S42.10 — Fracture of unspecified part of scapula
Is S42.10 billable?
No — S42.10 is a non-billable header code. S42.10 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 S42.10.
Billable codes under this header
- S42.101AFracture of unspecified part of scapula, right shoulder, initial encounter for closed fracture
- S42.101BFracture of unspecified part of scapula, right shoulder, initial encounter for open fracture
- S42.101DFracture of unspecified part of scapula, right shoulder, subsequent encounter for fracture with routine healing
- S42.101GFracture of unspecified part of scapula, right shoulder, subsequent encounter for fracture with delayed healing
- S42.101KFracture of unspecified part of scapula, right shoulder, subsequent encounter for fracture with nonunion
- S42.101PFracture of unspecified part of scapula, right shoulder, subsequent encounter for fracture with malunion
- S42.101SFracture of unspecified part of scapula, right shoulder, sequela
- S42.102AFracture of unspecified part of scapula, left shoulder, initial encounter for closed fracture
- S42.102BFracture of unspecified part of scapula, left shoulder, initial encounter for open fracture
- S42.102DFracture of unspecified part of scapula, left shoulder, subsequent encounter for fracture with routine healing
- S42.102GFracture of unspecified part of scapula, left shoulder, subsequent encounter for fracture with delayed healing
- S42.102KFracture of unspecified part of scapula, left shoulder, subsequent encounter for fracture with nonunion
- S42.102PFracture of unspecified part of scapula, left shoulder, subsequent encounter for fracture with malunion
- S42.102SFracture of unspecified part of scapula, left shoulder, sequela
- S42.109AFracture of unspecified part of scapula, unspecified shoulder, initial encounter for closed fracture
- S42.109BFracture of unspecified part of scapula, unspecified shoulder, initial encounter for open fracture
- S42.109DFracture of unspecified part of scapula, unspecified shoulder, subsequent encounter for fracture with routine healing
- S42.109GFracture of unspecified part of scapula, unspecified shoulder, subsequent encounter for fracture with delayed healing
- S42.109KFracture of unspecified part of scapula, unspecified shoulder, subsequent encounter for fracture with nonunion
- S42.109PFracture of unspecified part of scapula, unspecified shoulder, subsequent encounter for fracture with malunion
- S42.109SFracture of unspecified part of scapula, unspecified shoulder, sequela
S42.10 at a glance
| Code | S42.10 |
|---|---|
| Description | Fracture of unspecified part of scapula |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is S42.10 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to S42.10. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Fracture, traumatic › scapula (abduction) (adduction) (separation)
Excludes1 — never code together — inherited from S42
The conditions below can never be reported together with S42.10 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 S42.10 to fully describe the condition. S42.10 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 S42.10, but a patient may have both at the same time. When documentation supports it, S42.10 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S40-S49
The conditions below are not part of S42.10, but a patient may have both at the same time. When documentation supports it, S42.10 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S42
The conditions below are not part of S42.10, but a patient may have both at the same time. When documentation supports it, S42.10 and the excluded code may both be reported.
- periprosthetic fracture around internal prosthetic shoulder joint (M97.3)
What codes fall under S42.10? (3)
How long has S42.10 existed?
S42.10 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.