S42
Non-billableFracture of shoulder and upper arm
S42 is the ICD-10-CM code for Fracture of shoulder and upper arm. It is a non-billable category code — use a more specific child code such as S42.0 for billing.
- Status
- Header (non-billable)
- Chapter
- S00-T88
- Subcodes
- 6
- Edition
- FY2026
S00-T88 Injury, poisoning and certain other consequences of external causes
What this means — in plain language
MedlinePlus · NIHWhat is a fracture? A fracture is a break in a bone. Fractures are usually caused by injuries. Since they can sometimes be serious, it's important to get medical care right away if you think you have a fracture. What are the different types of fractures? There are different ways to describe fractures. For example, there are different types of fractures based on: Whether the bone is partially or completely broken.…
Read more about Fractures at MedlinePlus ↗Source: U.S. National Library of Medicine (MedlinePlus). Informational only — not medical advice.
Excludes1 — not coded here
- •traumatic amputation of shoulder and upper arm (S48.-)
Excludes2 — not included here
- •periprosthetic fracture around internal prosthetic shoulder joint (M97.3)
Notes
- •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
Frequently asked questions
- What is ICD-10 code S42?
- S42 is the ICD-10-CM code for "Fracture of shoulder and upper arm". It falls under S00-T88 Injury, poisoning and certain other consequences of external causes.
- Is S42 a billable code?
- No — S42 is a non-billable header code. Use a more specific child code (such as S42.0) for billing.
- What is excluded from S42?
- Excludes1 (not coded here): traumatic amputation of shoulder and upper arm (S48.-).
Source: CMS ICD-10-CM FY2026. For informational purposes only — not medical advice. See our medical disclaimer.
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