S42.351
S42.351 — Displaced comminuted fracture of shaft of humerus, right arm
Non-billable headerICD-10-CMright
S42.351 is a non-billable header ICD-10-CM code for displaced comminuted 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
S42.351 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 S42.351
7 child codes. Green means billable.
- S42.351ADisplaced comminuted fracture of shaft of humerus, right arm, initial encounter for closed fracture
- S42.351BDisplaced comminuted fracture of shaft of humerus, right arm, initial encounter for open fracture
- S42.351DDisplaced comminuted fracture of shaft of humerus, right arm, subsequent encounter for fracture with routine healing
- S42.351GDisplaced comminuted fracture of shaft of humerus, right arm, subsequent encounter for fracture with delayed healing
- S42.351KDisplaced comminuted fracture of shaft of humerus, right arm, subsequent encounter for fracture with nonunion
- S42.351PDisplaced comminuted fracture of shaft of humerus, right arm, subsequent encounter for fracture with malunion
- S42.351SDisplaced comminuted fracture of shaft of humerus, right arm, sequela
Related codes at this level
Codes that share S42.35. If S42.351 is not quite right, the correct code is usually one of these.
- S42.352Displaced comminuted fracture of shaft of humerus, left arm
- S42.353Displaced comminuted fracture of shaft of humerus, unspecified arm
- S42.354Nondisplaced comminuted fracture of shaft of humerus, right arm
- S42.355Nondisplaced comminuted fracture of shaft of humerus, left arm
- S42.356Nondisplaced comminuted fracture of shaft of humerus, unspecified arm
Questions about S42.351
- Is S42.351 a billable ICD-10-CM code?
- No. S42.351 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S42.351 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).