Unspecified displaced fracture of surgical neck of right humerus, subsequent encounter for fracture with routine healing
Billable / specificPOA exempt
S42.211D is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.
Inclusion terms
Includes (from S42)
- injuries of axilla
- injuries of scapular region
- 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
- Note: The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.
- Note: A fracture not indicated as displaced or nondisplaced should be coded to displaced
- Note: A fracture not indicated as open or closed should be coded to closed
Excludes1
Not coded here — never report together with this code.
Excludes2
Not included here — may be reported together when both conditions exist.
- fracture of shaft of humerus (S42.3-) (from S42.2)
- physeal fracture of upper end of humerus (S49.0-) (from S42.2)
- birth trauma (P10-P15) (from S42)
- obstetric trauma (O70-O71) (from S42)
- burns and corrosions (T20-T32) (from S42)
- frostbite (T33-T34) (from S42)
- injuries of elbow (S50-S59) (from S42)
- insect bite or sting, venomous (T63.4) (from S42)
- periprosthetic fracture around internal prosthetic shoulder joint (M97.3) (from S42)
Use additional code
Add a code to identify the following, if applicable.
7th character
The 7th character values that apply to this code (defined at S42). Use the placeholder "X" for missing positions.
| Character | Meaning |
|---|---|
| A | initial encounter for closed fracture |
| B | initial encounter for open fracture |
| D | subsequent encounter for fracture with routine healing |
| G | subsequent encounter for fracture with delayed healing |
| K | subsequent encounter for fracture with nonunion |
| P | subsequent encounter for fracture with malunion |
| S | sequela |
Parent code
- S42.211Unspecified displaced fracture of surgical neck of right humerusNeeds 7th char
Related codes
- S42.211AUnspecified displaced fracture of surgical neck of right humerus, initial encounter for closed fractureBillable
- S42.211BUnspecified displaced fracture of surgical neck of right humerus, initial encounter for open fractureBillable
- S42.211GUnspecified displaced fracture of surgical neck of right humerus, subsequent encounter for fracture with delayed healingBillable
- S42.211KUnspecified displaced fracture of surgical neck of right humerus, subsequent encounter for fracture with nonunionBillable
- S42.211PUnspecified displaced fracture of surgical neck of right humerus, subsequent encounter for fracture with malunionBillable
- S42.211SUnspecified displaced fracture of surgical neck of right humerus, sequelaBillable