2020 ICD-10-CM Diagnosis Code S42.1

Fracture of scapula

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • S42.1 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2020 edition of ICD-10-CM S42.1 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of S42.1 - other international versions of ICD-10 S42.1 may differ.
The following code(s) above S42.1 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to S42.1:
  • S00-T88
    2020 ICD-10-CM Range S00-T88

    Injury, poisoning and certain other consequences of external causes

    Note
    • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
    Type 1 Excludes
    Use Additional
    • code to identify any retained foreign body, if applicable (Z18.-)
    Injury, poisoning and certain other consequences of external causes
  • S40-S49
    2020 ICD-10-CM Range S40-S49

    Injuries to the shoulder and upper arm

    Includes
    • injuries of axilla
    • injuries of scapular region
    Type 2 Excludes
    Injuries to the shoulder and upper arm
  • S42
    ICD-10-CM Diagnosis Code S42

    Fracture of shoulder and upper arm

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    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
    Type 1 Excludes
    • traumatic amputation of shoulder and upper arm (S48.-)
    Fracture of shoulder and upper arm
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
Code annotations containing back-references to S42.1:
  • Type 2 Excludes: S22
    ICD-10-CM Diagnosis Code S22

    Fracture of rib(s), sternum and thoracic spine

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Code First
    • any associated:
    • injury of intrathoracic organ (S27.-)
    • spinal cord injury (S24.0-, S24.1-)
    Includes
    • fracture of thoracic neural arch
    • fracture of thoracic spinous process
    • fracture of thoracic transverse process
    • fracture of thoracic vertebra
    • fracture of thoracic vertebral arch
    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
    Type 1 Excludes
    • transection of thorax (S28.1)
    Type 2 Excludes
ICD-10-CM Codes Adjacent To S42.1
S42.035P …… subsequent encounter for fracture with malunion
S42.035S …… sequela
S42.036 Nondisplaced fracture of lateral end of unspecified clavicle
S42.036A …… initial encounter for closed fracture
S42.036B …… initial encounter for open fracture
S42.036D …… subsequent encounter for fracture with routine healing
S42.036G …… subsequent encounter for fracture with delayed healing
S42.036K …… subsequent encounter for fracture with nonunion
S42.036P …… subsequent encounter for fracture with malunion
S42.036S …… sequela
S42.1 Fracture of scapula
S42.10 Fracture of unspecified part of scapula
S42.101 Fracture of unspecified part of scapula, right shoulder
S42.101A …… initial encounter for closed fracture
S42.101B …… initial encounter for open fracture
S42.101D …… subsequent encounter for fracture with routine healing
S42.101G …… subsequent encounter for fracture with delayed healing
S42.101K …… subsequent encounter for fracture with nonunion
S42.101P …… subsequent encounter for fracture with malunion
S42.101S …… sequela
S42.102 Fracture of unspecified part of scapula, left shoulder

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.