S42.00 — Fracture of unspecified part of clavicle
Is S42.00 billable?
No — S42.00 is a non-billable header code. S42.00 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 21 billable codes beneath S42.00.
Billable codes under this header
- S42.001AFracture of unspecified part of right clavicle, initial encounter for closed fracture
- S42.001BFracture of unspecified part of right clavicle, initial encounter for open fracture
- S42.001DFracture of unspecified part of right clavicle, subsequent encounter for fracture with routine healing
- S42.001GFracture of unspecified part of right clavicle, subsequent encounter for fracture with delayed healing
- S42.001KFracture of unspecified part of right clavicle, subsequent encounter for fracture with nonunion
- S42.001PFracture of unspecified part of right clavicle, subsequent encounter for fracture with malunion
- S42.001SFracture of unspecified part of right clavicle, sequela
- S42.002AFracture of unspecified part of left clavicle, initial encounter for closed fracture
- S42.002BFracture of unspecified part of left clavicle, initial encounter for open fracture
- S42.002DFracture of unspecified part of left clavicle, subsequent encounter for fracture with routine healing
- S42.002GFracture of unspecified part of left clavicle, subsequent encounter for fracture with delayed healing
- S42.002KFracture of unspecified part of left clavicle, subsequent encounter for fracture with nonunion
- S42.002PFracture of unspecified part of left clavicle, subsequent encounter for fracture with malunion
- S42.002SFracture of unspecified part of left clavicle, sequela
- S42.009AFracture of unspecified part of unspecified clavicle, initial encounter for closed fracture
- S42.009BFracture of unspecified part of unspecified clavicle, initial encounter for open fracture
- S42.009DFracture of unspecified part of unspecified clavicle, subsequent encounter for fracture with routine healing
- S42.009GFracture of unspecified part of unspecified clavicle, subsequent encounter for fracture with delayed healing
- S42.009KFracture of unspecified part of unspecified clavicle, subsequent encounter for fracture with nonunion
- S42.009PFracture of unspecified part of unspecified clavicle, subsequent encounter for fracture with malunion
- S42.009SFracture of unspecified part of unspecified clavicle, sequela
S42.00 at a glance
| Code | S42.00 |
|---|---|
| Description | Fracture of unspecified part of clavicle |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is S42.00 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to S42.00. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Fracture, traumatic › clavicle (abduction) (adduction) (separation)
Excludes1 — never code together — inherited from S42
The conditions below can never be reported together with S42.00 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- traumatic amputation of shoulder and upper arm (S48.-)
Use additional code — inherited from Chapter 19
Report an additional code alongside S42.00 to fully describe the condition. S42.00 is sequenced first.
- code to identify any retained foreign body, if applicable (Z18.-)
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of S42.00, but a patient may have both at the same time. When documentation supports it, S42.00 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S40-S49
The conditions below are not part of S42.00, but a patient may have both at the same time. When documentation supports it, S42.00 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S42
The conditions below are not part of S42.00, but a patient may have both at the same time. When documentation supports it, S42.00 and the excluded code may both be reported.
- periprosthetic fracture around internal prosthetic shoulder joint (M97.3)
What codes fall under S42.00? (3)
How long has S42.00 existed?
S42.00 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.