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S42 - Fracture of shoulder and upper arm


The ICD 10 Code for Fracture of shoulder and upper arm is listed as S42.
Additional information concerning this code and description can be found below including ICD 9 crosswalks / GEMS, chapter information, and DRGs where available.

ICD 10 CM Field Value
Diagnosis Code: S42
Description: Fracture of shoulder and upper arm
  • 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
  • Excludes1: traumatic amputation of shoulder and upper arm (S48.-)
  • 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
Chapter Injury, poisoning and certain other consequences of external causes (S00-T88)
ICD-10-CM Children (deeper level / typically more specific) of S42:
S42.0 - Fracture of clavicle
S42.1 - Fracture of scapula
S42.2 - Fracture of upper end of humerus
S42.3 - Fracture of shaft of humerus
S42.4 - Fracture of lower end of humerus
S42.9 - Fracture of shoulder girdle, part unspecified