S42.013
S42.013 — Anterior displaced fracture of sternal end of unspecified clavicle
Non-billable headerICD-10-CM
S42.013 is a non-billable header ICD-10-CM code for anterior displaced fracture of sternal end of unspecified clavicle. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
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
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Displaced fracture of sternal end of clavicle NOS
Risk adjustment
S42.013 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead S42.013
7 child codes. Green means billable.
- S42.013AAnterior displaced fracture of sternal end of unspecified clavicle, initial encounter for closed fracture
- S42.013BAnterior displaced fracture of sternal end of unspecified clavicle, initial encounter for open fracture
- S42.013DAnterior displaced fracture of sternal end of unspecified clavicle, subsequent encounter for fracture with routine healing
- S42.013GAnterior displaced fracture of sternal end of unspecified clavicle, subsequent encounter for fracture with delayed healing
- S42.013KAnterior displaced fracture of sternal end of unspecified clavicle, subsequent encounter for fracture with nonunion
- S42.013PAnterior displaced fracture of sternal end of unspecified clavicle, subsequent encounter for fracture with malunion
- S42.013SAnterior displaced fracture of sternal end of unspecified clavicle, sequela
Related codes at this level
Codes that share S42.01. If S42.013 is not quite right, the correct code is usually one of these.
- S42.011Anterior displaced fracture of sternal end of right clavicle
- S42.012Anterior displaced fracture of sternal end of left clavicle
- S42.014Posterior displaced fracture of sternal end of right clavicle
- S42.015Posterior displaced fracture of sternal end of left clavicle
- S42.016Posterior displaced fracture of sternal end of unspecified clavicle
- S42.017Nondisplaced fracture of sternal end of right clavicle
- S42.018Nondisplaced fracture of sternal end of left clavicle
- S42.019Nondisplaced fracture of sternal end of unspecified clavicle
Questions about S42.013
- Is S42.013 a billable ICD-10-CM code?
- No. S42.013 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S42.013 sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the shoulder and upper arm (S40-S49).