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ICD-10-CM Code S42.4
Fracture of lower end of humerus

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 S42.4 is a non-billable code. To code a diagnosis of this type, you must use one of the ten child codes of S42.4 that describes the diagnosis 'fracture of lower end of humerus' in more detail.


The ICD code S424 is used to code Humerus fracture

A humerus fracture is a bone fracture of the arm. Fractures of the humerus may be classified by the location and divided into fractures of the upper end, the shaft, or the lower end.

MeSH Code: 68006810

Comminuted midshaft humerus fracture with callus formation

Source: Wikipedia

Coding Notes for S42.4 Info for medical coders on how to properly use this ICD-10 code

Inclusion Terms:
Inclusion Terms
Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.
Fracture of distal end of humerus
Code Type-2 Excludes:
Type-2 Excludes
Type-2 Excludes means the excluded conditions are different, although they may appear similar. A patient may have both conditions, but one does not include the other. Excludes 2 means "not coded here."
Fracture of shaft of humerus - instead, use code S42.3-
Physeal fracture of lower end of humerus - instead, use code S49.1-

Parent Code: S42 - Fracture of shoulder and upper arm

** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/S424