S42.026 — Nondisplaced fracture of shaft of unspecified clavicle
Is S42.026 billable?
No — S42.026 is a non-billable header code. S42.026 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 7 billable codes beneath S42.026.
Billable codes under this header
- S42.026ANondisplaced fracture of shaft of unspecified clavicle, initial encounter for closed fracture
- S42.026BNondisplaced fracture of shaft of unspecified clavicle, initial encounter for open fracture
- S42.026DNondisplaced fracture of shaft of unspecified clavicle, subsequent encounter for fracture with routine healing
- S42.026GNondisplaced fracture of shaft of unspecified clavicle, subsequent encounter for fracture with delayed healing
- S42.026KNondisplaced fracture of shaft of unspecified clavicle, subsequent encounter for fracture with nonunion
- S42.026PNondisplaced fracture of shaft of unspecified clavicle, subsequent encounter for fracture with malunion
- S42.026SNondisplaced fracture of shaft of unspecified clavicle, sequela
S42.026 at a glance
| Code | S42.026 |
|---|---|
| Description | Nondisplaced fracture of shaft of unspecified clavicle |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is S42.026 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S42.02, the nearest indexed parent of S42.026. Use them to find the family, then select the specific code.
- Fracture, traumatic › clavicle › shaft (abduction) (adduction) (separation)
- Fracture, traumatic › clavicle › shaft › nondisplaced (abduction) (adduction) (separation)
Excludes1 — never code together — inherited from S42
The conditions below can never be reported together with S42.026 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 S42.026 to fully describe the condition. S42.026 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 S42.026, but a patient may have both at the same time. When documentation supports it, S42.026 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S40-S49
The conditions below are not part of S42.026, but a patient may have both at the same time. When documentation supports it, S42.026 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S42
The conditions below are not part of S42.026, but a patient may have both at the same time. When documentation supports it, S42.026 and the excluded code may both be reported.
- periprosthetic fracture around internal prosthetic shoulder joint (M97.3)
What codes fall under S42.026? (7)
- S42.026ANondisplaced fracture of shaft of unspecified clavicle, initial encounter for closed fracture
- S42.026BNondisplaced fracture of shaft of unspecified clavicle, initial encounter for open fracture
- S42.026DNondisplaced fracture of shaft of unspecified clavicle, subsequent encounter for fracture with routine healing
- S42.026GNondisplaced fracture of shaft of unspecified clavicle, subsequent encounter for fracture with delayed healing
- S42.026KNondisplaced fracture of shaft of unspecified clavicle, subsequent encounter for fracture with nonunion
- S42.026PNondisplaced fracture of shaft of unspecified clavicle, subsequent encounter for fracture with malunion
- S42.026SNondisplaced fracture of shaft of unspecified clavicle, sequela
How long has S42.026 existed?
S42.026 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.
What other codes are in the S42.02 family? (5)
- S42.021Displaced fracture of shaft of right claviclenot billable
- S42.022Displaced fracture of shaft of left claviclenot billable
- S42.023Displaced fracture of shaft of unspecified claviclenot billable
- S42.024Nondisplaced fracture of shaft of right claviclenot billable
- S42.025Nondisplaced fracture of shaft of left claviclenot billable