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ICD-10-CM Code S42.472
Displaced transcondylar fracture of left 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.
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 S42.472 is a non-billable code. To code a diagnosis of this type, you must use specify a 7th character that describes the diagnosis 'displaced transcondylar fracture of left 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 S42.472A initial encounter
B S42.472B initial encounter for open fracture
D S42.472D subsequent encounter
G S42.472G subsequent encounter for fracture with delayed healing
K S42.472K subsequent encounter for fracture with nonunion
P S42.472P subsequent encounter for fracture with malunion
S S42.472S 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 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 Advice SNOMET-CT

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

Parent Code: S42.47 - Transcondylar fracture of humerus

** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/S42472