2020 ICD-10-CM Diagnosis Code S42.326B

Nondisplaced transverse fracture of shaft of humerus, unspecified arm, initial encounter for open fracture

    2016 2017 2018 2019 2020 Billable/Specific Code
  • S42.326B is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Nondisp transverse fx shaft of humer, unsp arm, 7thB
  • The 2020 edition of ICD-10-CM S42.326B became effective on October 1, 2019.
  • This is the American ICD-10-CM version of S42.326B - other international versions of ICD-10 S42.326B may differ.
The following code(s) above S42.326B 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 S42.326B:
  • 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
  • S42.3
    ICD-10-CM Diagnosis Code S42.3

    Fracture of shaft of humerus

      2016 2017 2018 2019 2020 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-)
    Fracture of shaft of humerus
ICD-10-CM S42.326B is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 562 Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc
  • 563 Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
  • 955 Craniotomy for multiple significant trauma
  • 956 Limb reattachment, hip and femur procedures for multiple significant trauma
  • 957 Other o.r. Procedures for multiple significant trauma with mcc
  • 958 Other o.r. Procedures for multiple significant trauma with cc
  • 959 Other o.r. Procedures for multiple significant trauma without cc/mcc
  • 963 Other multiple significant trauma with mcc
  • 964 Other multiple significant trauma with cc
  • 965 Other multiple significant trauma without cc/mcc

Convert S42.326B to ICD-9-CM

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 S42.326B
S42.325 Nondisplaced transverse fracture of shaft of humerus, left arm
S42.325A …… initial encounter for closed fracture
S42.325B …… initial encounter for open fracture
S42.325D …… subsequent encounter for fracture with routine healing
S42.325G …… subsequent encounter for fracture with delayed healing
S42.325K …… subsequent encounter for fracture with nonunion
S42.325P …… subsequent encounter for fracture with malunion
S42.325S …… sequela
S42.326 Nondisplaced transverse fracture of shaft of humerus, unspecified arm
S42.326A …… initial encounter for closed fracture
S42.326B …… initial encounter for open fracture
S42.326D …… subsequent encounter for fracture with routine healing
S42.326G …… subsequent encounter for fracture with delayed healing
S42.326K …… subsequent encounter for fracture with nonunion
S42.326P …… subsequent encounter for fracture with malunion
S42.326S …… sequela
S42.33 Oblique fracture of shaft of humerus
S42.331 Displaced oblique fracture of shaft of humerus, right arm
S42.331A …… initial encounter for closed fracture
S42.331B …… initial encounter for open fracture
S42.331D …… subsequent encounter for fracture with routine healing

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