S42 is a non-billable/non-specific diagnosis code from the 2026 ICD-10-CM used to classify the following condition: Fracture of shoulder and upper arm.
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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
Traumatic amputation of shoulder and upper arm (S48.-)
Periprosthetic fracture around internal prosthetic shoulder joint (M97.3)
The appropriate 7th character is to be added to all codes from category S42
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
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