2018/2019 ICD-10-CM Diagnosis Code S42.2

Fracture of upper end of humerus

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 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 Non-Billable/Non-Specific Code
    S49.0-
    )
The following code(s) above S42.2 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 S42.2:
  • S00-T88
    2019 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
    2019 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 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
ICD-10-CM Codes Adjacent To S42.2
S42.192P …… subsequent encounter for fracture with malunion
S42.192S …… sequela
S42.199 Fracture of other part of scapula, unspecified shoulder
S42.199A …… initial encounter for closed fracture
S42.199B …… initial encounter for open fracture
S42.199D …… subsequent encounter for fracture with routine healing
S42.199G …… subsequent encounter for fracture with delayed healing
S42.199K …… subsequent encounter for fracture with nonunion
S42.199P …… subsequent encounter for fracture with malunion
S42.199S …… sequela
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

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