S42.153
S42.153 — Displaced fracture of neck of scapula, unspecified shoulder
Non-billable headerICD-10-CMunspecified
S42.153 is a non-billable header ICD-10-CM code for displaced fracture of neck of scapula, unspecified shoulder. 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
Risk adjustment
S42.153 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 S42.153
7 child codes. Green means billable.
- S42.153ADisplaced fracture of neck of scapula, unspecified shoulder, initial encounter for closed fracture
- S42.153BDisplaced fracture of neck of scapula, unspecified shoulder, initial encounter for open fracture
- S42.153DDisplaced fracture of neck of scapula, unspecified shoulder, subsequent encounter for fracture with routine healing
- S42.153GDisplaced fracture of neck of scapula, unspecified shoulder, subsequent encounter for fracture with delayed healing
- S42.153KDisplaced fracture of neck of scapula, unspecified shoulder, subsequent encounter for fracture with nonunion
- S42.153PDisplaced fracture of neck of scapula, unspecified shoulder, subsequent encounter for fracture with malunion
- S42.153SDisplaced fracture of neck of scapula, unspecified shoulder, sequela
Related codes at this level
Codes that share S42.15. If S42.153 is not quite right, the correct code is usually one of these.
- S42.151Displaced fracture of neck of scapula, right shoulder
- S42.152Displaced fracture of neck of scapula, left shoulder
- S42.154Nondisplaced fracture of neck of scapula, right shoulder
- S42.155Nondisplaced fracture of neck of scapula, left shoulder
- S42.156Nondisplaced fracture of neck of scapula, unspecified shoulder
Questions about S42.153
- Is S42.153 a billable ICD-10-CM code?
- No. S42.153 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S42.153 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).