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ICD-10-CM · FY 2026 APRIL UPDATE

S42.1

Fracture of scapula

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
S42.10Fracture of unspecified part of scapulaCategory
S42.101Fracture of unspecified part of scapula, right shoulderCategory
S42.101AFracture of unspecified part of scapula, right shoulder, initial encounter for closed fractureBillable
S42.101BFracture of unspecified part of scapula, right shoulder, initial encounter for open fractureBillable
S42.101DFracture of unspecified part of scapula, right shoulder, subsequent encounter for fracture with routine healingBillable
S42.101GFracture of unspecified part of scapula, right shoulder, subsequent encounter for fracture with delayed healingBillable
S42.101KFracture of unspecified part of scapula, right shoulder, subsequent encounter for fracture with nonunionBillable
S42.101PFracture of unspecified part of scapula, right shoulder, subsequent encounter for fracture with malunionBillable
S42.101SFracture of unspecified part of scapula, right shoulder, sequelaBillable
S42.102Fracture of unspecified part of scapula, left shoulderCategory
S42.102AFracture of unspecified part of scapula, left shoulder, initial encounter for closed fractureBillable
S42.102BFracture of unspecified part of scapula, left shoulder, initial encounter for open fractureBillable
S42.102DFracture of unspecified part of scapula, left shoulder, subsequent encounter for fracture with routine healingBillable
S42.102GFracture of unspecified part of scapula, left shoulder, subsequent encounter for fracture with delayed healingBillable
S42.102KFracture of unspecified part of scapula, left shoulder, subsequent encounter for fracture with nonunionBillable
S42.102PFracture of unspecified part of scapula, left shoulder, subsequent encounter for fracture with malunionBillable
S42.102SFracture of unspecified part of scapula, left shoulder, sequelaBillable
S42.109Fracture of unspecified part of scapula, unspecified shoulderCategory
S42.109AFracture of unspecified part of scapula, unspecified shoulder, initial encounter for closed fractureBillable
S42.109BFracture of unspecified part of scapula, unspecified shoulder, initial encounter for open fractureBillable
S42.109DFracture of unspecified part of scapula, unspecified shoulder, subsequent encounter for fracture with routine healingBillable
S42.109GFracture of unspecified part of scapula, unspecified shoulder, subsequent encounter for fracture with delayed healingBillable
S42.109KFracture of unspecified part of scapula, unspecified shoulder, subsequent encounter for fracture with nonunionBillable
S42.109PFracture of unspecified part of scapula, unspecified shoulder, subsequent encounter for fracture with malunionBillable
S42.109SFracture of unspecified part of scapula, unspecified shoulder, sequelaBillable
S42.11Fracture of body of scapulaCategory
S42.111Displaced fracture of body of scapula, right shoulderCategory
S42.111ADisplaced fracture of body of scapula, right shoulder, initial encounter for closed fractureBillable
S42.111BDisplaced fracture of body of scapula, right shoulder, initial encounter for open fractureBillable
S42.111DDisplaced fracture of body of scapula, right shoulder, 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.