ICD-10-CM S42: Fracture of shoulder and upper arm

ICD-10-CM Diagnosis Code (2025)

Official Description for S42

Fracture of shoulder and upper arm

Coding Notes & Guidelines for S42

Excludes1: Not Coded Here

traumatic amputation of shoulder and upper arm (S48.-)

Excludes2: Not Included Here

periprosthetic fracture around internal prosthetic shoulder joint (M97.3)

Excludes2: Not Included Here
  • fracture of shaft of humerus (S42.3-)
  • physeal fracture of upper end of humerus (S49.0-)
Excludes2: Not Included Here
  • physeal fractures of upper end of humerus (S49.0-)
  • physeal fractures of lower end of humerus (S49.1-)
Excludes2: Not Included Here
  • fracture of shaft of humerus (S42.3-)
  • physeal fracture of lower end of humerus (S49.1-)
Inclusion Terms

Displaced fracture of sternal end of clavicle NOS

Inclusion Terms

Fracture of acromial end of clavicle

Inclusion Terms

Fracture of proximal end of humerus

Inclusion Terms

Fracture of neck of humerus NOS

Inclusion Terms
  • Fracture of anatomical neck of humerus
  • Fracture of articular head of humerus
Inclusion Terms
  • Fracture of humerus NOS
  • Fracture of upper arm NOS
Inclusion Terms

Fracture of distal end of humerus

Inclusion Terms

Fracture of elbow NOS

Inclusion Terms

Fracture of capitellum of humerus

Inclusion Terms

Trochlea fracture of humerus

Inclusion Terms

Fracture of shoulder NOS

7th Character Guidance

The appropriate 7th character is to be added to all codes from category S42

7th Character Guidance

The appropriate 7th character is to be added to all codes in subcategory S42.27

7th Character Guidance

The appropriate 7th character is to be added to all codes in subcategory S42.31

7th Character Guidance

The appropriate 7th character is to be added to all codes in subcategory S42.48

7th Character Definitions
  • 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

Child Codes (More Specific Codes for S42):

S42.0 - Fracture of clavicle S42.00 - Fracture of unspecified part of clavicle S42.001 - Fracture of unspecified part of right clavicle S42.002 - Fracture of unspecified part of left clavicle S42.009 - Fracture of unspecified part of unspecified clavicle S42.01 - Fracture of sternal end of clavicle S42.011 - Anterior displaced fracture of sternal end of right clavicle S42.012 - Anterior displaced fracture of sternal end of left clavicle S42.013 - Anterior displaced fracture of sternal end of unspecified clavicle S42.014 - Posterior displaced fracture of sternal end of right clavicle S42.015 - Posterior displaced fracture of sternal end of left clavicle S42.016 - Posterior displaced fracture of sternal end of unspecified clavicle S42.017 - Nondisplaced fracture of sternal end of right clavicle S42.018 - Nondisplaced fracture of sternal end of left clavicle S42.019 - Nondisplaced fracture of sternal end of unspecified clavicle S42.02 - Fracture of shaft of clavicle S42.021 - Displaced fracture of shaft of right clavicle S42.022 - Displaced fracture of shaft of left clavicle S42.023 - Displaced fracture of shaft of unspecified clavicle S42.024 - Nondisplaced fracture of shaft of right clavicle S42.025 - Nondisplaced fracture of shaft of left clavicle S42.026 - Nondisplaced fracture of shaft of unspecified clavicle S42.03 - Fracture of lateral end of clavicle S42.031 - Displaced fracture of lateral end of right clavicle S42.032 - Displaced fracture of lateral end of left clavicle S42.033 - Displaced fracture of lateral end of unspecified clavicle S42.034 - Nondisplaced fracture of lateral end of right clavicle S42.035 - Nondisplaced fracture of lateral end of left clavicle S42.036 - Nondisplaced fracture of lateral end of unspecified clavicle S42.1 - Fracture of scapula S42.10 - Fracture of unspecified part of scapula S42.101 - Fracture of unspecified part of scapula, right shoulder S42.102 - Fracture of unspecified part of scapula, left shoulder S42.109 - Fracture of unspecified part of scapula, unspecified shoulder S42.11 - Fracture of body of scapula S42.111 - Displaced fracture of body of scapula, right shoulder S42.112 - Displaced fracture of body of scapula, left shoulder S42.113 - Displaced fracture of body of scapula, unspecified shoulder S42.114 - Nondisplaced fracture of body of scapula, right shoulder S42.115 - Nondisplaced fracture of body of scapula, left shoulder S42.116 - Nondisplaced fracture of body of scapula, unspecified shoulder S42.12 - Fracture of acromial process S42.121 - Displaced fracture of acromial process, right shoulder S42.122 - Displaced fracture of acromial process, left shoulder S42.123 - Displaced fracture of acromial process, unspecified shoulder S42.124 - Nondisplaced fracture of acromial process, right shoulder S42.125 - Nondisplaced fracture of acromial process, left shoulder S42.126 - Nondisplaced fracture of acromial process, unspecified shoulder S42.13 - Fracture of coracoid process S42.131 - Displaced fracture of coracoid process, right shoulder S42.132 - Displaced fracture of coracoid process, left shoulder S42.133 - Displaced fracture of coracoid process, unspecified shoulder S42.134 - Nondisplaced fracture of coracoid process, right shoulder S42.135 - Nondisplaced fracture of coracoid process, left shoulder S42.136 - Nondisplaced fracture of coracoid process, unspecified shoulder S42.14 - Fracture of glenoid cavity of scapula S42.141 - Displaced fracture of glenoid cavity of scapula, right shoulder S42.142 - Displaced fracture of glenoid cavity of scapula, left shoulder S42.143 - Displaced fracture of glenoid cavity of scapula, unspecified shoulder S42.144 - Nondisplaced fracture of glenoid cavity of scapula, right shoulder S42.145 - Nondisplaced fracture of glenoid cavity of scapula, left shoulder S42.146 - Nondisplaced fracture of glenoid cavity of scapula, unspecified shoulder S42.15 - Fracture of neck of scapula S42.151 - Displaced fracture of neck of scapula, right shoulder S42.152 - Displaced fracture of neck of scapula, left shoulder S42.153 - Displaced fracture of neck of scapula, unspecified shoulder S42.154 - Nondisplaced fracture of neck of scapula, right shoulder S42.155 - Nondisplaced fracture of neck of scapula, left shoulder S42.156 - Nondisplaced fracture of neck of scapula, unspecified shoulder S42.19 - Fracture of other part of scapula S42.191 - Fracture of other part of scapula, right shoulder S42.192 - Fracture of other part of scapula, left shoulder S42.199 - Fracture of other part of scapula, unspecified shoulder S42.2 - Fracture of upper end of humerus S42.20 - Unspecified fracture of upper end of humerus S42.201 - Unspecified fracture of upper end of right humerus S42.202 - Unspecified fracture of upper end of left humerus S42.209 - Unspecified fracture of upper end of unspecified humerus S42.21 - Unspecified fracture of surgical neck of humerus S42.211 - Unspecified displaced fracture of surgical neck of right humerus S42.212 - Unspecified displaced fracture of surgical neck of left humerus S42.213 - Unspecified displaced fracture of surgical neck of unspecified humerus S42.214 - Unspecified nondisplaced fracture of surgical neck of right humerus S42.215 - Unspecified nondisplaced fracture of surgical neck of left humerus S42.216 - Unspecified nondisplaced fracture of surgical neck of unspecified humerus S42.22 - 2-part fracture of surgical neck of humerus S42.221 - 2-part displaced fracture of surgical neck of right humerus S42.222 - 2-part displaced fracture of surgical neck of left humerus S42.223 - 2-part displaced fracture of surgical neck of unspecified humerus S42.224 - 2-part nondisplaced fracture of surgical neck of right humerus S42.225 - 2-part nondisplaced fracture of surgical neck of left humerus S42.226 - 2-part nondisplaced fracture of surgical neck of unspecified humerus S42.23 - 3-part fracture of surgical neck of humerus S42.231 - 3-part fracture of surgical neck of right humerus S42.232 - 3-part fracture of surgical neck of left humerus S42.239 - 3-part fracture of surgical neck of unspecified humerus S42.24 - 4-part fracture of surgical neck of humerus S42.241 - 4-part fracture of surgical neck of right humerus S42.242 - 4-part fracture of surgical neck of left humerus S42.249 - 4-part fracture of surgical neck of unspecified humerus S42.25 - Fracture of greater tuberosity of humerus S42.251 - Displaced fracture of greater tuberosity of right humerus S42.252 - Displaced fracture of greater tuberosity of left humerus S42.253 - Displaced fracture of greater tuberosity of unspecified humerus S42.254 - Nondisplaced fracture of greater tuberosity of right humerus S42.255 - Nondisplaced fracture of greater tuberosity of left humerus S42.256 - Nondisplaced fracture of greater tuberosity of unspecified humerus S42.26 - Fracture of lesser tuberosity of humerus S42.261 - Displaced fracture of lesser tuberosity of right humerus S42.262 - Displaced fracture of lesser tuberosity of left humerus S42.263 - Displaced fracture of lesser tuberosity of unspecified humerus S42.264 - Nondisplaced fracture of lesser tuberosity of right humerus S42.265 - Nondisplaced fracture of lesser tuberosity of left humerus S42.266 - Nondisplaced fracture of lesser tuberosity of unspecified humerus S42.27 - Torus fracture of upper end of humerus S42.271 - Torus fracture of upper end of right humerus S42.272 - Torus fracture of upper end of left humerus S42.279 - Torus fracture of upper end of unspecified humerus S42.29 - Other fracture of upper end of humerus S42.291 - Other displaced fracture of upper end of right humerus S42.292 - Other displaced fracture of upper end of left humerus S42.293 - Other displaced fracture of upper end of unspecified humerus S42.294 - Other nondisplaced fracture of upper end of right humerus S42.295 - Other nondisplaced fracture of upper end of left humerus S42.296 - Other nondisplaced fracture of upper end of unspecified humerus S42.3 - Fracture of shaft of humerus S42.30 - Unspecified fracture of shaft of humerus S42.301 - Unspecified fracture of shaft of humerus, right arm S42.302 - Unspecified fracture of shaft of humerus, left arm S42.309 - Unspecified fracture of shaft of humerus, unspecified arm S42.31 - Greenstick fracture of shaft of humerus S42.311 - Greenstick fracture of shaft of humerus, right arm S42.312 - Greenstick fracture of shaft of humerus, left arm S42.319 - Greenstick fracture of shaft of humerus, unspecified arm S42.32 - Transverse fracture of shaft of humerus S42.321 - Displaced transverse fracture of shaft of humerus, right arm S42.322 - Displaced transverse fracture of shaft of humerus, left arm S42.323 - Displaced transverse fracture of shaft of humerus, unspecified arm S42.324 - Nondisplaced transverse fracture of shaft of humerus, right arm S42.325 - Nondisplaced transverse fracture of shaft of humerus, left arm S42.326 - Nondisplaced transverse fracture of shaft of humerus, unspecified arm S42.33 - Oblique fracture of shaft of humerus S42.331 - Displaced oblique fracture of shaft of humerus, right arm S42.332 - Displaced oblique fracture of shaft of humerus, left arm S42.333 - Displaced oblique fracture of shaft of humerus, unspecified arm S42.334 - Nondisplaced oblique fracture of shaft of humerus, right arm S42.335 - Nondisplaced oblique fracture of shaft of humerus, left arm S42.336 - Nondisplaced oblique fracture of shaft of humerus, unspecified arm S42.34 - Spiral fracture of shaft of humerus S42.341 - Displaced spiral fracture of shaft of humerus, right arm S42.342 - Displaced spiral fracture of shaft of humerus, left arm S42.343 - Displaced spiral fracture of shaft of humerus, unspecified arm S42.344 - Nondisplaced spiral fracture of shaft of humerus, right arm S42.345 - Nondisplaced spiral fracture of shaft of humerus, left arm S42.346 - Nondisplaced spiral fracture of shaft of humerus, unspecified arm S42.35 - Comminuted fracture of shaft of humerus S42.351 - Displaced comminuted fracture of shaft of humerus, right arm S42.352 - Displaced comminuted fracture of shaft of humerus, left arm S42.353 - Displaced comminuted fracture of shaft of humerus, unspecified arm S42.354 - Nondisplaced comminuted fracture of shaft of humerus, right arm S42.355 - Nondisplaced comminuted fracture of shaft of humerus, left arm S42.356 - Nondisplaced comminuted fracture of shaft of humerus, unspecified arm S42.36 - Segmental fracture of shaft of humerus S42.361 - Displaced segmental fracture of shaft of humerus, right arm S42.362 - Displaced segmental fracture of shaft of humerus, left arm S42.363 - Displaced segmental fracture of shaft of humerus, unspecified arm S42.364 - Nondisplaced segmental fracture of shaft of humerus, right arm S42.365 - Nondisplaced segmental fracture of shaft of humerus, left arm S42.366 - Nondisplaced segmental fracture of shaft of humerus, unspecified arm S42.39 - Other fracture of shaft of humerus S42.391 - Other fracture of shaft of right humerus S42.392 - Other fracture of shaft of left humerus S42.399 - Other fracture of shaft of unspecified humerus S42.4 - Fracture of lower end of humerus S42.40 - Unspecified fracture of lower end of humerus S42.401 - Unspecified fracture of lower end of right humerus S42.402 - Unspecified fracture of lower end of left humerus S42.409 - Unspecified fracture of lower end of unspecified humerus S42.41 - Simple supracondylar fracture without intercondylar fracture of humerus S42.411 - Displaced simple supracondylar fracture without intercondylar fracture of right humerus S42.412 - Displaced simple supracondylar fracture without intercondylar fracture of left humerus S42.413 - Displaced simple supracondylar fracture without intercondylar fracture of unspecified humerus S42.414 - Nondisplaced simple supracondylar fracture without intercondylar fracture of right humerus S42.415 - Nondisplaced simple supracondylar fracture without intercondylar fracture of left humerus S42.416 - Nondisplaced simple supracondylar fracture without intercondylar fracture of unspecified humerus S42.42 - Comminuted supracondylar fracture without intercondylar fracture of humerus S42.421 - Displaced comminuted supracondylar fracture without intercondylar fracture of right humerus S42.422 - Displaced comminuted supracondylar fracture without intercondylar fracture of left humerus S42.423 - Displaced comminuted supracondylar fracture without intercondylar fracture of unspecified humerus S42.424 - Nondisplaced comminuted supracondylar fracture without intercondylar fracture of right humerus S42.425 - Nondisplaced comminuted supracondylar fracture without intercondylar fracture of left humerus S42.426 - Nondisplaced comminuted supracondylar fracture without intercondylar fracture of unspecified humerus S42.43 - Fracture (avulsion) of lateral epicondyle of humerus S42.431 - Displaced fracture (avulsion) of lateral epicondyle of right humerus S42.432 - Displaced fracture (avulsion) of lateral epicondyle of left humerus S42.433 - Displaced fracture (avulsion) of lateral epicondyle of unspecified humerus S42.434 - Nondisplaced fracture (avulsion) of lateral epicondyle of right humerus S42.435 - Nondisplaced fracture (avulsion) of lateral epicondyle of left humerus S42.436 - Nondisplaced fracture (avulsion) of lateral epicondyle of unspecified humerus S42.44 - Fracture (avulsion) of medial epicondyle of humerus S42.441 - Displaced fracture (avulsion) of medial epicondyle of right humerus S42.442 - Displaced fracture (avulsion) of medial epicondyle of left humerus S42.443 - Displaced fracture (avulsion) of medial epicondyle of unspecified humerus S42.444 - Nondisplaced fracture (avulsion) of medial epicondyle of right humerus S42.445 - Nondisplaced fracture (avulsion) of medial epicondyle of left humerus S42.446 - Nondisplaced fracture (avulsion) of medial epicondyle of unspecified humerus S42.447 - Incarcerated fracture (avulsion) of medial epicondyle of right humerus S42.448 - Incarcerated fracture (avulsion) of medial epicondyle of left humerus S42.449 - Incarcerated fracture (avulsion) of medial epicondyle of unspecified humerus S42.45 - Fracture of lateral condyle of humerus S42.451 - Displaced fracture of lateral condyle of right humerus S42.452 - Displaced fracture of lateral condyle of left humerus S42.453 - Displaced fracture of lateral condyle of unspecified humerus S42.454 - Nondisplaced fracture of lateral condyle of right humerus S42.455 - Nondisplaced fracture of lateral condyle of left humerus S42.456 - Nondisplaced fracture of lateral condyle of unspecified humerus S42.46 - Fracture of medial condyle of humerus S42.461 - Displaced fracture of medial condyle of right humerus S42.462 - Displaced fracture of medial condyle of left humerus S42.463 - Displaced fracture of medial condyle of unspecified humerus S42.464 - Nondisplaced fracture of medial condyle of right humerus S42.465 - Nondisplaced fracture of medial condyle of left humerus S42.466 - Nondisplaced fracture of medial condyle of unspecified humerus S42.47 - Transcondylar fracture of humerus S42.471 - Displaced transcondylar fracture of right humerus S42.472 - Displaced transcondylar fracture of left humerus S42.473 - Displaced transcondylar fracture of unspecified humerus S42.474 - Nondisplaced transcondylar fracture of right humerus S42.475 - Nondisplaced transcondylar fracture of left humerus S42.476 - Nondisplaced transcondylar fracture of unspecified humerus S42.48 - Torus fracture of lower end of humerus S42.481 - Torus fracture of lower end of right humerus S42.482 - Torus fracture of lower end of left humerus S42.489 - Torus fracture of lower end of unspecified humerus S42.49 - Other fracture of lower end of humerus S42.491 - Other displaced fracture of lower end of right humerus S42.492 - Other displaced fracture of lower end of left humerus S42.493 - Other displaced fracture of lower end of unspecified humerus S42.494 - Other nondisplaced fracture of lower end of right humerus S42.495 - Other nondisplaced fracture of lower end of left humerus S42.496 - Other nondisplaced fracture of lower end of unspecified humerus S42.9 - Fracture of shoulder girdle, part unspecified S42.90 - Fracture of unspecified shoulder girdle, part unspecified S42.91 - Fracture of right shoulder girdle, part unspecified S42.92 - Fracture of left shoulder girdle, part unspecified

About ICD-10-CM Code S42 (Fracture of shoulder and upper arm)

ICD-10-CM code S42 is a billable or specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2025 edition of ICD-10-CM S42 became effective on October 1, 2024.

This page provides detailed information about S42 - Fracture of shoulder and upper arm. It includes common terminology, coding guidelines such as "Includes," "Excludes1," and "Excludes2" notes, and information on required 7th characters. Utilizing this information correctly is essential for accurate medical coding and claims submission for conditions like Fracture of shoulder and upper arm.