Groundbreaking: First-Ever HCC RAF Score Accessible Through REST API
First-Ever HCC RAF Score Accessible Through REST API
Check Now
Image depicting the concept of elevating provider support and enhancing concurrent coding for risk adjustment in healthcare.
Elevate Provider Support:
Enhance Your Concurrent Coding
for Risk Adjustment
Check Now
ICD-10-CM Codes S00-T88 S40-S49 S42

ICD-10-CM Diagnosis Code S42

Fracture of shoulder and upper arm

Go Back to Chapter - S00-T88 | Section - S40-S49 Go back

7th Chr Note S42:

  • The appropriate 7th character is to be added to all codes from category S42

Excludes-1 for S42:

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

Excludes-2 for S42:

  • periprosthetic fracture around internal prosthetic shoulder joint (M97.3)

Notes for S42:

  • 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

Codes Hierarchy:

    • S42  Fracture of shoulder and upper arm
      • S42.0 Fracture of clavicle
        • S42.00 Fracture of unspecified part of clavicle
          • S42.001  Fracture of unspecified part of right clavicle
          • S42.002  Fracture of unspecified part of left clavicle
          • S42.009  Fracture of unspecified part of unspecified clavicle
        • S42.01 Fracture of sternal end of clavicle
          • S42.011  Anterior displaced fracture of sternal end of right clavicle
          • S42.012  Anterior displaced fracture of sternal end of left clavicle
          • S42.013  Anterior displaced fracture of sternal end of unspecified clavicle
          • S42.014  Posterior displaced fracture of sternal end of right clavicle
          • S42.015  Posterior displaced fracture of sternal end of left clavicle
          • S42.016  Posterior displaced fracture of sternal end of unspecified clavicle
          • S42.017  Nondisplaced fracture of sternal end of right clavicle
          • S42.018  Nondisplaced fracture of sternal end of left clavicle
          • S42.019  Nondisplaced fracture of sternal end of unspecified clavicle
        • S42.02 Fracture of shaft of clavicle
          • S42.021  Displaced fracture of shaft of right clavicle
          • S42.022  Displaced fracture of shaft of left clavicle
          • S42.023  Displaced fracture of shaft of unspecified clavicle
          • S42.024  Nondisplaced fracture of shaft of right clavicle
          • S42.025  Nondisplaced fracture of shaft of left clavicle
          • S42.026  Nondisplaced fracture of shaft of unspecified clavicle
        • S42.03 Fracture of lateral end of clavicle
          • S42.031  Displaced fracture of lateral end of right clavicle
          • S42.032  Displaced fracture of lateral end of left clavicle
          • S42.033  Displaced fracture of lateral end of unspecified clavicle
          • S42.034  Nondisplaced fracture of lateral end of right clavicle
          • S42.035  Nondisplaced fracture of lateral end of left clavicle
          • S42.036  Nondisplaced fracture of lateral end of unspecified clavicle
      • S42.1 Fracture of scapula
        • S42.10 Fracture of unspecified part of scapula
          • S42.101  Fracture of unspecified part of scapula, right shoulder
          • S42.102  Fracture of unspecified part of scapula, left shoulder
          • S42.109  Fracture of unspecified part of scapula, unspecified shoulder
        • S42.11 Fracture of body of scapula
          • S42.111  Displaced fracture of body of scapula, right shoulder
          • S42.112  Displaced fracture of body of scapula, left shoulder
          • S42.113  Displaced fracture of body of scapula, unspecified shoulder
          • S42.114  Nondisplaced fracture of body of scapula, right shoulder
          • S42.115  Nondisplaced fracture of body of scapula, left shoulder
          • S42.116  Nondisplaced fracture of body of scapula, unspecified shoulder
        • S42.12 Fracture of acromial process
          • S42.121  Displaced fracture of acromial process, right shoulder
          • S42.122  Displaced fracture of acromial process, left shoulder
          • S42.123  Displaced fracture of acromial process, unspecified shoulder
          • S42.124  Nondisplaced fracture of acromial process, right shoulder
          • S42.125  Nondisplaced fracture of acromial process, left shoulder
          • S42.126  Nondisplaced fracture of acromial process, unspecified shoulder
        • S42.13 Fracture of coracoid process
          • S42.131  Displaced fracture of coracoid process, right shoulder
          • S42.132  Displaced fracture of coracoid process, left shoulder
          • S42.133  Displaced fracture of coracoid process, unspecified shoulder
          • S42.134  Nondisplaced fracture of coracoid process, right shoulder
          • S42.135  Nondisplaced fracture of coracoid process, left shoulder
          • S42.136  Nondisplaced fracture of coracoid process, unspecified shoulder
        • S42.14 Fracture of glenoid cavity of scapula
          • S42.141  Displaced fracture of glenoid cavity of scapula, right shoulder
          • S42.142  Displaced fracture of glenoid cavity of scapula, left shoulder
          • S42.143  Displaced fracture of glenoid cavity of scapula, unspecified shoulder
          • S42.144  Nondisplaced fracture of glenoid cavity of scapula, right shoulder
          • S42.145  Nondisplaced fracture of glenoid cavity of scapula, left shoulder
          • S42.146  Nondisplaced fracture of glenoid cavity of scapula, unspecified shoulder
        • S42.15 Fracture of neck of scapula
          • S42.151  Displaced fracture of neck of scapula, right shoulder
          • S42.152  Displaced fracture of neck of scapula, left shoulder
          • S42.153  Displaced fracture of neck of scapula, unspecified shoulder
          • S42.154  Nondisplaced fracture of neck of scapula, right shoulder
          • S42.155  Nondisplaced fracture of neck of scapula, left shoulder
          • S42.156  Nondisplaced fracture of neck of scapula, unspecified shoulder
        • S42.19 Fracture of other part of scapula
          • S42.191  Fracture of other part of scapula, right shoulder
          • S42.192  Fracture of other part of scapula, left shoulder
          • S42.199  Fracture of other part of scapula, unspecified shoulder
      • S42.2 Fracture of upper end of humerus
        • S42.20 Unspecified fracture of upper end of humerus
          • S42.201  Unspecified fracture of upper end of right humerus
          • S42.202  Unspecified fracture of upper end of left humerus
          • S42.209  Unspecified fracture of upper end of unspecified humerus
        • S42.21 Unspecified fracture of surgical neck of humerus
          • S42.211  Unspecified displaced fracture of surgical neck of right humerus
          • S42.212  Unspecified displaced fracture of surgical neck of left humerus
          • S42.213  Unspecified displaced fracture of surgical neck of unspecified humerus
          • S42.214  Unspecified nondisplaced fracture of surgical neck of right humerus
          • S42.215  Unspecified nondisplaced fracture of surgical neck of left humerus
          • S42.216  Unspecified nondisplaced fracture of surgical neck of unspecified humerus
        • S42.22 2-part fracture of surgical neck of humerus
          • S42.221  2-part displaced fracture of surgical neck of right humerus
          • S42.222  2-part displaced fracture of surgical neck of left humerus
          • S42.223  2-part displaced fracture of surgical neck of unspecified humerus
          • S42.224  2-part nondisplaced fracture of surgical neck of right humerus
          • S42.225  2-part nondisplaced fracture of surgical neck of left humerus
          • S42.226  2-part nondisplaced fracture of surgical neck of unspecified humerus
        • S42.23 3-part fracture of surgical neck of humerus
          • S42.231  3-part fracture of surgical neck of right humerus
          • S42.232  3-part fracture of surgical neck of left humerus
          • S42.239  3-part fracture of surgical neck of unspecified humerus
        • S42.24 4-part fracture of surgical neck of humerus
          • S42.241  4-part fracture of surgical neck of right humerus
          • S42.242  4-part fracture of surgical neck of left humerus
          • S42.249  4-part fracture of surgical neck of unspecified humerus
        • S42.25 Fracture of greater tuberosity of humerus
          • S42.251  Displaced fracture of greater tuberosity of right humerus
          • S42.252  Displaced fracture of greater tuberosity of left humerus
          • S42.253  Displaced fracture of greater tuberosity of unspecified humerus
          • S42.254  Nondisplaced fracture of greater tuberosity of right humerus
          • S42.255  Nondisplaced fracture of greater tuberosity of left humerus
          • S42.256  Nondisplaced fracture of greater tuberosity of unspecified humerus
        • S42.26 Fracture of lesser tuberosity of humerus
          • S42.261  Displaced fracture of lesser tuberosity of right humerus
          • S42.262  Displaced fracture of lesser tuberosity of left humerus
          • S42.263  Displaced fracture of lesser tuberosity of unspecified humerus
          • S42.264  Nondisplaced fracture of lesser tuberosity of right humerus
          • S42.265  Nondisplaced fracture of lesser tuberosity of left humerus
          • S42.266  Nondisplaced fracture of lesser tuberosity of unspecified humerus
        • S42.27 Torus fracture of upper end of humerus
          • S42.271  Torus fracture of upper end of right humerus
          • S42.272  Torus fracture of upper end of left humerus
          • S42.279  Torus fracture of upper end of unspecified humerus
        • S42.29 Other fracture of upper end of humerus
          • S42.291  Other displaced fracture of upper end of right humerus
          • S42.292  Other displaced fracture of upper end of left humerus
          • S42.293  Other displaced fracture of upper end of unspecified humerus
          • S42.294  Other nondisplaced fracture of upper end of right humerus
          • S42.295  Other nondisplaced fracture of upper end of left humerus
          • S42.296  Other nondisplaced fracture of upper end of unspecified humerus
      • S42.3 Fracture of shaft of humerus
        • S42.30 Unspecified fracture of shaft of humerus
          • S42.301  Unspecified fracture of shaft of humerus, right arm
          • S42.302  Unspecified fracture of shaft of humerus, left arm
          • S42.309  Unspecified fracture of shaft of humerus, unspecified arm
        • S42.31 Greenstick fracture of shaft of humerus
          • S42.311  Greenstick fracture of shaft of humerus, right arm
          • S42.312  Greenstick fracture of shaft of humerus, left arm
          • S42.319  Greenstick fracture of shaft of humerus, unspecified arm
        • S42.32 Transverse fracture of shaft of humerus
          • S42.321  Displaced transverse fracture of shaft of humerus, right arm
          • S42.322  Displaced transverse fracture of shaft of humerus, left arm
          • S42.323  Displaced transverse fracture of shaft of humerus, unspecified arm
          • S42.324  Nondisplaced transverse fracture of shaft of humerus, right arm
          • S42.325  Nondisplaced transverse fracture of shaft of humerus, left arm
          • S42.326  Nondisplaced transverse fracture of shaft of humerus, unspecified arm
        • S42.33 Oblique fracture of shaft of humerus
          • S42.331  Displaced oblique fracture of shaft of humerus, right arm
          • S42.332  Displaced oblique fracture of shaft of humerus, left arm
          • S42.333  Displaced oblique fracture of shaft of humerus, unspecified arm
          • S42.334  Nondisplaced oblique fracture of shaft of humerus, right arm
          • S42.335  Nondisplaced oblique fracture of shaft of humerus, left arm
          • S42.336  Nondisplaced oblique fracture of shaft of humerus, unspecified arm
        • S42.34 Spiral fracture of shaft of humerus
          • S42.341  Displaced spiral fracture of shaft of humerus, right arm
          • S42.342  Displaced spiral fracture of shaft of humerus, left arm
          • S42.343  Displaced spiral fracture of shaft of humerus, unspecified arm
          • S42.344  Nondisplaced spiral fracture of shaft of humerus, right arm
          • S42.345  Nondisplaced spiral fracture of shaft of humerus, left arm
          • S42.346  Nondisplaced spiral fracture of shaft of humerus, unspecified arm
        • S42.35 Comminuted fracture of shaft of humerus
          • S42.351  Displaced comminuted fracture of shaft of humerus, right arm
          • S42.352  Displaced comminuted fracture of shaft of humerus, left arm
          • S42.353  Displaced comminuted fracture of shaft of humerus, unspecified arm
          • S42.354  Nondisplaced comminuted fracture of shaft of humerus, right arm
          • S42.355  Nondisplaced comminuted fracture of shaft of humerus, left arm
          • S42.356  Nondisplaced comminuted fracture of shaft of humerus, unspecified arm
        • S42.36 Segmental fracture of shaft of humerus
          • S42.361  Displaced segmental fracture of shaft of humerus, right arm
          • S42.362  Displaced segmental fracture of shaft of humerus, left arm
          • S42.363  Displaced segmental fracture of shaft of humerus, unspecified arm
          • S42.364  Nondisplaced segmental fracture of shaft of humerus, right arm
          • S42.365  Nondisplaced segmental fracture of shaft of humerus, left arm
          • S42.366  Nondisplaced segmental fracture of shaft of humerus, unspecified arm
        • S42.39 Other fracture of shaft of humerus
          • S42.391  Other fracture of shaft of right humerus
          • S42.392  Other fracture of shaft of left humerus
          • S42.399  Other fracture of shaft of unspecified humerus
      • S42.4 Fracture of lower end of humerus
        • S42.40 Unspecified fracture of lower end of humerus
          • S42.401  Unspecified fracture of lower end of right humerus
          • S42.402  Unspecified fracture of lower end of left humerus
          • S42.409  Unspecified fracture of lower end of unspecified humerus
        • S42.41 Simple supracondylar fracture without intercondylar fracture of humerus
          • S42.411  Displaced simple supracondylar fracture without intercondylar fracture of right humerus
          • S42.412  Displaced simple supracondylar fracture without intercondylar fracture of left humerus
          • S42.413  Displaced simple supracondylar fracture without intercondylar fracture of unspecified humerus
          • S42.414  Nondisplaced simple supracondylar fracture without intercondylar fracture of right humerus
          • S42.415  Nondisplaced simple supracondylar fracture without intercondylar fracture of left humerus
          • S42.416  Nondisplaced simple supracondylar fracture without intercondylar fracture of unspecified humerus
        • S42.42 Comminuted supracondylar fracture without intercondylar fracture of humerus
          • S42.421  Displaced comminuted supracondylar fracture without intercondylar fracture of right humerus
          • S42.422  Displaced comminuted supracondylar fracture without intercondylar fracture of left humerus
          • S42.423  Displaced comminuted supracondylar fracture without intercondylar fracture of unspecified humerus
          • S42.424  Nondisplaced comminuted supracondylar fracture without intercondylar fracture of right humerus
          • S42.425  Nondisplaced comminuted supracondylar fracture without intercondylar fracture of left humerus
          • S42.426  Nondisplaced comminuted supracondylar fracture without intercondylar fracture of unspecified humerus
        • S42.43 Fracture (avulsion) of lateral epicondyle of humerus
          • S42.431  Displaced fracture (avulsion) of lateral epicondyle of right humerus
          • S42.432  Displaced fracture (avulsion) of lateral epicondyle of left humerus
          • S42.433  Displaced fracture (avulsion) of lateral epicondyle of unspecified humerus
          • S42.434  Nondisplaced fracture (avulsion) of lateral epicondyle of right humerus
          • S42.435  Nondisplaced fracture (avulsion) of lateral epicondyle of left humerus
          • S42.436  Nondisplaced fracture (avulsion) of lateral epicondyle of unspecified humerus
        • S42.44 Fracture (avulsion) of medial epicondyle of humerus
          • S42.441  Displaced fracture (avulsion) of medial epicondyle of right humerus
          • S42.442  Displaced fracture (avulsion) of medial epicondyle of left humerus
          • S42.443  Displaced fracture (avulsion) of medial epicondyle of unspecified humerus
          • S42.444  Nondisplaced fracture (avulsion) of medial epicondyle of right humerus
          • S42.445  Nondisplaced fracture (avulsion) of medial epicondyle of left humerus
          • S42.446  Nondisplaced fracture (avulsion) of medial epicondyle of unspecified humerus
          • S42.447  Incarcerated fracture (avulsion) of medial epicondyle of right humerus
          • S42.448  Incarcerated fracture (avulsion) of medial epicondyle of left humerus
          • S42.449  Incarcerated fracture (avulsion) of medial epicondyle of unspecified humerus
        • S42.45 Fracture of lateral condyle of humerus
          • S42.451  Displaced fracture of lateral condyle of right humerus
          • S42.452  Displaced fracture of lateral condyle of left humerus
          • S42.453  Displaced fracture of lateral condyle of unspecified humerus
          • S42.454  Nondisplaced fracture of lateral condyle of right humerus
          • S42.455  Nondisplaced fracture of lateral condyle of left humerus
          • S42.456  Nondisplaced fracture of lateral condyle of unspecified humerus
        • S42.46 Fracture of medial condyle of humerus
          • S42.461  Displaced fracture of medial condyle of right humerus
          • S42.462  Displaced fracture of medial condyle of left humerus
          • S42.463  Displaced fracture of medial condyle of unspecified humerus
          • S42.464  Nondisplaced fracture of medial condyle of right humerus
          • S42.465  Nondisplaced fracture of medial condyle of left humerus
          • S42.466  Nondisplaced fracture of medial condyle of unspecified humerus
        • S42.47 Transcondylar fracture of humerus
          • S42.471  Displaced transcondylar fracture of right humerus
          • S42.472  Displaced transcondylar fracture of left humerus
          • S42.473  Displaced transcondylar fracture of unspecified humerus
          • S42.474  Nondisplaced transcondylar fracture of right humerus
          • S42.475  Nondisplaced transcondylar fracture of left humerus
          • S42.476  Nondisplaced transcondylar fracture of unspecified humerus
        • S42.48 Torus fracture of lower end of humerus
          • S42.481  Torus fracture of lower end of right humerus
          • S42.482  Torus fracture of lower end of left humerus
          • S42.489  Torus fracture of lower end of unspecified humerus
        • S42.49 Other fracture of lower end of humerus
          • S42.491  Other displaced fracture of lower end of right humerus
          • S42.492  Other displaced fracture of lower end of left humerus
          • S42.493  Other displaced fracture of lower end of unspecified humerus
          • S42.494  Other nondisplaced fracture of lower end of right humerus
          • S42.495  Other nondisplaced fracture of lower end of left humerus
          • S42.496  Other nondisplaced fracture of lower end of unspecified humerus
      • S42.9 Fracture of shoulder girdle, part unspecified
        • S42.90  Fracture of unspecified shoulder girdle, part unspecified
        • S42.91  Fracture of right shoulder girdle, part unspecified
        • S42.92  Fracture of left shoulder girdle, part unspecified