Fracture of upper end of humerus S42.2-

Applicable To
  • Fracture of proximal end of humerus
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (S42.2) and the excluded code together.
  • fracture of shaft of humerus (
    ICD-10-CM Diagnosis Code S42.3

    Fracture of shaft of humerus

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Applicable To
    • Fracture of humerus NOS
    • Fracture of upper arm NOS
    Type 2 Excludes
    • physeal fractures of upper end of humerus (S49.0-)
    • physeal fractures of lower end of humerus (S49.1-)
    S42.3-
    )
  • physeal fracture of upper end of humerus (
    ICD-10-CM Diagnosis Code S49.0

    Physeal fracture of upper end of humerus

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    S49.0-
    )
  • S42.2 Fracture of upper end of humerus
    • S42.20 Unspecified fracture of upper end of humerus
      • S42.201 Unspecified fracture of upper end of right humerus
        • S42.201A …… initial encounter for closed fracture
        • S42.201B …… initial encounter for open fracture
        • S42.201D …… subsequent encounter for fracture with routine healing
        • S42.201G …… subsequent encounter for fracture with delayed healing
        • S42.201K …… subsequent encounter for fracture with nonunion
        • S42.201P …… subsequent encounter for fracture with malunion
        • S42.201S …… sequela
      • S42.202 Unspecified fracture of upper end of left humerus
        • S42.202A …… initial encounter for closed fracture
        • S42.202B …… initial encounter for open fracture
        • S42.202D …… subsequent encounter for fracture with routine healing
        • S42.202G …… subsequent encounter for fracture with delayed healing
        • S42.202K …… subsequent encounter for fracture with nonunion
        • S42.202P …… subsequent encounter for fracture with malunion
        • S42.202S …… sequela
      • S42.209 Unspecified fracture of upper end of unspecified humerus
        • S42.209A …… initial encounter for closed fracture
        • S42.209B …… initial encounter for open fracture
        • S42.209D …… subsequent encounter for fracture with routine healing
        • S42.209G …… subsequent encounter for fracture with delayed healing
        • S42.209K …… subsequent encounter for fracture with nonunion
        • S42.209P …… subsequent encounter for fracture with malunion
        • S42.209S …… sequela
    • S42.21 Unspecified fracture of surgical neck of humerus
      • S42.211 Unspecified displaced fracture of surgical neck of right humerus
        • S42.211A …… initial encounter for closed fracture
        • S42.211B …… initial encounter for open fracture
        • S42.211D …… subsequent encounter for fracture with routine healing
        • S42.211G …… subsequent encounter for fracture with delayed healing
        • S42.211K …… subsequent encounter for fracture with nonunion
        • S42.211P …… subsequent encounter for fracture with malunion
        • S42.211S …… sequela
      • S42.212 Unspecified displaced fracture of surgical neck of left humerus
        • S42.212A …… initial encounter for closed fracture
        • S42.212B …… initial encounter for open fracture
        • S42.212D …… subsequent encounter for fracture with routine healing
        • S42.212G …… subsequent encounter for fracture with delayed healing
        • S42.212K …… subsequent encounter for fracture with nonunion
        • S42.212P …… subsequent encounter for fracture with malunion
        • S42.212S …… sequela
      • S42.213 Unspecified displaced fracture of surgical neck of unspecified humerus
        • S42.213A …… initial encounter for closed fracture
        • S42.213B …… initial encounter for open fracture
        • S42.213D …… subsequent encounter for fracture with routine healing
        • S42.213G …… subsequent encounter for fracture with delayed healing
        • S42.213K …… subsequent encounter for fracture with nonunion
        • S42.213P …… subsequent encounter for fracture with malunion
        • S42.213S …… sequela
      • S42.214 Unspecified nondisplaced fracture of surgical neck of right humerus
        • S42.214A …… initial encounter for closed fracture
        • S42.214B …… initial encounter for open fracture
        • S42.214D …… subsequent encounter for fracture with routine healing
        • S42.214G …… subsequent encounter for fracture with delayed healing
        • S42.214K …… subsequent encounter for fracture with nonunion
        • S42.214P …… subsequent encounter for fracture with malunion
        • S42.214S …… sequela
      • S42.215 Unspecified nondisplaced fracture of surgical neck of left humerus
        • S42.215A …… initial encounter for closed fracture
        • S42.215B …… initial encounter for open fracture
        • S42.215D …… subsequent encounter for fracture with routine healing
        • S42.215G …… subsequent encounter for fracture with delayed healing
        • S42.215K …… subsequent encounter for fracture with nonunion
        • S42.215P …… subsequent encounter for fracture with malunion
        • S42.215S …… sequela
      • S42.216 Unspecified nondisplaced fracture of surgical neck of unspecified humerus
        • S42.216A …… initial encounter for closed fracture
        • S42.216B …… initial encounter for open fracture
        • S42.216D …… subsequent encounter for fracture with routine healing
        • S42.216G …… subsequent encounter for fracture with delayed healing
        • S42.216K …… subsequent encounter for fracture with nonunion
        • S42.216P …… subsequent encounter for fracture with malunion
        • S42.216S …… sequela
    • S42.22 2-part fracture of surgical neck of humerus
      • S42.221 2-part displaced fracture of surgical neck of right humerus
        • S42.221A …… initial encounter for closed fracture
        • S42.221B …… initial encounter for open fracture
        • S42.221D …… subsequent encounter for fracture with routine healing
        • S42.221G …… subsequent encounter for fracture with delayed healing
        • S42.221K …… subsequent encounter for fracture with nonunion
        • S42.221P …… subsequent encounter for fracture with malunion
        • S42.221S …… sequela
      • S42.222 2-part displaced fracture of surgical neck of left humerus
        • S42.222A …… initial encounter for closed fracture
        • S42.222B …… initial encounter for open fracture
        • S42.222D …… subsequent encounter for fracture with routine healing
        • S42.222G …… subsequent encounter for fracture with delayed healing
        • S42.222K …… subsequent encounter for fracture with nonunion
        • S42.222P …… subsequent encounter for fracture with malunion
        • S42.222S …… sequela
      • S42.223 2-part displaced fracture of surgical neck of unspecified humerus
        • S42.223A …… initial encounter for closed fracture
        • S42.223B …… initial encounter for open fracture
        • S42.223D …… subsequent encounter for fracture with routine healing
        • S42.223G …… subsequent encounter for fracture with delayed healing
        • S42.223K …… subsequent encounter for fracture with nonunion
        • S42.223P …… subsequent encounter for fracture with malunion
        • S42.223S …… sequela
      • S42.224 2-part nondisplaced fracture of surgical neck of right humerus
        • S42.224A …… initial encounter for closed fracture
        • S42.224B …… initial encounter for open fracture
        • S42.224D …… subsequent encounter for fracture with routine healing
        • S42.224G …… subsequent encounter for fracture with delayed healing
        • S42.224K …… subsequent encounter for fracture with nonunion
        • S42.224P …… subsequent encounter for fracture with malunion
        • S42.224S …… sequela
      • S42.225 2-part nondisplaced fracture of surgical neck of left humerus
        • S42.225A …… initial encounter for closed fracture
        • S42.225B …… initial encounter for open fracture
        • S42.225D …… subsequent encounter for fracture with routine healing
        • S42.225G …… subsequent encounter for fracture with delayed healing
        • S42.225K …… subsequent encounter for fracture with nonunion
        • S42.225P …… subsequent encounter for fracture with malunion
        • S42.225S …… sequela
      • S42.226 2-part nondisplaced fracture of surgical neck of unspecified humerus
        • S42.226A …… initial encounter for closed fracture
        • S42.226B …… initial encounter for open fracture
        • S42.226D …… subsequent encounter for fracture with routine healing
        • S42.226G …… subsequent encounter for fracture with delayed healing
        • S42.226K …… subsequent encounter for fracture with nonunion
        • S42.226P …… subsequent encounter for fracture with malunion
        • S42.226S …… sequela
    • S42.23 3-part fracture of surgical neck of humerus
      • S42.231 3-part fracture of surgical neck of right humerus
        • S42.231A …… initial encounter for closed fracture
        • S42.231B …… initial encounter for open fracture
        • S42.231D …… subsequent encounter for fracture with routine healing
        • S42.231G …… subsequent encounter for fracture with delayed healing
        • S42.231K …… subsequent encounter for fracture with nonunion
        • S42.231P …… subsequent encounter for fracture with malunion
        • S42.231S …… sequela
      • S42.232 3-part fracture of surgical neck of left humerus
        • S42.232A …… initial encounter for closed fracture
        • S42.232B …… initial encounter for open fracture
        • S42.232D …… subsequent encounter for fracture with routine healing
        • S42.232G …… subsequent encounter for fracture with delayed healing
        • S42.232K …… subsequent encounter for fracture with nonunion
        • S42.232P …… subsequent encounter for fracture with malunion
        • S42.232S …… sequela
      • S42.239 3-part fracture of surgical neck of unspecified humerus
        • S42.239A …… initial encounter for closed fracture
        • S42.239B …… initial encounter for open fracture
        • S42.239D …… subsequent encounter for fracture with routine healing
        • S42.239G …… subsequent encounter for fracture with delayed healing
        • S42.239K …… subsequent encounter for fracture with nonunion
        • S42.239P …… subsequent encounter for fracture with malunion
        • S42.239S …… sequela
    • S42.24 4-part fracture of surgical neck of humerus
      • S42.241 4-part fracture of surgical neck of right humerus
        • S42.241A …… initial encounter for closed fracture
        • S42.241B …… initial encounter for open fracture
        • S42.241D …… subsequent encounter for fracture with routine healing
        • S42.241G …… subsequent encounter for fracture with delayed healing
        • S42.241K …… subsequent encounter for fracture with nonunion
        • S42.241P …… subsequent encounter for fracture with malunion
        • S42.241S …… sequela
      • S42.242 4-part fracture of surgical neck of left humerus
        • S42.242A …… initial encounter for closed fracture
        • S42.242B …… initial encounter for open fracture
        • S42.242D …… subsequent encounter for fracture with routine healing
        • S42.242G …… subsequent encounter for fracture with delayed healing
        • S42.242K …… subsequent encounter for fracture with nonunion
        • S42.242P …… subsequent encounter for fracture with malunion
        • S42.242S …… sequela
      • S42.249 4-part fracture of surgical neck of unspecified humerus
        • S42.249A …… initial encounter for closed fracture
        • S42.249B …… initial encounter for open fracture
        • S42.249D …… subsequent encounter for fracture with routine healing
        • S42.249G …… subsequent encounter for fracture with delayed healing
        • S42.249K …… subsequent encounter for fracture with nonunion
        • S42.249P …… subsequent encounter for fracture with malunion
        • S42.249S …… sequela
    • S42.25 Fracture of greater tuberosity of humerus
      • S42.251 Displaced fracture of greater tuberosity of right humerus
        • S42.251A …… initial encounter for closed fracture
        • S42.251B …… initial encounter for open fracture
        • S42.251D …… subsequent encounter for fracture with routine healing
        • S42.251G …… subsequent encounter for fracture with delayed healing
        • S42.251K …… subsequent encounter for fracture with nonunion
        • S42.251P …… subsequent encounter for fracture with malunion
        • S42.251S …… sequela
      • S42.252 Displaced fracture of greater tuberosity of left humerus
        • S42.252A …… initial encounter for closed fracture
        • S42.252B …… initial encounter for open fracture
        • S42.252D …… subsequent encounter for fracture with routine healing
        • S42.252G …… subsequent encounter for fracture with delayed healing
        • S42.252K …… subsequent encounter for fracture with nonunion
        • S42.252P …… subsequent encounter for fracture with malunion
        • S42.252S …… sequela
      • S42.253 Displaced fracture of greater tuberosity of unspecified humerus
        • S42.253A …… initial encounter for closed fracture
        • S42.253B …… initial encounter for open fracture
        • S42.253D …… subsequent encounter for fracture with routine healing
        • S42.253G …… subsequent encounter for fracture with delayed healing
        • S42.253K …… subsequent encounter for fracture with nonunion
        • S42.253P …… subsequent encounter for fracture with malunion
        • S42.253S …… sequela
      • S42.254 Nondisplaced fracture of greater tuberosity of right humerus
        • S42.254A …… initial encounter for closed fracture
        • S42.254B …… initial encounter for open fracture
        • S42.254D …… subsequent encounter for fracture with routine healing
        • S42.254G …… subsequent encounter for fracture with delayed healing
        • S42.254K …… subsequent encounter for fracture with nonunion
        • S42.254P …… subsequent encounter for fracture with malunion
        • S42.254S …… sequela
      • S42.255 Nondisplaced fracture of greater tuberosity of left humerus
        • S42.255A …… initial encounter for closed fracture
        • S42.255B …… initial encounter for open fracture
        • S42.255D …… subsequent encounter for fracture with routine healing
        • S42.255G …… subsequent encounter for fracture with delayed healing
        • S42.255K …… subsequent encounter for fracture with nonunion
        • S42.255P …… subsequent encounter for fracture with malunion
        • S42.255S …… sequela
      • S42.256 Nondisplaced fracture of greater tuberosity of unspecified humerus
        • S42.256A …… initial encounter for closed fracture
        • S42.256B …… initial encounter for open fracture
        • S42.256D …… subsequent encounter for fracture with routine healing
        • S42.256G …… subsequent encounter for fracture with delayed healing
        • S42.256K …… subsequent encounter for fracture with nonunion
        • S42.256P …… subsequent encounter for fracture with malunion
        • S42.256S …… sequela
    • S42.26 Fracture of lesser tuberosity of humerus
      • S42.261 Displaced fracture of lesser tuberosity of right humerus
        • S42.261A …… initial encounter for closed fracture
        • S42.261B …… initial encounter for open fracture
        • S42.261D …… subsequent encounter for fracture with routine healing
        • S42.261G …… subsequent encounter for fracture with delayed healing
        • S42.261K …… subsequent encounter for fracture with nonunion
        • S42.261P …… subsequent encounter for fracture with malunion
        • S42.261S …… sequela
      • S42.262 Displaced fracture of lesser tuberosity of left humerus
        • S42.262A …… initial encounter for closed fracture
        • S42.262B …… initial encounter for open fracture
        • S42.262D …… subsequent encounter for fracture with routine healing
        • S42.262G …… subsequent encounter for fracture with delayed healing
        • S42.262K …… subsequent encounter for fracture with nonunion
        • S42.262P …… subsequent encounter for fracture with malunion
        • S42.262S …… sequela
      • S42.263 Displaced fracture of lesser tuberosity of unspecified humerus
        • S42.263A …… initial encounter for closed fracture
        • S42.263B …… initial encounter for open fracture
        • S42.263D …… subsequent encounter for fracture with routine healing
        • S42.263G …… subsequent encounter for fracture with delayed healing
        • S42.263K …… subsequent encounter for fracture with nonunion
        • S42.263P …… subsequent encounter for fracture with malunion
        • S42.263S …… sequela
      • S42.264 Nondisplaced fracture of lesser tuberosity of right humerus
        • S42.264A …… initial encounter for closed fracture
        • S42.264B …… initial encounter for open fracture
        • S42.264D …… subsequent encounter for fracture with routine healing
        • S42.264G …… subsequent encounter for fracture with delayed healing
        • S42.264K …… subsequent encounter for fracture with nonunion
        • S42.264P …… subsequent encounter for fracture with malunion
        • S42.264S …… sequela
      • S42.265 Nondisplaced fracture of lesser tuberosity of left humerus
        • S42.265A …… initial encounter for closed fracture
        • S42.265B …… initial encounter for open fracture
        • S42.265D …… subsequent encounter for fracture with routine healing
        • S42.265G …… subsequent encounter for fracture with delayed healing
        • S42.265K …… subsequent encounter for fracture with nonunion
        • S42.265P …… subsequent encounter for fracture with malunion
        • S42.265S …… sequela
      • S42.266 Nondisplaced fracture of lesser tuberosity of unspecified humerus
        • S42.266A …… initial encounter for closed fracture
        • S42.266B …… initial encounter for open fracture
        • S42.266D …… subsequent encounter for fracture with routine healing
        • S42.266G …… subsequent encounter for fracture with delayed healing
        • S42.266K …… subsequent encounter for fracture with nonunion
        • S42.266P …… subsequent encounter for fracture with malunion
        • S42.266S …… sequela
    • S42.27 Torus fracture of upper end of humerus
      • S42.271 Torus fracture of upper end of right humerus
        • S42.271A …… initial encounter for closed fracture
        • S42.271D …… subsequent encounter for fracture with routine healing
        • S42.271G …… subsequent encounter for fracture with delayed healing
        • S42.271K …… subsequent encounter for fracture with nonunion
        • S42.271P …… subsequent encounter for fracture with malunion
        • S42.271S …… sequela
      • S42.272 Torus fracture of upper end of left humerus
        • S42.272A …… initial encounter for closed fracture
        • S42.272D …… subsequent encounter for fracture with routine healing
        • S42.272G …… subsequent encounter for fracture with delayed healing
        • S42.272K …… subsequent encounter for fracture with nonunion
        • S42.272P …… subsequent encounter for fracture with malunion
        • S42.272S …… sequela
      • S42.279 Torus fracture of upper end of unspecified humerus
        • S42.279A …… initial encounter for closed fracture
        • S42.279D …… subsequent encounter for fracture with routine healing
        • S42.279G …… subsequent encounter for fracture with delayed healing
        • S42.279K …… subsequent encounter for fracture with nonunion
        • S42.279P …… subsequent encounter for fracture with malunion
        • S42.279S …… sequela
    • S42.29 Other fracture of upper end of humerus
      • S42.291 Other displaced fracture of upper end of right humerus
        • S42.291A …… initial encounter for closed fracture
        • S42.291B …… initial encounter for open fracture
        • S42.291D …… subsequent encounter for fracture with routine healing
        • S42.291G …… subsequent encounter for fracture with delayed healing
        • S42.291K …… subsequent encounter for fracture with nonunion
        • S42.291P …… subsequent encounter for fracture with malunion
        • S42.291S …… sequela
      • S42.292 Other displaced fracture of upper end of left humerus
        • S42.292A …… initial encounter for closed fracture
        • S42.292B …… initial encounter for open fracture
        • S42.292D …… subsequent encounter for fracture with routine healing
        • S42.292G …… subsequent encounter for fracture with delayed healing
        • S42.292K …… subsequent encounter for fracture with nonunion
        • S42.292P …… subsequent encounter for fracture with malunion
        • S42.292S …… sequela
      • S42.293 Other displaced fracture of upper end of unspecified humerus
        • S42.293A …… initial encounter for closed fracture
        • S42.293B …… initial encounter for open fracture
        • S42.293D …… subsequent encounter for fracture with routine healing
        • S42.293G …… subsequent encounter for fracture with delayed healing
        • S42.293K …… subsequent encounter for fracture with nonunion
        • S42.293P …… subsequent encounter for fracture with malunion
        • S42.293S …… sequela
      • S42.294 Other nondisplaced fracture of upper end of right humerus
        • S42.294A …… initial encounter for closed fracture
        • S42.294B …… initial encounter for open fracture
        • S42.294D …… subsequent encounter for fracture with routine healing
        • S42.294G …… subsequent encounter for fracture with delayed healing
        • S42.294K …… subsequent encounter for fracture with nonunion
        • S42.294P …… subsequent encounter for fracture with malunion
        • S42.294S …… sequela
      • S42.295 Other nondisplaced fracture of upper end of left humerus
        • S42.295A …… initial encounter for closed fracture
        • S42.295B …… initial encounter for open fracture
        • S42.295D …… subsequent encounter for fracture with routine healing
        • S42.295G …… subsequent encounter for fracture with delayed healing
        • S42.295K …… subsequent encounter for fracture with nonunion
        • S42.295P …… subsequent encounter for fracture with malunion
        • S42.295S …… sequela
      • S42.296 Other nondisplaced fracture of upper end of unspecified humerus
        • S42.296A …… initial encounter for closed fracture
        • S42.296B …… initial encounter for open fracture
        • S42.296D …… subsequent encounter for fracture with routine healing
        • S42.296G …… subsequent encounter for fracture with delayed healing
        • S42.296K …… subsequent encounter for fracture with nonunion
        • S42.296P …… subsequent encounter for fracture with malunion
        • S42.296S …… sequela