S42.481
S42.481: Torus fracture of lower end of right humerus
Non-billable headerICD-10-CMright
S42.481 is a non-billable header ICD-10-CM code for torus fracture of lower end 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 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
Excludes1 inherited from the categories above S42.481
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above S42.481
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 S42.481
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 S42.481
6 child codes. Green means billable.
- S42.481ATorus fracture of lower end of right humerus, initial encounter for closed fracture
- S42.481DTorus fracture of lower end of right humerus, subsequent encounter for fracture with routine healing
- S42.481GTorus fracture of lower end of right humerus, subsequent encounter for fracture with delayed healing
- S42.481KTorus fracture of lower end of right humerus, subsequent encounter for fracture with nonunion
- S42.481PTorus fracture of lower end of right humerus, subsequent encounter for fracture with malunion
- S42.481STorus fracture of lower end of right humerus, sequela