Category: S42 - Fracture of shoulder and upper arm

 Chapter Notes

 Section Notes

 S42

Fracture of shoulder and upper arm

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

traumatic amputation of shoulder and upper arm (S48.-)

periprosthetic fracture around internal prosthetic shoulder joint (M97.3)

The appropriate 7th character is to be added to all codes from category S42

A

initial encounter for closed fracture

B

initial encounter for open fracture

D

subsequent encounter for fracture with routine healing

G

subsequent encounter for fracture with delayed healing

K

subsequent encounter for fracture with nonunion

P

subsequent encounter for fracture with malunion

S

sequela

 S42.0

Fracture of clavicle

 S42.00

Fracture of unspecified part of clavicle

 S42.001

Fracture of unspecified part of right clavicle

 S42.002

Fracture of unspecified part of left clavicle

 S42.009

Fracture of unspecified part of unspecified clavicle

 S42.01

Fracture of sternal end of clavicle

 S42.011

Anterior displaced fracture of sternal end of right clavicle

 S42.012

Anterior displaced fracture of sternal end of left clavicle

 S42.013

Anterior displaced fracture of sternal end of unspecified clavicle

Displaced fracture of sternal end of clavicle NOS

 S42.014

Posterior displaced fracture of sternal end of right clavicle

 S42.015

Posterior displaced fracture of sternal end of left clavicle

 S42.016

Posterior displaced fracture of sternal end of unspecified clavicle

 S42.017

Nondisplaced fracture of sternal end of right clavicle

 S42.018

Nondisplaced fracture of sternal end of left clavicle

 S42.019

Nondisplaced fracture of sternal end of unspecified clavicle

 S42.02

Fracture of shaft of clavicle

 S42.021

Displaced fracture of shaft of right clavicle

 S42.022

Displaced fracture of shaft of left clavicle

 S42.023

Displaced fracture of shaft of unspecified clavicle

 S42.024

Nondisplaced fracture of shaft of right clavicle

 S42.025

Nondisplaced fracture of shaft of left clavicle

 S42.026

Nondisplaced fracture of shaft of unspecified clavicle

 S42.03

Fracture of lateral end of clavicle

Fracture of acromial end of clavicle

 S42.031

Displaced fracture of lateral end of right clavicle

 S42.032

Displaced fracture of lateral end of left clavicle

 S42.033

Displaced fracture of lateral end of unspecified clavicle

 S42.034

Nondisplaced fracture of lateral end of right clavicle

 S42.035

Nondisplaced fracture of lateral end of left clavicle

 S42.036

Nondisplaced fracture of lateral end of unspecified clavicle

 S42.1

Fracture of scapula

 S42.10

Fracture of unspecified part of scapula

 S42.101

Fracture of unspecified part of scapula, right shoulder

 S42.102

Fracture of unspecified part of scapula, left shoulder

 S42.109

Fracture of unspecified part of scapula, unspecified shoulder

 S42.11

Fracture of body of scapula

 S42.111

Displaced fracture of body of scapula, right shoulder

 S42.112

Displaced fracture of body of scapula, left shoulder

 S42.113

Displaced fracture of body of scapula, unspecified shoulder

 S42.114

Nondisplaced fracture of body of scapula, right shoulder

 S42.115

Nondisplaced fracture of body of scapula, left shoulder

 S42.116

Nondisplaced fracture of body of scapula, unspecified shoulder

 S42.12

Fracture of acromial process

 S42.121

Displaced fracture of acromial process, right shoulder

 S42.122

Displaced fracture of acromial process, left shoulder

 S42.123

Displaced fracture of acromial process, unspecified shoulder

 S42.124

Nondisplaced fracture of acromial process, right shoulder

 S42.125

Nondisplaced fracture of acromial process, left shoulder

 S42.126

Nondisplaced fracture of acromial process, unspecified shoulder

 S42.13

Fracture of coracoid process

 S42.131

Displaced fracture of coracoid process, right shoulder

 S42.132

Displaced fracture of coracoid process, left shoulder

 S42.133

Displaced fracture of coracoid process, unspecified shoulder

 S42.134

Nondisplaced fracture of coracoid process, right shoulder

 S42.135

Nondisplaced fracture of coracoid process, left shoulder

 S42.136

Nondisplaced fracture of coracoid process, unspecified shoulder

 S42.14

Fracture of glenoid cavity of scapula

 S42.141

Displaced fracture of glenoid cavity of scapula, right shoulder

 S42.142

Displaced fracture of glenoid cavity of scapula, left shoulder

 S42.143

Displaced fracture of glenoid cavity of scapula, unspecified shoulder

 S42.144

Nondisplaced fracture of glenoid cavity of scapula, right shoulder

 S42.145

Nondisplaced fracture of glenoid cavity of scapula, left shoulder

 S42.146

Nondisplaced fracture of glenoid cavity of scapula, unspecified shoulder

 S42.15

Fracture of neck of scapula

 S42.151

Displaced fracture of neck of scapula, right shoulder

 S42.152

Displaced fracture of neck of scapula, left shoulder

 S42.153

Displaced fracture of neck of scapula, unspecified shoulder

 S42.154

Nondisplaced fracture of neck of scapula, right shoulder

 S42.155

Nondisplaced fracture of neck of scapula, left shoulder

 S42.156

Nondisplaced fracture of neck of scapula, unspecified shoulder

 S42.19

Fracture of other part of scapula

 S42.191

Fracture of other part of scapula, right shoulder

 S42.192

Fracture of other part of scapula, left shoulder

 S42.199

Fracture of other part of scapula, unspecified shoulder

 S42.2

Fracture of upper end of humerus

Fracture of proximal end of humerus

fracture of shaft of humerus (S42.3-)

physeal fracture of upper end of humerus (S49.0-)

 S42.20

Unspecified fracture of upper end of humerus

 S42.201

Unspecified fracture of upper end of right humerus

 S42.202

Unspecified fracture of upper end of left humerus

 S42.209

Unspecified fracture of upper end of unspecified humerus

 S42.21

Unspecified fracture of surgical neck of humerus

Fracture of neck of humerus NOS

 S42.211

Unspecified displaced fracture of surgical neck of right humerus

 S42.212

Unspecified displaced fracture of surgical neck of left humerus

 S42.213

Unspecified displaced fracture of surgical neck of unspecified humerus

 S42.214

Unspecified nondisplaced fracture of surgical neck of right humerus

 S42.215

Unspecified nondisplaced fracture of surgical neck of left humerus

 S42.216

Unspecified nondisplaced fracture of surgical neck of unspecified humerus

 S42.22

2-part fracture of surgical neck of humerus

 S42.221

2-part displaced fracture of surgical neck of right humerus

 S42.222

2-part displaced fracture of surgical neck of left humerus

 S42.223

2-part displaced fracture of surgical neck of unspecified humerus

 S42.224

2-part nondisplaced fracture of surgical neck of right humerus

 S42.225

2-part nondisplaced fracture of surgical neck of left humerus

 S42.226

2-part nondisplaced fracture of surgical neck of unspecified humerus

 S42.23

3-part fracture of surgical neck of humerus

 S42.231

3-part fracture of surgical neck of right humerus

 S42.232

3-part fracture of surgical neck of left humerus

 S42.239

3-part fracture of surgical neck of unspecified humerus

 S42.24

4-part fracture of surgical neck of humerus

 S42.241

4-part fracture of surgical neck of right humerus

 S42.242

4-part fracture of surgical neck of left humerus

 S42.249

4-part fracture of surgical neck of unspecified humerus

 S42.25

Fracture of greater tuberosity of humerus

 S42.251

Displaced fracture of greater tuberosity of right humerus

 S42.252

Displaced fracture of greater tuberosity of left humerus

 S42.253

Displaced fracture of greater tuberosity of unspecified humerus

 S42.254

Nondisplaced fracture of greater tuberosity of right humerus

 S42.255

Nondisplaced fracture of greater tuberosity of left humerus

 S42.256

Nondisplaced fracture of greater tuberosity of unspecified humerus

 S42.26

Fracture of lesser tuberosity of humerus

 S42.261

Displaced fracture of lesser tuberosity of right humerus

 S42.262

Displaced fracture of lesser tuberosity of left humerus

 S42.263

Displaced fracture of lesser tuberosity of unspecified humerus

 S42.264

Nondisplaced fracture of lesser tuberosity of right humerus

 S42.265

Nondisplaced fracture of lesser tuberosity of left humerus

 S42.266

Nondisplaced fracture of lesser tuberosity of unspecified humerus

 S42.27

Torus fracture of upper end of humerus

The appropriate 7th character is to be added to all codes in subcategory S42.27

A

initial encounter for closed fracture

D

subsequent encounter for fracture with routine healing

G

subsequent encounter for fracture with delayed healing

K

subsequent encounter for fracture with nonunion

P

subsequent encounter for fracture with malunion

S

sequela

 S42.271

Torus fracture of upper end of right humerus

 S42.272

Torus fracture of upper end of left humerus

 S42.279

Torus fracture of upper end of unspecified humerus

 S42.29

Other fracture of upper end of humerus

Fracture of anatomical neck of humerus

Fracture of articular head of humerus

 S42.291

Other displaced fracture of upper end of right humerus

 S42.292

Other displaced fracture of upper end of left humerus

 S42.293

Other displaced fracture of upper end of unspecified humerus

 S42.294

Other nondisplaced fracture of upper end of right humerus

 S42.295

Other nondisplaced fracture of upper end of left humerus

 S42.296

Other nondisplaced fracture of upper end of unspecified humerus

 S42.3

Fracture of shaft of humerus

Fracture of humerus NOS

Fracture of upper arm NOS

physeal fractures of upper end of humerus (S49.0-)

physeal fractures of lower end of humerus (S49.1-)

 S42.30

Unspecified fracture of shaft of humerus

 S42.301

Unspecified fracture of shaft of humerus, right arm

 S42.302

Unspecified fracture of shaft of humerus, left arm

 S42.309

Unspecified fracture of shaft of humerus, unspecified arm

 S42.31

Greenstick fracture of shaft of humerus

The appropriate 7th character is to be added to all codes in subcategory S42.31

A

initial encounter for closed fracture

D

subsequent encounter for fracture with routine healing

G

subsequent encounter for fracture with delayed healing

K

subsequent encounter for fracture with nonunion

P

subsequent encounter for fracture with malunion

S

sequela

 S42.311

Greenstick fracture of shaft of humerus, right arm

 S42.312

Greenstick fracture of shaft of humerus, left arm

 S42.319

Greenstick fracture of shaft of humerus, unspecified arm

 S42.32

Transverse fracture of shaft of humerus

 S42.321

Displaced transverse fracture of shaft of humerus, right arm

 S42.322

Displaced transverse fracture of shaft of humerus, left arm

 S42.323

Displaced transverse fracture of shaft of humerus, unspecified arm

 S42.324

Nondisplaced transverse fracture of shaft of humerus, right arm

 S42.325

Nondisplaced transverse fracture of shaft of humerus, left arm

 S42.326

Nondisplaced transverse fracture of shaft of humerus, unspecified arm

 S42.33

Oblique fracture of shaft of humerus

 S42.331

Displaced oblique fracture of shaft of humerus, right arm

 S42.332

Displaced oblique fracture of shaft of humerus, left arm

 S42.333

Displaced oblique fracture of shaft of humerus, unspecified arm

 S42.334

Nondisplaced oblique fracture of shaft of humerus, right arm

 S42.335

Nondisplaced oblique fracture of shaft of humerus, left arm

 S42.336

Nondisplaced oblique fracture of shaft of humerus, unspecified arm

 S42.34

Spiral fracture of shaft of humerus

 S42.341

Displaced spiral fracture of shaft of humerus, right arm

 S42.342

Displaced spiral fracture of shaft of humerus, left arm

 S42.343

Displaced spiral fracture of shaft of humerus, unspecified arm

 S42.344

Nondisplaced spiral fracture of shaft of humerus, right arm

 S42.345

Nondisplaced spiral fracture of shaft of humerus, left arm

 S42.346

Nondisplaced spiral fracture of shaft of humerus, unspecified arm

 S42.35

Comminuted fracture of shaft of humerus

 S42.351

Displaced comminuted fracture of shaft of humerus, right arm

 S42.352

Displaced comminuted fracture of shaft of humerus, left arm

 S42.353

Displaced comminuted fracture of shaft of humerus, unspecified arm

 S42.354

Nondisplaced comminuted fracture of shaft of humerus, right arm

 S42.355

Nondisplaced comminuted fracture of shaft of humerus, left arm

 S42.356

Nondisplaced comminuted fracture of shaft of humerus, unspecified arm

 S42.36

Segmental fracture of shaft of humerus

 S42.361

Displaced segmental fracture of shaft of humerus, right arm

 S42.362

Displaced segmental fracture of shaft of humerus, left arm

 S42.363

Displaced segmental fracture of shaft of humerus, unspecified arm

 S42.364

Nondisplaced segmental fracture of shaft of humerus, right arm

 S42.365

Nondisplaced segmental fracture of shaft of humerus, left arm

 S42.366

Nondisplaced segmental fracture of shaft of humerus, unspecified arm

 S42.39

Other fracture of shaft of humerus

 S42.391

Other fracture of shaft of right humerus

 S42.392

Other fracture of shaft of left humerus

 S42.399

Other fracture of shaft of unspecified humerus

 S42.4

Fracture of lower end of humerus

Fracture of distal end of humerus

fracture of shaft of humerus (S42.3-)

physeal fracture of lower end of humerus (S49.1-)

 S42.40

Unspecified fracture of lower end of humerus

Fracture of elbow NOS

 S42.401

Unspecified fracture of lower end of right humerus

 S42.402

Unspecified fracture of lower end of left humerus

 S42.409

Unspecified fracture of lower end of unspecified humerus

 S42.41

Simple supracondylar fracture without intercondylar fracture of humerus

 S42.411

Displaced simple supracondylar fracture without intercondylar fracture of right humerus

 S42.412

Displaced simple supracondylar fracture without intercondylar fracture of left humerus

 S42.413

Displaced simple supracondylar fracture without intercondylar fracture of unspecified humerus

 S42.414

Nondisplaced simple supracondylar fracture without intercondylar fracture of right humerus

 S42.415

Nondisplaced simple supracondylar fracture without intercondylar fracture of left humerus

 S42.416

Nondisplaced simple supracondylar fracture without intercondylar fracture of unspecified humerus

 S42.42

Comminuted supracondylar fracture without intercondylar fracture of humerus

 S42.421

Displaced comminuted supracondylar fracture without intercondylar fracture of right humerus

 S42.422

Displaced comminuted supracondylar fracture without intercondylar fracture of left humerus

 S42.423

Displaced comminuted supracondylar fracture without intercondylar fracture of unspecified humerus

 S42.424

Nondisplaced comminuted supracondylar fracture without intercondylar fracture of right humerus

 S42.425

Nondisplaced comminuted supracondylar fracture without intercondylar fracture of left humerus

 S42.426

Nondisplaced comminuted supracondylar fracture without intercondylar fracture of unspecified humerus

 S42.43

Fracture (avulsion) of lateral epicondyle of humerus

 S42.431

Displaced fracture (avulsion) of lateral epicondyle of right humerus

 S42.432

Displaced fracture (avulsion) of lateral epicondyle of left humerus

 S42.433

Displaced fracture (avulsion) of lateral epicondyle of unspecified humerus

 S42.434

Nondisplaced fracture (avulsion) of lateral epicondyle of right humerus

 S42.435

Nondisplaced fracture (avulsion) of lateral epicondyle of left humerus

 S42.436

Nondisplaced fracture (avulsion) of lateral epicondyle of unspecified humerus

 S42.44

Fracture (avulsion) of medial epicondyle of humerus

 S42.441

Displaced fracture (avulsion) of medial epicondyle of right humerus

 S42.442

Displaced fracture (avulsion) of medial epicondyle of left humerus

 S42.443

Displaced fracture (avulsion) of medial epicondyle of unspecified humerus

 S42.444

Nondisplaced fracture (avulsion) of medial epicondyle of right humerus

 S42.445

Nondisplaced fracture (avulsion) of medial epicondyle of left humerus

 S42.446

Nondisplaced fracture (avulsion) of medial epicondyle of unspecified humerus

 S42.447

Incarcerated fracture (avulsion) of medial epicondyle of right humerus

 S42.448

Incarcerated fracture (avulsion) of medial epicondyle of left humerus

 S42.449

Incarcerated fracture (avulsion) of medial epicondyle of unspecified humerus

 S42.45

Fracture of lateral condyle of humerus

Fracture of capitellum of humerus

 S42.451

Displaced fracture of lateral condyle of right humerus

 S42.452

Displaced fracture of lateral condyle of left humerus

 S42.453

Displaced fracture of lateral condyle of unspecified humerus

 S42.454

Nondisplaced fracture of lateral condyle of right humerus

 S42.455

Nondisplaced fracture of lateral condyle of left humerus

 S42.456

Nondisplaced fracture of lateral condyle of unspecified humerus

 S42.46

Fracture of medial condyle of humerus

Trochlea fracture of humerus

 S42.461

Displaced fracture of medial condyle of right humerus

 S42.462

Displaced fracture of medial condyle of left humerus

 S42.463

Displaced fracture of medial condyle of unspecified humerus

 S42.464

Nondisplaced fracture of medial condyle of right humerus

 S42.465

Nondisplaced fracture of medial condyle of left humerus

 S42.466

Nondisplaced fracture of medial condyle of unspecified humerus

 S42.47

Transcondylar fracture of humerus

 S42.471

Displaced transcondylar fracture of right humerus

 S42.472

Displaced transcondylar fracture of left humerus

 S42.473

Displaced transcondylar fracture of unspecified humerus

 S42.474

Nondisplaced transcondylar fracture of right humerus

 S42.475

Nondisplaced transcondylar fracture of left humerus

 S42.476

Nondisplaced transcondylar fracture of unspecified humerus

 S42.48

Torus fracture of lower end of humerus

The appropriate 7th character is to be added to all codes in subcategory S42.48

A

initial encounter for closed fracture

D

subsequent encounter for fracture with routine healing

G

subsequent encounter for fracture with delayed healing

K

subsequent encounter for fracture with nonunion

P

subsequent encounter for fracture with malunion

S

sequela

 S42.481

Torus fracture of lower end of right humerus

 S42.482

Torus fracture of lower end of left humerus

 S42.489

Torus fracture of lower end of unspecified humerus

 S42.49

Other fracture of lower end of humerus

 S42.491

Other displaced fracture of lower end of right humerus

 S42.492

Other displaced fracture of lower end of left humerus

 S42.493

Other displaced fracture of lower end of unspecified humerus

 S42.494

Other nondisplaced fracture of lower end of right humerus

 S42.495

Other nondisplaced fracture of lower end of left humerus

 S42.496

Other nondisplaced fracture of lower end of unspecified humerus

 S42.9

Fracture of shoulder girdle, part unspecified

Fracture of shoulder NOS

 S42.90

Fracture of unspecified shoulder girdle, part unspecified

 S42.91

Fracture of right shoulder girdle, part unspecified

 S42.92

Fracture of left shoulder girdle, part unspecified