S42.416: Nondisplaced simple supracondylar fracture without intercondylar fracture of unspecified humerus
S42.416 is a non-billable header ICD-10-CM code for nondisplaced simple supracondylar fracture without intercondylar fracture of unspecified 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 S42.416
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S42.416
Not part of this code, but both may be coded when both are present.
Written on S42.4: Fracture of lower end of humerus
Other codes that can never be billed with S42.416
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 S42.416
7 child codes. Green means billable.
- S42.416ANondisplaced simple supracondylar fracture without intercondylar fracture of unspecified humerus, initial encounter for closed fracture
- S42.416BNondisplaced simple supracondylar fracture without intercondylar fracture of unspecified humerus, initial encounter for open fracture
- S42.416DNondisplaced simple supracondylar fracture without intercondylar fracture of unspecified humerus, subsequent encounter for fracture with routine healing
- S42.416GNondisplaced simple supracondylar fracture without intercondylar fracture of unspecified humerus, subsequent encounter for fracture with delayed healing
- S42.416KNondisplaced simple supracondylar fracture without intercondylar fracture of unspecified humerus, subsequent encounter for fracture with nonunion
- S42.416PNondisplaced simple supracondylar fracture without intercondylar fracture of unspecified humerus, subsequent encounter for fracture with malunion
- S42.416SNondisplaced simple supracondylar fracture without intercondylar fracture of unspecified humerus, sequela
Other codes under S42.41
- S42.411Displaced simple supracondylar fracture without intercondylar fracture of right humerus
- S42.412Displaced simple supracondylar fracture without intercondylar fracture of left humerus
- S42.413Displaced simple supracondylar fracture without intercondylar fracture of unspecified humerus
- S42.414Nondisplaced simple supracondylar fracture without intercondylar fracture of right humerus
- S42.415Nondisplaced simple supracondylar fracture without intercondylar fracture of left humerus