S42.391
S42.391: Other fracture of shaft of right humerus
Non-billable headerICD-10-CMright
S42.391 is a non-billable header ICD-10-CM code for other fracture of shaft of right humerus. 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 S42.391
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S42.391
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 S42.391
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 S42.391
7 child codes. Green means billable.
- S42.391AOther fracture of shaft of right humerus, initial encounter for closed fracture
- S42.391BOther fracture of shaft of right humerus, initial encounter for open fracture
- S42.391DOther fracture of shaft of right humerus, subsequent encounter for fracture with routine healing
- S42.391GOther fracture of shaft of right humerus, subsequent encounter for fracture with delayed healing
- S42.391KOther fracture of shaft of right humerus, subsequent encounter for fracture with nonunion
- S42.391POther fracture of shaft of right humerus, subsequent encounter for fracture with malunion
- S42.391SOther fracture of shaft of right humerus, sequela