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ICD-10-CM · FY 2026 APRIL UPDATE

S42.9

Fracture of shoulder girdle, part unspecified

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
S42.90Fracture of unspecified shoulder girdle, part unspecifiedCategory
S42.90XAFracture of unspecified shoulder girdle, part unspecified, initial encounter for closed fractureBillable
S42.90XBFracture of unspecified shoulder girdle, part unspecified, initial encounter for open fractureBillable
S42.90XDFracture of unspecified shoulder girdle, part unspecified, subsequent encounter for fracture with routine healingBillable
S42.90XGFracture of unspecified shoulder girdle, part unspecified, subsequent encounter for fracture with delayed healingBillable
S42.90XKFracture of unspecified shoulder girdle, part unspecified, subsequent encounter for fracture with nonunionBillable
S42.90XPFracture of unspecified shoulder girdle, part unspecified, subsequent encounter for fracture with malunionBillable
S42.90XSFracture of unspecified shoulder girdle, part unspecified, sequelaBillable
S42.91Fracture of right shoulder girdle, part unspecifiedCategory
S42.91XAFracture of right shoulder girdle, part unspecified, initial encounter for closed fractureBillable
S42.91XBFracture of right shoulder girdle, part unspecified, initial encounter for open fractureBillable
S42.91XDFracture of right shoulder girdle, part unspecified, subsequent encounter for fracture with routine healingBillable
S42.91XGFracture of right shoulder girdle, part unspecified, subsequent encounter for fracture with delayed healingBillable
S42.91XKFracture of right shoulder girdle, part unspecified, subsequent encounter for fracture with nonunionBillable
S42.91XPFracture of right shoulder girdle, part unspecified, subsequent encounter for fracture with malunionBillable
S42.91XSFracture of right shoulder girdle, part unspecified, sequelaBillable
S42.92Fracture of left shoulder girdle, part unspecifiedCategory
S42.92XAFracture of left shoulder girdle, part unspecified, initial encounter for closed fractureBillable
S42.92XBFracture of left shoulder girdle, part unspecified, initial encounter for open fractureBillable
S42.92XDFracture of left shoulder girdle, part unspecified, subsequent encounter for fracture with routine healingBillable
S42.92XGFracture of left shoulder girdle, part unspecified, subsequent encounter for fracture with delayed healingBillable
S42.92XKFracture of left shoulder girdle, part unspecified, subsequent encounter for fracture with nonunionBillable
S42.92XPFracture of left shoulder girdle, part unspecified, subsequent encounter for fracture with malunionBillable
S42.92XSFracture of left shoulder girdle, part unspecified, 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.