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ICD-10-CM Code S42.302
Unspecified fracture of shaft of humerus, left 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.
7th Character Required
7th Character Required
Code requires 7th Character Extension identifier. This 7th Character usually captures Episode of Care information, such as "Initial Encounter," "Subsquent Encounter," or "Sequela."
| ICD-10 from 2011 - 2016

ICD Code S42.302 is a non-billable code. To code a diagnosis of this type, you must use specify a 7th character that describes the diagnosis 'unspecified fracture of shaft of humerus, left arm' in more detail. The 7th characters that can be added, and the resulting billable codes, are as follows:


7th Digit Billable Code 7th Digit Specifies
A S42.302A initial encounter
B S42.302B initial encounter for open fracture
D S42.302D subsequent encounter
G S42.302G subsequent encounter for fracture with delayed healing
K S42.302K subsequent encounter for fracture with nonunion
P S42.302P subsequent encounter for fracture with malunion
S S42.302S sequela

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 ICD code S423 is used to code Holstein-Lewis fracture

A Holstein–Lewis fracture is a fracture of the distal third of the humerus resulting in entrapment of the radial nerve.

MeSH Code: 68006810

Holstein–Lewis fracture at 5 weeks post fracture

Source: Wikipedia

Related Concepts SNOMET-CT

  • Closed fracture of shaft of left humerus (disorder)

Coding Advice SNOMET-CT

  • Episode of care information needed
  • Possible requirement for an external cause code

Parent Code: S42.30 - Unspecified fracture of shaft of humerus

** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/S42302