496B Other nondisplaced fracture of lower end of unspecified humerus, initial encounter for open fracture
- S42.496D Other nondisplaced fracture of lower end of unspecified humerus, subsequent encounter for fracture with routine healing
- S42.496G Other nondisplaced fracture of lower end of unspecified humerus, subsequent encounter for fracture with delayed healing
- S42.496K Other nondisplaced fracture of lower end of unspecified humerus, subsequent encounter for fracture with nonunion
- S42.496P Other nondisplaced fracture of lower end of unspecified humerus, subsequent encounter for fracture with malunion
- S42.496S Other nondisplaced fracture of lower end of unspecified humerus, 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.
- FY2014 Added to the draft code set draft Other nondisplaced fracture of lower end of unspecified 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
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 > humerus > distal end
- Fracture, traumatic > supracondylar, elbow
- Fracture, traumatic > humerus > intercondylar
- Fracture, traumatic > humerus > supracondylar
- Fracture, traumatic > humerus > articular process
- Fracture, traumatic > humerus > lower end > supracondylar > with intercondylar fracture
- Fracture, traumatic > humerus > lower end > specified NEC
- Fracture, traumatic > humerus > lower end > specified NEC > nondisplaced
Codes in the same group
| Code | Description | Status |
|---|---|---|
| S42.491 | Other displaced fracture of lower end of right humerus | Not billable |
| S42.492 | Other displaced fracture of lower end of left humerus | Not billable |
| S42.493 | Other displaced fracture of lower end of unspecified humerus | Not billable |
| S42.494 | Other nondisplaced fracture of lower end of right humerus | Not billable |
| S42.495 | Other nondisplaced fracture of lower end of left humerus | Not billable |