ICDcodes.org
FY2027

S42.002D — Fracture of unspecified part of left clavicle, subsequent encounter for fracture with routine healing

BillableUnspecified

Is S42.002D billable?

Yes, but S42.002D is an unspecified code. S42.002D is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, S42.002D is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting S42.002D — the more specific alternatives are listed below.

S42.002D at a glance

CodeS42.002D
DescriptionFracture of unspecified part of left clavicle, subsequent encounter for fracture with routine healing
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027
7th character "D"subsequent encounter for fracture with routine healing

What does the 7th character "D" mean in S42.002D?

In S42.002D, the 7th character D means subsequent encounter for fracture with routine healing. The 7th character is required for S42.002D to be a valid, complete code.

Same condition, different episode of care — switch the 7th character:

Which MS-DRGs does S42.002D group to?

S42.002D sits in MDC 08 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 559Aftercare, Musculoskeletal System and Connective Tissue with MCCmedical
  • 560Aftercare, Musculoskeletal System and Connective Tissue with CCmedical
  • 561Aftercare, Musculoskeletal System and Connective Tissue without CC/MCCmedical

How is S42.002D listed in the Alphabetic Index?

The Alphabetic Index lists these routes under S42.00, the nearest indexed parent of S42.002D. Use them to find the family, then select the specific code.

  • Fracture, traumatic › clavicle (abduction) (adduction) (separation)

Excludes1 — never code together — inherited from S42

The conditions below can never be reported together with S42.002D 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 S42.002D to fully describe the condition. S42.002D 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 S42.002D, but a patient may have both at the same time. When documentation supports it, S42.002D and the excluded code may both be reported.

  • birth trauma (P10-P15)
  • obstetric trauma (O70-O71)

Excludes2 — not included here — inherited from S40-S49

The conditions below are not part of S42.002D, but a patient may have both at the same time. When documentation supports it, S42.002D and the excluded code may both be reported.

  • burns and corrosions (T20-T32)
  • frostbite (T33-T34)
  • injuries of elbow (S50-S59)
  • insect bite or sting, venomous (T63.4)

Excludes2 — not included here — inherited from S42

The conditions below are not part of S42.002D, but a patient may have both at the same time. When documentation supports it, S42.002D and the excluded code may both be reported.

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

How long has S42.002D existed?

S42.002D 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.