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ICD-10-CM · FY 2026 APRIL UPDATE

S42.36

Segmental fracture of shaft 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
S42.361Displaced segmental fracture of shaft of humerus, right armCategory
S42.361ADisplaced segmental fracture of shaft of humerus, right arm, initial encounter for closed fractureBillable
S42.361BDisplaced segmental fracture of shaft of humerus, right arm, initial encounter for open fractureBillable
S42.361DDisplaced segmental fracture of shaft of humerus, right arm, subsequent encounter for fracture with routine healingBillable
S42.361GDisplaced segmental fracture of shaft of humerus, right arm, subsequent encounter for fracture with delayed healingBillable
S42.361KDisplaced segmental fracture of shaft of humerus, right arm, subsequent encounter for fracture with nonunionBillable
S42.361PDisplaced segmental fracture of shaft of humerus, right arm, subsequent encounter for fracture with malunionBillable
S42.361SDisplaced segmental fracture of shaft of humerus, right arm, sequelaBillable
S42.362Displaced segmental fracture of shaft of humerus, left armCategory
S42.362ADisplaced segmental fracture of shaft of humerus, left arm, initial encounter for closed fractureBillable
S42.362BDisplaced segmental fracture of shaft of humerus, left arm, initial encounter for open fractureBillable
S42.362DDisplaced segmental fracture of shaft of humerus, left arm, subsequent encounter for fracture with routine healingBillable
S42.362GDisplaced segmental fracture of shaft of humerus, left arm, subsequent encounter for fracture with delayed healingBillable
S42.362KDisplaced segmental fracture of shaft of humerus, left arm, subsequent encounter for fracture with nonunionBillable
S42.362PDisplaced segmental fracture of shaft of humerus, left arm, subsequent encounter for fracture with malunionBillable
S42.362SDisplaced segmental fracture of shaft of humerus, left arm, sequelaBillable
S42.363Displaced segmental fracture of shaft of humerus, unspecified armCategory
S42.363ADisplaced segmental fracture of shaft of humerus, unspecified arm, initial encounter for closed fractureBillable
S42.363BDisplaced segmental fracture of shaft of humerus, unspecified arm, initial encounter for open fractureBillable
S42.363DDisplaced segmental fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with routine healingBillable
S42.363GDisplaced segmental fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with delayed healingBillable
S42.363KDisplaced segmental fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with nonunionBillable
S42.363PDisplaced segmental fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with malunionBillable
S42.363SDisplaced segmental fracture of shaft of humerus, unspecified arm, sequelaBillable
S42.364Nondisplaced segmental fracture of shaft of humerus, right armCategory
S42.364ANondisplaced segmental fracture of shaft of humerus, right arm, initial encounter for closed fractureBillable
S42.364BNondisplaced segmental fracture of shaft of humerus, right arm, initial encounter for open fractureBillable
S42.364DNondisplaced segmental fracture of shaft of humerus, right arm, subsequent encounter for fracture with routine healingBillable
S42.364GNondisplaced segmental fracture of shaft of humerus, right arm, subsequent encounter for fracture with delayed healingBillable
S42.364KNondisplaced segmental fracture of shaft of humerus, right arm, 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.

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.