S42.113 — Displaced fracture of body of scapula, unspecified shoulder
Is S42.113 billable?
No — S42.113 is a non-billable header code. S42.113 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 S42.113.
Billable codes under this header
- S42.113ADisplaced fracture of body of scapula, unspecified shoulder, initial encounter for closed fracture
- S42.113BDisplaced fracture of body of scapula, unspecified shoulder, initial encounter for open fracture
- S42.113DDisplaced fracture of body of scapula, unspecified shoulder, subsequent encounter for fracture with routine healing
- S42.113GDisplaced fracture of body of scapula, unspecified shoulder, subsequent encounter for fracture with delayed healing
- S42.113KDisplaced fracture of body of scapula, unspecified shoulder, subsequent encounter for fracture with nonunion
- S42.113PDisplaced fracture of body of scapula, unspecified shoulder, subsequent encounter for fracture with malunion
- S42.113SDisplaced fracture of body of scapula, unspecified shoulder, sequela
S42.113 at a glance
| Code | S42.113 |
|---|---|
| Description | Displaced fracture of body of scapula, unspecified shoulder |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is S42.113 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S42.11, the nearest indexed parent of S42.113. 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 S42.113 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 S42.113 to fully describe the condition. S42.113 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 S42.113, but a patient may have both at the same time. When documentation supports it, S42.113 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S40-S49
The conditions below are not part of S42.113, but a patient may have both at the same time. When documentation supports it, S42.113 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S42
The conditions below are not part of S42.113, but a patient may have both at the same time. When documentation supports it, S42.113 and the excluded code may both be reported.
- periprosthetic fracture around internal prosthetic shoulder joint (M97.3)
What codes fall under S42.113? (7)
- S42.113ADisplaced fracture of body of scapula, unspecified shoulder, initial encounter for closed fracture
- S42.113BDisplaced fracture of body of scapula, unspecified shoulder, initial encounter for open fracture
- S42.113DDisplaced fracture of body of scapula, unspecified shoulder, subsequent encounter for fracture with routine healing
- S42.113GDisplaced fracture of body of scapula, unspecified shoulder, subsequent encounter for fracture with delayed healing
- S42.113KDisplaced fracture of body of scapula, unspecified shoulder, subsequent encounter for fracture with nonunion
- S42.113PDisplaced fracture of body of scapula, unspecified shoulder, subsequent encounter for fracture with malunion
- S42.113SDisplaced fracture of body of scapula, unspecified shoulder, sequela
How long has S42.113 existed?
S42.113 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)
- S42.111Displaced fracture of body of scapula, right shouldernot billable
- S42.112Displaced fracture of body of scapula, left 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