S42.322
S42.322 — Displaced transverse fracture of shaft of humerus, left arm
Non-billable headerICD-10-CMleft
S42.322 is a non-billable header ICD-10-CM code for displaced transverse fracture of shaft of humerus, left arm. 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
S42.322 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 S42.322
7 child codes. Green means billable.
- S42.322ADisplaced transverse fracture of shaft of humerus, left arm, initial encounter for closed fracture
- S42.322BDisplaced transverse fracture of shaft of humerus, left arm, initial encounter for open fracture
- S42.322DDisplaced transverse fracture of shaft of humerus, left arm, subsequent encounter for fracture with routine healing
- S42.322GDisplaced transverse fracture of shaft of humerus, left arm, subsequent encounter for fracture with delayed healing
- S42.322KDisplaced transverse fracture of shaft of humerus, left arm, subsequent encounter for fracture with nonunion
- S42.322PDisplaced transverse fracture of shaft of humerus, left arm, subsequent encounter for fracture with malunion
- S42.322SDisplaced transverse fracture of shaft of humerus, left arm, sequela
Related codes at this level
Codes that share S42.32. If S42.322 is not quite right, the correct code is usually one of these.
- S42.321Displaced transverse fracture of shaft of humerus, right arm
- S42.323Displaced transverse fracture of shaft of humerus, unspecified arm
- S42.324Nondisplaced transverse fracture of shaft of humerus, right arm
- S42.325Nondisplaced transverse fracture of shaft of humerus, left arm
- S42.326Nondisplaced transverse fracture of shaft of humerus, unspecified arm
Questions about S42.322
- Is S42.322 a billable ICD-10-CM code?
- No. S42.322 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S42.322 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).