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S42 Fracture of shoulder and upper arm

Part of Chapter 19: Injury, poisoning and certain other consequences of external causes , block Injuries to the shoulder and upper arm (S40-S49) .

Official Notes

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

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

Excludes2

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

7th Character

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

7th Character

A - initial encounter for closed fracture

7th Character

B - initial encounter for open fracture

7th Character

D - subsequent encounter for fracture with routine healing

7th Character

G - subsequent encounter for fracture with delayed healing

7th Character

K - subsequent encounter for fracture with nonunion

7th Character

P - subsequent encounter for fracture with malunion

7th Character

S - sequela

Child Codes

Referenced By

Official notes on these codes cite S42.

FY 2027 effective October 1, 2026 · CDC NCHS and CMS