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ICD-10-CM · FY 2026 APRIL UPDATE

S42.2

Fracture of upper end of humerus

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
S42.20Unspecified fracture of upper end of humerusCategory
S42.201Unspecified fracture of upper end of right humerusCategory
S42.201AUnspecified fracture of upper end of right humerus, initial encounter for closed fractureBillable
S42.201BUnspecified fracture of upper end of right humerus, initial encounter for open fractureBillable
S42.201DUnspecified fracture of upper end of right humerus, subsequent encounter for fracture with routine healingBillable
S42.201GUnspecified fracture of upper end of right humerus, subsequent encounter for fracture with delayed healingBillable
S42.201KUnspecified fracture of upper end of right humerus, subsequent encounter for fracture with nonunionBillable
S42.201PUnspecified fracture of upper end of right humerus, subsequent encounter for fracture with malunionBillable
S42.201SUnspecified fracture of upper end of right humerus, sequelaBillable
S42.202Unspecified fracture of upper end of left humerusCategory
S42.202AUnspecified fracture of upper end of left humerus, initial encounter for closed fractureBillable
S42.202BUnspecified fracture of upper end of left humerus, initial encounter for open fractureBillable
S42.202DUnspecified fracture of upper end of left humerus, subsequent encounter for fracture with routine healingBillable
S42.202GUnspecified fracture of upper end of left humerus, subsequent encounter for fracture with delayed healingBillable
S42.202KUnspecified fracture of upper end of left humerus, subsequent encounter for fracture with nonunionBillable
S42.202PUnspecified fracture of upper end of left humerus, subsequent encounter for fracture with malunionBillable
S42.202SUnspecified fracture of upper end of left humerus, sequelaBillable
S42.209Unspecified fracture of upper end of unspecified humerusCategory
S42.209AUnspecified fracture of upper end of unspecified humerus, initial encounter for closed fractureBillable
S42.209BUnspecified fracture of upper end of unspecified humerus, initial encounter for open fractureBillable
S42.209DUnspecified fracture of upper end of unspecified humerus, subsequent encounter for fracture with routine healingBillable
S42.209GUnspecified fracture of upper end of unspecified humerus, subsequent encounter for fracture with delayed healingBillable
S42.209KUnspecified fracture of upper end of unspecified humerus, subsequent encounter for fracture with nonunionBillable
S42.209PUnspecified fracture of upper end of unspecified humerus, subsequent encounter for fracture with malunionBillable
S42.209SUnspecified fracture of upper end of unspecified humerus, sequelaBillable
S42.21Unspecified fracture of surgical neck of humerusCategory
S42.211Unspecified displaced fracture of surgical neck of right humerusCategory
S42.211AUnspecified displaced fracture of surgical neck of right humerus, initial encounter for closed fractureBillable
S42.211BUnspecified displaced fracture of surgical neck of right humerus, initial encounter for open fractureBillable
S42.211DUnspecified displaced fracture of surgical neck of right humerus, 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.