S42.48
S42.48 — Torus fracture of lower end of humerus
Non-billable headerICD-10-CM
S42.48 is a non-billable header ICD-10-CM code for torus fracture of lower end of 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 in subcategory S42.48
- A
- initial encounter for closed 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
S42.48 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 S42.48
3 child codes. Green means billable.
Related codes at this level
Codes that share S42.4. If S42.48 is not quite right, the correct code is usually one of these.
- S42.40Unspecified fracture of lower end of humerus
- S42.41Simple supracondylar fracture without intercondylar fracture of humerus
- S42.42Comminuted supracondylar fracture without intercondylar fracture of humerus
- S42.43Fracture (avulsion) of lateral epicondyle of humerus
- S42.44Fracture (avulsion) of medial epicondyle of humerus
- S42.45Fracture of lateral condyle of humerus
- S42.46Fracture of medial condyle of humerus
- S42.47Transcondylar fracture of humerus
- S42.49Other fracture of lower end of humerus
Questions about S42.48
- Is S42.48 a billable ICD-10-CM code?
- No. S42.48 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S42.48 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).