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  1. ICD.Codes
  2. ICD-10-CM (2016)
  3. Chapter 19
  4. Section S40-S49
  5. Code S42

ICD-10-CM Code S42
Fracture of shoulder and upper arm

NON-BILLABLE
Non-Billable Code
Non-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail.
| ICD-10 from 2011 - 2016

ICD Code S42 is a non-billable code. To code a diagnosis of this type, you must use one of the six child codes of S42 that describes the diagnosis 'fracture of shoulder and upper arm' in more detail.

Coding Notes for S42 Info for medical coders on how to properly use this ICD-10 code

Code Notes:
A fracture not indicated as displaced or nondisplaced should be coded to displaced
A fracture not indicated as open or closed should be coded to closed
Code Type-1 Excludes:
Type-1 Excludes
Type-1 Excludes mean the conditions excluded are mutually exclusive and should never be coded together. Excludes 1 means "do not code here."
Traumatic amputation of shoulder and upper arm - instead, use code S48.-
7th Character Extension Notes:

What is 7th Character Extension?

For codes less than 6 characters that require a 7th character a placeholder 'X' should be assigned for all characters less than 6. The 7th character must always be the 7th position of a code. E.g. The ICD-10-CM code T67.4 (Heat exhaustion due to salt depletion) requires an Episode of Care identifier. T67.4XXA Initial Encounter or T67.4XXD Subsequent Encounter. More Info
The appropriate 7th character is to be added to all codes from category See Code S42

** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/S42