2020 ICD-10-CM Diagnosis Code S42.191

Fracture of other part of scapula, right shoulder

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • S42.191 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 S42.191 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of S42.191 - other international versions of ICD-10 S42.191 may differ.
The following code(s) above S42.191 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 S42.191:
  • 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
ICD-10-CM Codes Adjacent To S42.191
S42.155S …… sequela
S42.156 Nondisplaced fracture of neck of scapula, unspecified shoulder
S42.156A …… initial encounter for closed fracture
S42.156B …… initial encounter for open fracture
S42.156D …… subsequent encounter for fracture with routine healing
S42.156G …… subsequent encounter for fracture with delayed healing
S42.156K …… subsequent encounter for fracture with nonunion
S42.156P …… subsequent encounter for fracture with malunion
S42.156S …… sequela
S42.19 Fracture of other part of scapula
S42.191 Fracture of other part of scapula, right shoulder
S42.191A …… initial encounter for closed fracture
S42.191B …… initial encounter for open fracture
S42.191D …… subsequent encounter for fracture with routine healing
S42.191G …… subsequent encounter for fracture with delayed healing
S42.191K …… subsequent encounter for fracture with nonunion
S42.191P …… subsequent encounter for fracture with malunion
S42.191S …… sequela
S42.192 Fracture of other part of scapula, left shoulder
S42.192A …… initial encounter for closed fracture
S42.192B …… initial encounter for open fracture

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