S42.125 — Nondisplaced fracture of acromial process, left shoulder
Is S42.125 billable?
No — S42.125 is a non-billable header code. S42.125 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 S42.125.
Billable codes under this header
- S42.125ANondisplaced fracture of acromial process, left shoulder, initial encounter for closed fracture
- S42.125BNondisplaced fracture of acromial process, left shoulder, initial encounter for open fracture
- S42.125DNondisplaced fracture of acromial process, left shoulder, subsequent encounter for fracture with routine healing
- S42.125GNondisplaced fracture of acromial process, left shoulder, subsequent encounter for fracture with delayed healing
- S42.125KNondisplaced fracture of acromial process, left shoulder, subsequent encounter for fracture with nonunion
- S42.125PNondisplaced fracture of acromial process, left shoulder, subsequent encounter for fracture with malunion
- S42.125SNondisplaced fracture of acromial process, left shoulder, sequela
S42.125 at a glance
| Code | S42.125 |
|---|---|
| Description | Nondisplaced fracture of acromial process, left shoulder |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is S42.125 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S42.12, the nearest indexed parent of S42.125. Use them to find the family, then select the specific code.
- Fracture, traumatic › scapula › acromial process (abduction) (adduction) (separation)
- Fracture, traumatic › scapula › acromial process › nondisplaced (abduction) (adduction) (separation)
Excludes1 — never code together — inherited from S42
The conditions below can never be reported together with S42.125 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 S42.125 to fully describe the condition. S42.125 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 S42.125, but a patient may have both at the same time. When documentation supports it, S42.125 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S40-S49
The conditions below are not part of S42.125, but a patient may have both at the same time. When documentation supports it, S42.125 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S42
The conditions below are not part of S42.125, but a patient may have both at the same time. When documentation supports it, S42.125 and the excluded code may both be reported.
- periprosthetic fracture around internal prosthetic shoulder joint (M97.3)
What codes fall under S42.125? (7)
- S42.125ANondisplaced fracture of acromial process, left shoulder, initial encounter for closed fracture
- S42.125BNondisplaced fracture of acromial process, left shoulder, initial encounter for open fracture
- S42.125DNondisplaced fracture of acromial process, left shoulder, subsequent encounter for fracture with routine healing
- S42.125GNondisplaced fracture of acromial process, left shoulder, subsequent encounter for fracture with delayed healing
- S42.125KNondisplaced fracture of acromial process, left shoulder, subsequent encounter for fracture with nonunion
- S42.125PNondisplaced fracture of acromial process, left shoulder, subsequent encounter for fracture with malunion
- S42.125SNondisplaced fracture of acromial process, left shoulder, sequela
How long has S42.125 existed?
S42.125 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 S42.12 family? (5)
- S42.121Displaced fracture of acromial process, right shouldernot billable
- S42.122Displaced fracture of acromial process, left shouldernot billable
- S42.123Displaced fracture of acromial process, unspecified shouldernot billable
- S42.124Nondisplaced fracture of acromial process, right shouldernot billable
- S42.126Nondisplaced fracture of acromial process, unspecified shouldernot billable