ICD-10-CM Code S42.409
Unspecified fracture of lower end of unspecified humerus
NON-BILLABLE
7th Character Required
|
ICD-10 from 2011 - 2016
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
Code requires 7th Character Extension identifier. This 7th Character usually captures Episode of Care information, such as "Initial Encounter," "Subsquent Encounter," or "Sequela."ICD Code S42.409 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 lower end of unspecified humerus' 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 | S42.409A | initial encounter |
| B | S42.409B | initial encounter for open fracture |
| D | S42.409D | subsequent encounter |
| G | S42.409G | subsequent encounter for fracture with delayed healing |
| K | S42.409K | subsequent encounter for fracture with nonunion |
| P | S42.409P | subsequent encounter for fracture with malunion |
| S | S42.409S | 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 InfoThe 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
Related Concepts SNOMET-CT
- Closed fracture dislocation superior radioulnar joint (disorder)
- Open fracture subluxation superior radioulnar joint (disorder)
- Open fracture subluxation of elbow joint (disorder)
- Open fracture subluxation elbow joint (disorder)
Coding Advice SNOMET-CT
- Episode of care information needed
- Possible requirement for an external cause code
- Consider laterality specification
Parent Code: S42.40 - Unspecified fracture of lower end of humerus