S42.03 — Fracture of lateral end of clavicle
Is S42.03 billable?
No — S42.03 is a non-billable header code. S42.03 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 42 billable codes beneath S42.03.
Billable codes under this header
- S42.031ADisplaced fracture of lateral end of right clavicle, initial encounter for closed fracture
- S42.031BDisplaced fracture of lateral end of right clavicle, initial encounter for open fracture
- S42.031DDisplaced fracture of lateral end of right clavicle, subsequent encounter for fracture with routine healing
- S42.031GDisplaced fracture of lateral end of right clavicle, subsequent encounter for fracture with delayed healing
- S42.031KDisplaced fracture of lateral end of right clavicle, subsequent encounter for fracture with nonunion
- S42.031PDisplaced fracture of lateral end of right clavicle, subsequent encounter for fracture with malunion
- S42.031SDisplaced fracture of lateral end of right clavicle, sequela
- S42.032ADisplaced fracture of lateral end of left clavicle, initial encounter for closed fracture
- S42.032BDisplaced fracture of lateral end of left clavicle, initial encounter for open fracture
- S42.032DDisplaced fracture of lateral end of left clavicle, subsequent encounter for fracture with routine healing
- S42.032GDisplaced fracture of lateral end of left clavicle, subsequent encounter for fracture with delayed healing
- S42.032KDisplaced fracture of lateral end of left clavicle, subsequent encounter for fracture with nonunion
- S42.032PDisplaced fracture of lateral end of left clavicle, subsequent encounter for fracture with malunion
- S42.032SDisplaced fracture of lateral end of left clavicle, sequela
- S42.033ADisplaced fracture of lateral end of unspecified clavicle, initial encounter for closed fracture
- S42.033BDisplaced fracture of lateral end of unspecified clavicle, initial encounter for open fracture
- S42.033DDisplaced fracture of lateral end of unspecified clavicle, subsequent encounter for fracture with routine healing
- S42.033GDisplaced fracture of lateral end of unspecified clavicle, subsequent encounter for fracture with delayed healing
- S42.033KDisplaced fracture of lateral end of unspecified clavicle, subsequent encounter for fracture with nonunion
- S42.033PDisplaced fracture of lateral end of unspecified clavicle, subsequent encounter for fracture with malunion
- S42.033SDisplaced fracture of lateral end of unspecified clavicle, sequela
- S42.034ANondisplaced fracture of lateral end of right clavicle, initial encounter for closed fracture
- S42.034BNondisplaced fracture of lateral end of right clavicle, initial encounter for open fracture
- S42.034DNondisplaced fracture of lateral end of right clavicle, subsequent encounter for fracture with routine healing
- S42.034GNondisplaced fracture of lateral end of right clavicle, subsequent encounter for fracture with delayed healing
- S42.034KNondisplaced fracture of lateral end of right clavicle, subsequent encounter for fracture with nonunion
- S42.034PNondisplaced fracture of lateral end of right clavicle, subsequent encounter for fracture with malunion
- S42.034SNondisplaced fracture of lateral end of right clavicle, sequela
- S42.035ANondisplaced fracture of lateral end of left clavicle, initial encounter for closed fracture
- S42.035BNondisplaced fracture of lateral end of left clavicle, initial encounter for open fracture
- S42.035DNondisplaced fracture of lateral end of left clavicle, subsequent encounter for fracture with routine healing
- S42.035GNondisplaced fracture of lateral end of left clavicle, subsequent encounter for fracture with delayed healing
- S42.035KNondisplaced fracture of lateral end of left clavicle, subsequent encounter for fracture with nonunion
- S42.035PNondisplaced fracture of lateral end of left clavicle, subsequent encounter for fracture with malunion
- S42.035SNondisplaced fracture of lateral end of left clavicle, sequela
- S42.036ANondisplaced fracture of lateral end of unspecified clavicle, initial encounter for closed fracture
- S42.036BNondisplaced fracture of lateral end of unspecified clavicle, initial encounter for open fracture
- S42.036DNondisplaced fracture of lateral end of unspecified clavicle, subsequent encounter for fracture with routine healing
- S42.036GNondisplaced fracture of lateral end of unspecified clavicle, subsequent encounter for fracture with delayed healing
- S42.036KNondisplaced fracture of lateral end of unspecified clavicle, subsequent encounter for fracture with nonunion
- S42.036PNondisplaced fracture of lateral end of unspecified clavicle, subsequent encounter for fracture with malunion
- S42.036SNondisplaced fracture of lateral end of unspecified clavicle, sequela
S42.03 at a glance
| Code | S42.03 |
|---|---|
| Description | Fracture of lateral end of clavicle |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is S42.03 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to S42.03. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Fracture, traumatic › clavicle › acromial end (abduction) (adduction) (separation)
- Fracture, traumatic › clavicle › acromial end › nondisplaced (abduction) (adduction) (separation)
Inclusion terms
Alternative wording in documentation that is classified to S42.03.
- Fracture of acromial end of clavicle
Excludes1 — never code together — inherited from S42
The conditions below can never be reported together with S42.03 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 S42.03 to fully describe the condition. S42.03 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 S42.03, but a patient may have both at the same time. When documentation supports it, S42.03 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S40-S49
The conditions below are not part of S42.03, but a patient may have both at the same time. When documentation supports it, S42.03 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S42
The conditions below are not part of S42.03, but a patient may have both at the same time. When documentation supports it, S42.03 and the excluded code may both be reported.
- periprosthetic fracture around internal prosthetic shoulder joint (M97.3)
What codes fall under S42.03? (6)
- S42.031Displaced fracture of lateral end of right claviclenot billable
- S42.032Displaced fracture of lateral end of left claviclenot billable
- S42.033Displaced fracture of lateral end of unspecified claviclenot billable
- S42.034Nondisplaced fracture of lateral end of right claviclenot billable
- S42.035Nondisplaced fracture of lateral end of left claviclenot billable
- S42.036Nondisplaced fracture of lateral end of unspecified claviclenot billable
How long has S42.03 existed?
S42.03 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.