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ICD-10-CM · FY 2026 APRIL UPDATE

S42.0

Fracture of clavicle

Diagnosis reference

Nonbillable category

This entry is a category or subcategory. Choose the appropriate billable descendant based on the clinical documentation.

Effective periodOctober 1, 2026–September 30, 2027
SourceCMS ICD-10-CM order file
ClassificationDiagnosis · clinical modification

Related entries

Up to 30 descendants in this category

CODEDESCRIPTIONTYPE
S42.00Fracture of unspecified part of clavicleCategory
S42.001Fracture of unspecified part of right clavicleCategory
S42.001AFracture of unspecified part of right clavicle, initial encounter for closed fractureBillable
S42.001BFracture of unspecified part of right clavicle, initial encounter for open fractureBillable
S42.001DFracture of unspecified part of right clavicle, subsequent encounter for fracture with routine healingBillable
S42.001GFracture of unspecified part of right clavicle, subsequent encounter for fracture with delayed healingBillable
S42.001KFracture of unspecified part of right clavicle, subsequent encounter for fracture with nonunionBillable
S42.001PFracture of unspecified part of right clavicle, subsequent encounter for fracture with malunionBillable
S42.001SFracture of unspecified part of right clavicle, sequelaBillable
S42.002Fracture of unspecified part of left clavicleCategory
S42.002AFracture of unspecified part of left clavicle, initial encounter for closed fractureBillable
S42.002BFracture of unspecified part of left clavicle, initial encounter for open fractureBillable
S42.002DFracture of unspecified part of left clavicle, subsequent encounter for fracture with routine healingBillable
S42.002GFracture of unspecified part of left clavicle, subsequent encounter for fracture with delayed healingBillable
S42.002KFracture of unspecified part of left clavicle, subsequent encounter for fracture with nonunionBillable
S42.002PFracture of unspecified part of left clavicle, subsequent encounter for fracture with malunionBillable
S42.002SFracture of unspecified part of left clavicle, sequelaBillable
S42.009Fracture of unspecified part of unspecified clavicleCategory
S42.009AFracture of unspecified part of unspecified clavicle, initial encounter for closed fractureBillable
S42.009BFracture of unspecified part of unspecified clavicle, initial encounter for open fractureBillable
S42.009DFracture of unspecified part of unspecified clavicle, subsequent encounter for fracture with routine healingBillable
S42.009GFracture of unspecified part of unspecified clavicle, subsequent encounter for fracture with delayed healingBillable
S42.009KFracture of unspecified part of unspecified clavicle, subsequent encounter for fracture with nonunionBillable
S42.009PFracture of unspecified part of unspecified clavicle, subsequent encounter for fracture with malunionBillable
S42.009SFracture of unspecified part of unspecified clavicle, sequelaBillable
S42.01Fracture of sternal end of clavicleCategory
S42.011Anterior displaced fracture of sternal end of right clavicleCategory
S42.011AAnterior displaced fracture of sternal end of right clavicle, initial encounter for closed fractureBillable
S42.011BAnterior displaced fracture of sternal end of right clavicle, initial encounter for open fractureBillable
S42.011DAnterior displaced fracture of sternal end of right clavicle, subsequent encounter for fracture with routine healingBillable

Use the complete reference

This reference does not reproduce the full tabular hierarchy, inclusion notes, Excludes1/2 notes, sequencing instructions, or seventh-character rules. Review the official tables and coding guidelines.

Open official CMS files

ICD-10-CM codes describe diagnoses. They do not have an independent Medicare PFS reimbursement amount, and billability alone does not establish coverage.