S42.156
S42.156: Nondisplaced fracture of neck of scapula, unspecified shoulder
Non-billable headerICD-10-CMunspecified
S42.156 is a non-billable header ICD-10-CM code for nondisplaced 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
Excludes1 inherited from the categories above S42.156
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S42.156
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with S42.156
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead S42.156
7 child codes. Green means billable.
- S42.156ANondisplaced fracture of neck of scapula, unspecified shoulder, initial encounter for closed fracture
- S42.156BNondisplaced fracture of neck of scapula, unspecified shoulder, initial encounter for open fracture
- S42.156DNondisplaced fracture of neck of scapula, unspecified shoulder, subsequent encounter for fracture with routine healing
- S42.156GNondisplaced fracture of neck of scapula, unspecified shoulder, subsequent encounter for fracture with delayed healing
- S42.156KNondisplaced fracture of neck of scapula, unspecified shoulder, subsequent encounter for fracture with nonunion
- S42.156PNondisplaced fracture of neck of scapula, unspecified shoulder, subsequent encounter for fracture with malunion
- S42.156SNondisplaced fracture of neck of scapula, unspecified shoulder, sequela
Other codes under S42.15
- S42.151Displaced fracture of neck of scapula, right shoulder
- S42.152Displaced fracture of neck of scapula, left shoulder
- S42.153Displaced fracture of neck of scapula, unspecified shoulder
- S42.154Nondisplaced fracture of neck of scapula, right shoulder
- S42.155Nondisplaced fracture of neck of scapula, left shoulder