ICD-10-CM › S00-T88 › S40-S49 › S42.9 Fracture of shoulder girdle, part... › S42.90

S42.90

Fracture of unspecified shoulder girdle, part unspecified

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:

  • S42.90XA Fracture of unspecified shoulder girdle, part unspecified, initial encounter for closed fracture
  • S42.90XB Fracture of unspecified shoulder girdle, part unspecified, initial encounter for open fracture
  • S42.90XD Fracture of unspecified shoulder girdle, part unspecified, subsequent encounter for fracture with routine healing
  • S42.90XG Fracture of unspecified shoulder girdle, part unspecified, subsequent encounter for fracture with delayed healing
  • S42.90XK Fracture of unspecified shoulder girdle, part unspecified, subsequent encounter for fracture with nonunion
  • S42.90XP Fracture of unspecified shoulder girdle, part unspecified, subsequent encounter for fracture with malunion
  • S42.90XS Fracture of unspecified shoulder girdle, part unspecified, 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 Fracture of unspecified shoulder girdle, part unspecified

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
S42.91 Fracture of right shoulder girdle, part unspecified Not billable
S42.92 Fracture of left shoulder girdle, part unspecified Not billable