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ICD-10-CM · FY 2026 APRIL UPDATE

S42.11

Fracture of body 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
S42.111Displaced 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
S42.111GDisplaced fracture of body of scapula, right shoulder, subsequent encounter for fracture with delayed healingBillable
S42.111KDisplaced fracture of body of scapula, right shoulder, subsequent encounter for fracture with nonunionBillable
S42.111PDisplaced fracture of body of scapula, right shoulder, subsequent encounter for fracture with malunionBillable
S42.111SDisplaced fracture of body of scapula, right shoulder, sequelaBillable
S42.112Displaced fracture of body of scapula, left shoulderCategory
S42.112ADisplaced fracture of body of scapula, left shoulder, initial encounter for closed fractureBillable
S42.112BDisplaced fracture of body of scapula, left shoulder, initial encounter for open fractureBillable
S42.112DDisplaced fracture of body of scapula, left shoulder, subsequent encounter for fracture with routine healingBillable
S42.112GDisplaced fracture of body of scapula, left shoulder, subsequent encounter for fracture with delayed healingBillable
S42.112KDisplaced fracture of body of scapula, left shoulder, subsequent encounter for fracture with nonunionBillable
S42.112PDisplaced fracture of body of scapula, left shoulder, subsequent encounter for fracture with malunionBillable
S42.112SDisplaced fracture of body of scapula, left shoulder, sequelaBillable
S42.113Displaced fracture of body of scapula, unspecified shoulderCategory
S42.113ADisplaced fracture of body of scapula, unspecified shoulder, initial encounter for closed fractureBillable
S42.113BDisplaced fracture of body of scapula, unspecified shoulder, initial encounter for open fractureBillable
S42.113DDisplaced fracture of body of scapula, unspecified shoulder, subsequent encounter for fracture with routine healingBillable
S42.113GDisplaced fracture of body of scapula, unspecified shoulder, subsequent encounter for fracture with delayed healingBillable
S42.113KDisplaced fracture of body of scapula, unspecified shoulder, subsequent encounter for fracture with nonunionBillable
S42.113PDisplaced fracture of body of scapula, unspecified shoulder, subsequent encounter for fracture with malunionBillable
S42.113SDisplaced fracture of body of scapula, unspecified shoulder, sequelaBillable
S42.114Nondisplaced fracture of body of scapula, right shoulderCategory
S42.114ANondisplaced fracture of body of scapula, right shoulder, initial encounter for closed fractureBillable
S42.114BNondisplaced fracture of body of scapula, right shoulder, initial encounter for open fractureBillable
S42.114DNondisplaced fracture of body of scapula, right shoulder, subsequent encounter for fracture with routine healingBillable
S42.114GNondisplaced fracture of body of scapula, right shoulder, subsequent encounter for fracture with delayed healingBillable
S42.114KNondisplaced fracture of body of scapula, right shoulder, subsequent encounter for fracture with nonunionBillable

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.

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