2025
ICD-10-CM
Diagnosis
Code

S42 Fracture of shoulder and upper arm

  • Non-billable
  • 2016–2025

S42 is a non-billable/non-specific diagnosis code from the 2025 ICD-10-CM used to classify the following condition: Fracture of shoulder and upper arm.

Notes

  • A fracture not indicated as displaced or nondisplaced should be coded to displaced

  • A fracture not indicated as open or closed should be coded to closed

Type 1 excludes

  • Traumatic amputation of shoulder and upper arm (S48.-)

Type 2 excludes

  • Periprosthetic fracture around internal prosthetic shoulder joint (M97.3)

Seventh character note

  • The appropriate 7th character is to be added to all codes from category S42

Seventh character extensions

  • A: initial encounter for closed fracture

  • B: initial encounter for open fracture

  • D: subsequent encounter for fracture with routine healing

  • G: subsequent encounter for fracture with delayed healing

  • K: subsequent encounter for fracture with nonunion

  • P: subsequent encounter for fracture with malunion

  • S: sequela

Codes

Versions

  1. 2025

    No changes

  2. 2024

    Code changed

    • Type 2 excludes

        • periprosthetic fracture around internal prosthetic shoulder joint (M97.3)
  3. 2023

    No changes

  4. 2022

    No changes

  5. 2021

    No changes

  6. 2020

    No changes

  7. 2019

    No changes

  8. 2018

    No changes

  9. 2017

    No changes

  10. 2016

    New code