Version 2024

2024 ICD-10-CM Diagnosis Code S42.3

Fracture of shaft of humerus

ICD-10-CM Code:
S42.3
ICD-10 Code for:
Fracture of shaft of humerus
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Injury, poisoning and certain other consequences of external causes
    (S00–T88)
    • Injuries to the shoulder and upper arm
      (S40-S49)
      • Fracture of shoulder and upper arm
        (S42)

S42.3 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of fracture of shaft of humerus. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding Applicable to Fracture of shaft of humerus

Non-specific codes like S42.3 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for fracture of shaft of humerus:

  • S42.30 for Unspecified fracture of shaft of humerus - NON-BILLABLE CODE

  • S42.301 for Unspecified fracture of shaft of humerus, right arm - NON-BILLABLE CODE

  • Use S42.301A for initial encounter for closed fracture - BILLABLE CODE

  • Use S42.301B for initial encounter for open fracture - BILLABLE CODE

  • Use S42.301D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S42.301G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S42.301K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S42.301P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S42.301S for sequela - BILLABLE CODE

  • S42.302 for Unspecified fracture of shaft of humerus, left arm - NON-BILLABLE CODE

  • Use S42.302A for initial encounter for closed fracture - BILLABLE CODE

  • Use S42.302B for initial encounter for open fracture - BILLABLE CODE

  • Use S42.302D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S42.302G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S42.302K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S42.302P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S42.302S for sequela - BILLABLE CODE

  • S42.309 for Unspecified fracture of shaft of humerus, unspecified arm - NON-BILLABLE CODE

  • Use S42.309A for initial encounter for closed fracture - BILLABLE CODE

  • Use S42.309B for initial encounter for open fracture - BILLABLE CODE

  • Use S42.309D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S42.309G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S42.309K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S42.309P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S42.309S for sequela - BILLABLE CODE

  • S42.31 for Greenstick fracture of shaft of humerus - NON-BILLABLE CODE

  • S42.311 for Greenstick fracture of shaft of humerus, right arm - NON-BILLABLE CODE

  • Use S42.311A for initial encounter for closed fracture - BILLABLE CODE

  • Use S42.311D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S42.311G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S42.311K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S42.311P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S42.311S for sequela - BILLABLE CODE

  • S42.312 for Greenstick fracture of shaft of humerus, left arm - NON-BILLABLE CODE

  • Use S42.312A for initial encounter for closed fracture - BILLABLE CODE

  • Use S42.312D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S42.312G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S42.312K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S42.312P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S42.312S for sequela - BILLABLE CODE

  • S42.319 for Greenstick fracture of shaft of humerus, unspecified arm - NON-BILLABLE CODE

  • Use S42.319A for initial encounter for closed fracture - BILLABLE CODE

  • Use S42.319D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S42.319G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S42.319K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S42.319P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S42.319S for sequela - BILLABLE CODE

  • S42.32 for Transverse fracture of shaft of humerus - NON-BILLABLE CODE

  • S42.321 for Displaced transverse fracture of shaft of humerus, right arm - NON-BILLABLE CODE

  • Use S42.321A for initial encounter for closed fracture - BILLABLE CODE

  • Use S42.321B for initial encounter for open fracture - BILLABLE CODE

  • Use S42.321D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S42.321G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S42.321K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S42.321P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S42.321S for sequela - BILLABLE CODE

  • S42.322 for Displaced transverse fracture of shaft of humerus, left arm - NON-BILLABLE CODE

  • Use S42.322A for initial encounter for closed fracture - BILLABLE CODE

  • Use S42.322B for initial encounter for open fracture - BILLABLE CODE

  • Use S42.322D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S42.322G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S42.322K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S42.322P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S42.322S for sequela - BILLABLE CODE

  • S42.323 for Displaced transverse fracture of shaft of humerus, unspecified arm - NON-BILLABLE CODE

  • Use S42.323A for initial encounter for closed fracture - BILLABLE CODE

  • Use S42.323B for initial encounter for open fracture - BILLABLE CODE

  • Use S42.323D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S42.323G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S42.323K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S42.323P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S42.323S for sequela - BILLABLE CODE

  • S42.324 for Nondisplaced transverse fracture of shaft of humerus, right arm - NON-BILLABLE CODE

  • Use S42.324A for initial encounter for closed fracture - BILLABLE CODE

  • Use S42.324B for initial encounter for open fracture - BILLABLE CODE

  • Use S42.324D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S42.324G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S42.324K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S42.324P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S42.324S for sequela - BILLABLE CODE

  • S42.325 for Nondisplaced transverse fracture of shaft of humerus, left arm - NON-BILLABLE CODE

  • Use S42.325A for initial encounter for closed fracture - BILLABLE CODE

  • Use S42.325B for initial encounter for open fracture - BILLABLE CODE

  • Use S42.325D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S42.325G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S42.325K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S42.325P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S42.325S for sequela - BILLABLE CODE

  • S42.326 for Nondisplaced transverse fracture of shaft of humerus, unspecified arm - NON-BILLABLE CODE

  • Use S42.326A for initial encounter for closed fracture - BILLABLE CODE

  • Use S42.326B for initial encounter for open fracture - BILLABLE CODE

  • Use S42.326D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S42.326G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S42.326K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S42.326P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S42.326S for sequela - BILLABLE CODE

  • S42.33 for Oblique fracture of shaft of humerus - NON-BILLABLE CODE

  • S42.331 for Displaced oblique fracture of shaft of humerus, right arm - NON-BILLABLE CODE

  • Use S42.331A for initial encounter for closed fracture - BILLABLE CODE

  • Use S42.331B for initial encounter for open fracture - BILLABLE CODE

  • Use S42.331D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S42.331G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S42.331K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S42.331P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S42.331S for sequela - BILLABLE CODE

  • S42.332 for Displaced oblique fracture of shaft of humerus, left arm - NON-BILLABLE CODE

  • Use S42.332A for initial encounter for closed fracture - BILLABLE CODE

  • Use S42.332B for initial encounter for open fracture - BILLABLE CODE

  • Use S42.332D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S42.332G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S42.332K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S42.332P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S42.332S for sequela - BILLABLE CODE

  • S42.333 for Displaced oblique fracture of shaft of humerus, unspecified arm - NON-BILLABLE CODE

  • Use S42.333A for initial encounter for closed fracture - BILLABLE CODE

  • Use S42.333B for initial encounter for open fracture - BILLABLE CODE

  • Use S42.333D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S42.333G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S42.333K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S42.333P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S42.333S for sequela - BILLABLE CODE

  • S42.334 for Nondisplaced oblique fracture of shaft of humerus, right arm - NON-BILLABLE CODE

  • Use S42.334A for initial encounter for closed fracture - BILLABLE CODE

  • Use S42.334B for initial encounter for open fracture - BILLABLE CODE

  • Use S42.334D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S42.334G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S42.334K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S42.334P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S42.334S for sequela - BILLABLE CODE

  • S42.335 for Nondisplaced oblique fracture of shaft of humerus, left arm - NON-BILLABLE CODE

  • Use S42.335A for initial encounter for closed fracture - BILLABLE CODE

  • Use S42.335B for initial encounter for open fracture - BILLABLE CODE

  • Use S42.335D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S42.335G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S42.335K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S42.335P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S42.335S for sequela - BILLABLE CODE

  • S42.336 for Nondisplaced oblique fracture of shaft of humerus, unspecified arm - NON-BILLABLE CODE

  • Use S42.336A for initial encounter for closed fracture - BILLABLE CODE

  • Use S42.336B for initial encounter for open fracture - BILLABLE CODE

  • Use S42.336D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S42.336G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S42.336K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S42.336P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S42.336S for sequela - BILLABLE CODE

  • S42.34 for Spiral fracture of shaft of humerus - NON-BILLABLE CODE

  • S42.341 for Displaced spiral fracture of shaft of humerus, right arm - NON-BILLABLE CODE

  • Use S42.341A for initial encounter for closed fracture - BILLABLE CODE

  • Use S42.341B for initial encounter for open fracture - BILLABLE CODE

  • Use S42.341D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S42.341G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S42.341K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S42.341P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S42.341S for sequela - BILLABLE CODE

  • S42.342 for Displaced spiral fracture of shaft of humerus, left arm - NON-BILLABLE CODE

  • Use S42.342A for initial encounter for closed fracture - BILLABLE CODE

  • Use S42.342B for initial encounter for open fracture - BILLABLE CODE

  • Use S42.342D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S42.342G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S42.342K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S42.342P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S42.342S for sequela - BILLABLE CODE

  • S42.343 for Displaced spiral fracture of shaft of humerus, unspecified arm - NON-BILLABLE CODE

  • Use S42.343A for initial encounter for closed fracture - BILLABLE CODE

  • Use S42.343B for initial encounter for open fracture - BILLABLE CODE

  • Use S42.343D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S42.343G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S42.343K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S42.343P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S42.343S for sequela - BILLABLE CODE

  • S42.344 for Nondisplaced spiral fracture of shaft of humerus, right arm - NON-BILLABLE CODE

  • Use S42.344A for initial encounter for closed fracture - BILLABLE CODE

  • Use S42.344B for initial encounter for open fracture - BILLABLE CODE

  • Use S42.344D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S42.344G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S42.344K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S42.344P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S42.344S for sequela - BILLABLE CODE

  • S42.345 for Nondisplaced spiral fracture of shaft of humerus, left arm - NON-BILLABLE CODE

  • Use S42.345A for initial encounter for closed fracture - BILLABLE CODE

  • Use S42.345B for initial encounter for open fracture - BILLABLE CODE

  • Use S42.345D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S42.345G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S42.345K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S42.345P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S42.345S for sequela - BILLABLE CODE

  • S42.346 for Nondisplaced spiral fracture of shaft of humerus, unspecified arm - NON-BILLABLE CODE

  • Use S42.346A for initial encounter for closed fracture - BILLABLE CODE

  • Use S42.346B for initial encounter for open fracture - BILLABLE CODE

  • Use S42.346D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S42.346G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S42.346K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S42.346P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S42.346S for sequela - BILLABLE CODE

  • S42.35 for Comminuted fracture of shaft of humerus - NON-BILLABLE CODE

  • S42.351 for Displaced comminuted fracture of shaft of humerus, right arm - NON-BILLABLE CODE

  • Use S42.351A for initial encounter for closed fracture - BILLABLE CODE

  • Use S42.351B for initial encounter for open fracture - BILLABLE CODE

  • Use S42.351D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S42.351G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S42.351K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S42.351P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S42.351S for sequela - BILLABLE CODE

  • S42.352 for Displaced comminuted fracture of shaft of humerus, left arm - NON-BILLABLE CODE

  • Use S42.352A for initial encounter for closed fracture - BILLABLE CODE

  • Use S42.352B for initial encounter for open fracture - BILLABLE CODE

  • Use S42.352D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S42.352G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S42.352K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S42.352P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S42.352S for sequela - BILLABLE CODE

  • S42.353 for Displaced comminuted fracture of shaft of humerus, unspecified arm - NON-BILLABLE CODE

  • Use S42.353A for initial encounter for closed fracture - BILLABLE CODE

  • Use S42.353B for initial encounter for open fracture - BILLABLE CODE

  • Use S42.353D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S42.353G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S42.353K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S42.353P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S42.353S for sequela - BILLABLE CODE

  • S42.354 for Nondisplaced comminuted fracture of shaft of humerus, right arm - NON-BILLABLE CODE

  • Use S42.354A for initial encounter for closed fracture - BILLABLE CODE

  • Use S42.354B for initial encounter for open fracture - BILLABLE CODE

  • Use S42.354D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S42.354G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S42.354K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S42.354P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S42.354S for sequela - BILLABLE CODE

  • S42.355 for Nondisplaced comminuted fracture of shaft of humerus, left arm - NON-BILLABLE CODE

  • Use S42.355A for initial encounter for closed fracture - BILLABLE CODE

  • Use S42.355B for initial encounter for open fracture - BILLABLE CODE

  • Use S42.355D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S42.355G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S42.355K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S42.355P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S42.355S for sequela - BILLABLE CODE

  • S42.356 for Nondisplaced comminuted fracture of shaft of humerus, unspecified arm - NON-BILLABLE CODE

  • Use S42.356A for initial encounter for closed fracture - BILLABLE CODE

  • Use S42.356B for initial encounter for open fracture - BILLABLE CODE

  • Use S42.356D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S42.356G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S42.356K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S42.356P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S42.356S for sequela - BILLABLE CODE

  • S42.36 for Segmental fracture of shaft of humerus - NON-BILLABLE CODE

  • S42.361 for Displaced segmental fracture of shaft of humerus, right arm - NON-BILLABLE CODE

  • Use S42.361A for initial encounter for closed fracture - BILLABLE CODE

  • Use S42.361B for initial encounter for open fracture - BILLABLE CODE

  • Use S42.361D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S42.361G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S42.361K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S42.361P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S42.361S for sequela - BILLABLE CODE

  • S42.362 for Displaced segmental fracture of shaft of humerus, left arm - NON-BILLABLE CODE

  • Use S42.362A for initial encounter for closed fracture - BILLABLE CODE

  • Use S42.362B for initial encounter for open fracture - BILLABLE CODE

  • Use S42.362D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S42.362G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S42.362K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S42.362P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S42.362S for sequela - BILLABLE CODE

  • S42.363 for Displaced segmental fracture of shaft of humerus, unspecified arm - NON-BILLABLE CODE

  • Use S42.363A for initial encounter for closed fracture - BILLABLE CODE

  • Use S42.363B for initial encounter for open fracture - BILLABLE CODE

  • Use S42.363D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S42.363G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S42.363K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S42.363P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S42.363S for sequela - BILLABLE CODE

  • S42.364 for Nondisplaced segmental fracture of shaft of humerus, right arm - NON-BILLABLE CODE

  • Use S42.364A for initial encounter for closed fracture - BILLABLE CODE

  • Use S42.364B for initial encounter for open fracture - BILLABLE CODE

  • Use S42.364D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S42.364G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S42.364K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S42.364P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S42.364S for sequela - BILLABLE CODE

  • S42.365 for Nondisplaced segmental fracture of shaft of humerus, left arm - NON-BILLABLE CODE

  • Use S42.365A for initial encounter for closed fracture - BILLABLE CODE

  • Use S42.365B for initial encounter for open fracture - BILLABLE CODE

  • Use S42.365D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S42.365G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S42.365K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S42.365P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S42.365S for sequela - BILLABLE CODE

  • S42.366 for Nondisplaced segmental fracture of shaft of humerus, unspecified arm - NON-BILLABLE CODE

  • Use S42.366A for initial encounter for closed fracture - BILLABLE CODE

  • Use S42.366B for initial encounter for open fracture - BILLABLE CODE

  • Use S42.366D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S42.366G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S42.366K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S42.366P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S42.366S for sequela - BILLABLE CODE

  • S42.39 for Other fracture of shaft of humerus - NON-BILLABLE CODE

  • S42.391 for Other fracture of shaft of right humerus - NON-BILLABLE CODE

  • Use S42.391A for initial encounter for closed fracture - BILLABLE CODE

  • Use S42.391B for initial encounter for open fracture - BILLABLE CODE

  • Use S42.391D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S42.391G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S42.391K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S42.391P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S42.391S for sequela - BILLABLE CODE

  • S42.392 for Other fracture of shaft of left humerus - NON-BILLABLE CODE

  • Use S42.392A for initial encounter for closed fracture - BILLABLE CODE

  • Use S42.392B for initial encounter for open fracture - BILLABLE CODE

  • Use S42.392D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S42.392G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S42.392K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S42.392P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S42.392S for sequela - BILLABLE CODE

  • S42.399 for Other fracture of shaft of unspecified humerus - NON-BILLABLE CODE

  • Use S42.399A for initial encounter for closed fracture - BILLABLE CODE

  • Use S42.399B for initial encounter for open fracture - BILLABLE CODE

  • Use S42.399D for subsequent encounter for fracture with routine healing - BILLABLE CODE

  • Use S42.399G for subsequent encounter for fracture with delayed healing - BILLABLE CODE

  • Use S42.399K for subsequent encounter for fracture with nonunion - BILLABLE CODE

  • Use S42.399P for subsequent encounter for fracture with malunion - BILLABLE CODE

  • Use S42.399S for sequela - BILLABLE CODE

Coding Guidelines

The principles of multiple coding of injuries should be followed in coding fractures. Fractures of specified sites are coded individually by site nd the level of detail furnished by medical record content.

A fracture not indicated as open or closed should be coded to closed. A fracture not indicated whether displaced or not displaced should be coded to displaced.

Initial vs. Subsequent Encounter for Fractures

Traumatic fractures are coded using the appropriate 7th character for initial encounter (A, B, C) for each encounter where the patient is receiving active treatment for the fracture. The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.

Fractures are coded using the appropriate 7th character for subsequent care for encounters after the patient has completed active treatment of the fracture and is receiving routine care for the fracture during the healing or recovery phase.

Care for complications of surgical treatment for fracture repairs during the healing or recovery phase should be coded with the appropriate complication codes.

Care of complications of fractures, such as malunion and nonunion, should be reported with the appropriate 7th character for subsequent care with nonunion (K, M, N,) or subsequent care with malunion (P, Q, R).

Malunion/nonunion: The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.

The open fracture designations in the assignment of the 7th character for fractures of the forearm, femur and lower leg, including ankle are based on the Gustilo open fracture classification. When the Gustilo classification type is not specified for an open fracture, the 7th character for open fracture type I or II should be assigned (B, E, H, M, Q).

Patient Education


Arm Injuries and Disorders

Of the 206 bones in your body, three of them are in your arm: the humerus, radius, and ulna. Your arms are also made up of muscles, joints, tendons, and other connective tissue. Injuries to any of these parts of the arm can occur during sports, a fall, or an accident.

Types of arm injuries include :

  • Tendinitis and bursitis
  • Sprains
  • Dislocations
  • Fractures (broken bones)
  • Nerve problems
  • Osteoarthritis

You may also have problems or injure specific parts of your arm, such as your hand, wrist, elbow, or shoulder.


[Learn More in MedlinePlus]

Fractures

A fracture is a break, usually in a bone. If the broken bone punctures the skin, it is called an open or compound fracture. Fractures commonly happen because of car accidents, falls, or sports injuries. Other causes are low bone density and osteoporosis, which cause weakening of the bones. Overuse can cause stress fractures, which are very small cracks in the bone.

Symptoms of a fracture are:

  • Intense pain
  • Deformity - the limb looks out of place
  • Swelling, bruising, or tenderness around the injury
  • Numbness and tingling
  • Problems moving a limb

You need to get medical care right away for any fracture. An x-ray can tell if your bone is broken. You may need to wear a cast or splint. Sometimes you need surgery to put in plates, pins or screws to keep the bone in place.


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Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.