S42.463

Displaced fracture of medial condyle of unspecified humerus

Requires 7th character

S42.463 requires a 7th character to be reported. Choose a complete code below.

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.

  • traumatic amputation of shoulder and upper arm (S48.-) (from S42)

Excludes2

Not included here — may be reported together when both conditions exist.

  • fracture of shaft of humerus (S42.3-) (from S42.4)
  • physeal fracture of lower end of humerus (S49.1-) (from S42.4)
  • 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.

  • code to identify any retained foreign body, if applicable (Z18.-) (from S42)

7th character

This code requires a 7th character (defined at S42). Use the placeholder "X" for missing positions.

CharacterMeaning
Ainitial encounter for closed fracture
Binitial encounter for open fracture
Dsubsequent encounter for fracture with routine healing
Gsubsequent encounter for fracture with delayed healing
Ksubsequent encounter for fracture with nonunion
Psubsequent encounter for fracture with malunion
Ssequela

Parent code

  • S42.46Fracture of medial condyle of humerusNeeds 7th char

More specific codes S42.463

  • S42.463ADisplaced fracture of medial condyle of unspecified humerus, initial encounter for closed fractureBillable
  • S42.463BDisplaced fracture of medial condyle of unspecified humerus, initial encounter for open fractureBillable
  • S42.463DDisplaced fracture of medial condyle of unspecified humerus, subsequent encounter for fracture with routine healingBillable
  • S42.463GDisplaced fracture of medial condyle of unspecified humerus, subsequent encounter for fracture with delayed healingBillable
  • S42.463KDisplaced fracture of medial condyle of unspecified humerus, subsequent encounter for fracture with nonunionBillable
  • S42.463PDisplaced fracture of medial condyle of unspecified humerus, subsequent encounter for fracture with malunionBillable
  • S42.463SDisplaced fracture of medial condyle of unspecified humerus, sequelaBillable

Related codes

  • S42.461Displaced fracture of medial condyle of right humerusNeeds 7th char
  • S42.462Displaced fracture of medial condyle of left humerusNeeds 7th char
  • S42.464Nondisplaced fracture of medial condyle of right humerusNeeds 7th char
  • S42.465Nondisplaced fracture of medial condyle of left humerusNeeds 7th char
  • S42.466Nondisplaced fracture of medial condyle of unspecified humerusNeeds 7th char

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