S42.364
S42.364: Nondisplaced segmental fracture of shaft of humerus, right arm
Non-billable headerICD-10-CMright
S42.364 is a non-billable header ICD-10-CM code for nondisplaced segmental 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
Excludes1 inherited from the categories above S42.364
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S42.364
Not part of this code, but both may be coded when both are present.
Written on S42.3: Fracture of shaft of humerus
Other codes that can never be billed with S42.364
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 S42.364
7 child codes. Green means billable.
- S42.364ANondisplaced segmental fracture of shaft of humerus, right arm, initial encounter for closed fracture
- S42.364BNondisplaced segmental fracture of shaft of humerus, right arm, initial encounter for open fracture
- S42.364DNondisplaced segmental fracture of shaft of humerus, right arm, subsequent encounter for fracture with routine healing
- S42.364GNondisplaced segmental fracture of shaft of humerus, right arm, subsequent encounter for fracture with delayed healing
- S42.364KNondisplaced segmental fracture of shaft of humerus, right arm, subsequent encounter for fracture with nonunion
- S42.364PNondisplaced segmental fracture of shaft of humerus, right arm, subsequent encounter for fracture with malunion
- S42.364SNondisplaced segmental fracture of shaft of humerus, right arm, sequela
Other codes under S42.36
- S42.361Displaced segmental fracture of shaft of humerus, right arm
- S42.362Displaced segmental fracture of shaft of humerus, left arm
- S42.363Displaced segmental fracture of shaft of humerus, unspecified arm
- S42.365Nondisplaced segmental fracture of shaft of humerus, left arm
- S42.366Nondisplaced segmental fracture of shaft of humerus, unspecified arm