S42.356
S42.356 — Nondisplaced comminuted fracture of shaft of humerus, unspecified arm
Non-billable headerICD-10-CMunspecified
S42.356 is a non-billable header ICD-10-CM code for nondisplaced comminuted fracture of shaft of humerus, unspecified 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
S42.356 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 S42.356
7 child codes. Green means billable.
- S42.356ANondisplaced comminuted fracture of shaft of humerus, unspecified arm, initial encounter for closed fracture
- S42.356BNondisplaced comminuted fracture of shaft of humerus, unspecified arm, initial encounter for open fracture
- S42.356DNondisplaced comminuted fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with routine healing
- S42.356GNondisplaced comminuted fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with delayed healing
- S42.356KNondisplaced comminuted fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with nonunion
- S42.356PNondisplaced comminuted fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with malunion
- S42.356SNondisplaced comminuted fracture of shaft of humerus, unspecified arm, sequela
Related codes at this level
Codes that share S42.35. If S42.356 is not quite right, the correct code is usually one of these.
- S42.351Displaced comminuted fracture of shaft of humerus, right arm
- 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
Questions about S42.356
- Is S42.356 a billable ICD-10-CM code?
- No. S42.356 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S42.356 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).