S42
Fracture of shoulder and upper arm
Non-billableCategory
7th Character Required
The appropriate 7th character is to be added to all codes from category S42
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
Coding Guidelines
Excludes1 (Mutually Exclusive)
These codes should never be used together with S42
- traumatic amputation of shoulder and upper arm (S48.-)
Excludes2 (Not Included Here)
These conditions are not part of this code but may be reported additionally if documented
- M97.3 - periprosthetic fracture around internal prosthetic shoulder joint (M97.3)
Notes
- 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
