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ICD-10-CM · FY 2026 APRIL UPDATE

S42.19

Fracture of other part 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
S42.191Fracture of other part of scapula, right shoulderCategory
S42.191AFracture of other part of scapula, right shoulder, initial encounter for closed fractureBillable
S42.191BFracture of other part of scapula, right shoulder, initial encounter for open fractureBillable
S42.191DFracture of other part of scapula, right shoulder, subsequent encounter for fracture with routine healingBillable
S42.191GFracture of other part of scapula, right shoulder, subsequent encounter for fracture with delayed healingBillable
S42.191KFracture of other part of scapula, right shoulder, subsequent encounter for fracture with nonunionBillable
S42.191PFracture of other part of scapula, right shoulder, subsequent encounter for fracture with malunionBillable
S42.191SFracture of other part of scapula, right shoulder, sequelaBillable
S42.192Fracture of other part of scapula, left shoulderCategory
S42.192AFracture of other part of scapula, left shoulder, initial encounter for closed fractureBillable
S42.192BFracture of other part of scapula, left shoulder, initial encounter for open fractureBillable
S42.192DFracture of other part of scapula, left shoulder, subsequent encounter for fracture with routine healingBillable
S42.192GFracture of other part of scapula, left shoulder, subsequent encounter for fracture with delayed healingBillable
S42.192KFracture of other part of scapula, left shoulder, subsequent encounter for fracture with nonunionBillable
S42.192PFracture of other part of scapula, left shoulder, subsequent encounter for fracture with malunionBillable
S42.192SFracture of other part of scapula, left shoulder, sequelaBillable
S42.199Fracture of other part of scapula, unspecified shoulderCategory
S42.199AFracture of other part of scapula, unspecified shoulder, initial encounter for closed fractureBillable
S42.199BFracture of other part of scapula, unspecified shoulder, initial encounter for open fractureBillable
S42.199DFracture of other part of scapula, unspecified shoulder, subsequent encounter for fracture with routine healingBillable
S42.199GFracture of other part of scapula, unspecified shoulder, subsequent encounter for fracture with delayed healingBillable
S42.199KFracture of other part of scapula, unspecified shoulder, subsequent encounter for fracture with nonunionBillable
S42.199PFracture of other part of scapula, unspecified shoulder, subsequent encounter for fracture with malunionBillable
S42.199SFracture of other part of scapula, unspecified shoulder, sequelaBillable

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.