S42.331
S42.331 — Displaced oblique fracture of shaft of humerus, right arm
Non-billable headerICD-10-CMright
S42.331 is a non-billable header ICD-10-CM code for displaced oblique fracture of shaft of humerus, right 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
S42.331 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 S42.331
7 child codes. Green means billable.
- S42.331ADisplaced oblique fracture of shaft of humerus, right arm, initial encounter for closed fracture
- S42.331BDisplaced oblique fracture of shaft of humerus, right arm, initial encounter for open fracture
- S42.331DDisplaced oblique fracture of shaft of humerus, right arm, subsequent encounter for fracture with routine healing
- S42.331GDisplaced oblique fracture of shaft of humerus, right arm, subsequent encounter for fracture with delayed healing
- S42.331KDisplaced oblique fracture of shaft of humerus, right arm, subsequent encounter for fracture with nonunion
- S42.331PDisplaced oblique fracture of shaft of humerus, right arm, subsequent encounter for fracture with malunion
- S42.331SDisplaced oblique fracture of shaft of humerus, right arm, sequela
Related codes at this level
Codes that share S42.33. If S42.331 is not quite right, the correct code is usually one of these.
- S42.332Displaced oblique fracture of shaft of humerus, left arm
- S42.333Displaced oblique fracture of shaft of humerus, unspecified arm
- S42.334Nondisplaced oblique fracture of shaft of humerus, right arm
- S42.335Nondisplaced oblique fracture of shaft of humerus, left arm
- S42.336Nondisplaced oblique fracture of shaft of humerus, unspecified arm
Questions about S42.331
- Is S42.331 a billable ICD-10-CM code?
- No. S42.331 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S42.331 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).