S42.111 — Displaced fracture of body of scapula, right shoulder
Is S42.111 billable?
No — S42.111 is a non-billable header code. S42.111 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 S42.111.
Billable codes under this header
- S42.111ADisplaced fracture of body of scapula, right shoulder, initial encounter for closed fracture
- S42.111BDisplaced fracture of body of scapula, right shoulder, initial encounter for open fracture
- S42.111DDisplaced fracture of body of scapula, right shoulder, subsequent encounter for fracture with routine healing
- S42.111GDisplaced fracture of body of scapula, right shoulder, subsequent encounter for fracture with delayed healing
- S42.111KDisplaced fracture of body of scapula, right shoulder, subsequent encounter for fracture with nonunion
- S42.111PDisplaced fracture of body of scapula, right shoulder, subsequent encounter for fracture with malunion
- S42.111SDisplaced fracture of body of scapula, right shoulder, sequela
S42.111 at a glance
| Code | S42.111 |
|---|---|
| Description | Displaced fracture of body of scapula, right shoulder |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is S42.111 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S42.11, the nearest indexed parent of S42.111. Use them to find the family, then select the specific code.
- Fracture, traumatic › scapula › body (abduction) (adduction) (separation)
- Fracture, traumatic › scapula › body › nondisplaced (abduction) (adduction) (separation)
Excludes1 — never code together — inherited from S42
The conditions below can never be reported together with S42.111 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 S42.111 to fully describe the condition. S42.111 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 S42.111, but a patient may have both at the same time. When documentation supports it, S42.111 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S40-S49
The conditions below are not part of S42.111, but a patient may have both at the same time. When documentation supports it, S42.111 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S42
The conditions below are not part of S42.111, but a patient may have both at the same time. When documentation supports it, S42.111 and the excluded code may both be reported.
- periprosthetic fracture around internal prosthetic shoulder joint (M97.3)
What codes fall under S42.111? (7)
- S42.111ADisplaced fracture of body of scapula, right shoulder, initial encounter for closed fracture
- S42.111BDisplaced fracture of body of scapula, right shoulder, initial encounter for open fracture
- S42.111DDisplaced fracture of body of scapula, right shoulder, subsequent encounter for fracture with routine healing
- S42.111GDisplaced fracture of body of scapula, right shoulder, subsequent encounter for fracture with delayed healing
- S42.111KDisplaced fracture of body of scapula, right shoulder, subsequent encounter for fracture with nonunion
- S42.111PDisplaced fracture of body of scapula, right shoulder, subsequent encounter for fracture with malunion
- S42.111SDisplaced fracture of body of scapula, right shoulder, sequela
How long has S42.111 existed?
S42.111 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 S42.11 family? (5)
- S42.112Displaced fracture of body of scapula, left shouldernot billable
- S42.113Displaced fracture of body of scapula, unspecified shouldernot billable
- S42.114Nondisplaced fracture of body of scapula, right shouldernot billable
- S42.115Nondisplaced fracture of body of scapula, left shouldernot billable
- S42.116Nondisplaced fracture of body of scapula, unspecified shouldernot billable