S42.446
S42.446 — Nondisplaced fracture (avulsion) of medial epicondyle of unspecified humerus
Non-billable headerICD-10-CM
S42.446 is a non-billable header ICD-10-CM code for nondisplaced fracture (avulsion) of medial epicondyle 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
Risk adjustment
S42.446 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 S42.446
7 child codes. Green means billable.
- S42.446ANondisplaced fracture (avulsion) of medial epicondyle of unspecified humerus, initial encounter for closed fracture
- S42.446BNondisplaced fracture (avulsion) of medial epicondyle of unspecified humerus, initial encounter for open fracture
- S42.446DNondisplaced fracture (avulsion) of medial epicondyle of unspecified humerus, subsequent encounter for fracture with routine healing
- S42.446GNondisplaced fracture (avulsion) of medial epicondyle of unspecified humerus, subsequent encounter for fracture with delayed healing
- S42.446KNondisplaced fracture (avulsion) of medial epicondyle of unspecified humerus, subsequent encounter for fracture with nonunion
- S42.446PNondisplaced fracture (avulsion) of medial epicondyle of unspecified humerus, subsequent encounter for fracture with malunion
- S42.446SNondisplaced fracture (avulsion) of medial epicondyle of unspecified humerus, sequela
Related codes at this level
Codes that share S42.44. If S42.446 is not quite right, the correct code is usually one of these.
- S42.441Displaced fracture (avulsion) of medial epicondyle of right humerus
- S42.442Displaced fracture (avulsion) of medial epicondyle of left humerus
- S42.443Displaced fracture (avulsion) of medial epicondyle of unspecified humerus
- S42.444Nondisplaced fracture (avulsion) of medial epicondyle of right humerus
- S42.445Nondisplaced fracture (avulsion) of medial epicondyle of left humerus
- S42.447Incarcerated fracture (avulsion) of medial epicondyle of right humerus
- S42.448Incarcerated fracture (avulsion) of medial epicondyle of left humerus
- S42.449Incarcerated fracture (avulsion) of medial epicondyle of unspecified humerus
Questions about S42.446
- Is S42.446 a billable ICD-10-CM code?
- No. S42.446 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S42.446 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).