ICD-10-CM Code S42.009K
Fracture of unspecified part of unspecified clavicle, subsequent encounter for fracture with nonunion
Billable Code
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.POA Exempt Code
The Center for Medicare & Medicaid Services (CMS) requires medical coders to indicate whether or not a condition was present at the time of admission, in order to properly assign MS-DRG codes. This "Present On Admission" (POA) indicator is recorded on CMS form 4010A.S42.009K is a billable ICD code used to specify a diagnosis of fracture of unspecified part of unspecified clavicle, subsequent encounter for fracture with nonunion. A 'billable code' is detailed enough to be used to specify a medical diagnosis.
POA Indicators on CMS form 4010A are as follows:
| Indicator | Meaning | CMS Will Pay CC/MCC DRG Costs |
|---|---|---|
| Y | Diagnosis was present at time of inpatient admission | Yes |
| N | Diagnosis was not present at time of inpatient admission | No |
| U | Documentation insufficient to determine if the condition was present at the time of inpatient admission. | No |
| W | Clinically undetermined. Provider unable to clinically determine whether the condition was present at the time of inpatient admission. | Yes |
| 1 | Exempt from POA reporting | No |
The ICD code S420 is used to code Clavicle fracture
A clavicle fracture is a bone fracture in the clavicle, or collarbone. It is often caused by a fall onto an outstretched upper extremity, a fall onto a shoulder, or a direct blow to the clavicle. Many research projects are underway regarding the medical healing process of clavicle fractures.
| Specialty: | Emergency Medicine |
| ICD 9 Code: | 810 |
X-ray of a left clavicle fracture
MS-DRG Mapping
- DRG Group #564-566 - Other musculoskeletal system and connective tissue diagnoses with MCC.
- DRG Group #564-566 - Other musculoskeletal system and connective tissue diagnoses with CC.
- DRG Group #564-566 - Other musculoskeletal system and connective tissue diagnoses without CC or MCC.
Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)
This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code S42.009K and a single ICD9 code, 733.82 is an approximate match for comparison and conversion purposes.
Parent Code: S42.009 - Fracture of unspecified part of unspecified clavicle