S42.15 — Fracture of neck of scapula
Is S42.15 billable?
No — S42.15 is a non-billable header code. S42.15 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 S42.15.
Billable codes under this header
- S42.151ADisplaced fracture of neck of scapula, right shoulder, initial encounter for closed fracture
- S42.151BDisplaced fracture of neck of scapula, right shoulder, initial encounter for open fracture
- S42.151DDisplaced fracture of neck of scapula, right shoulder, subsequent encounter for fracture with routine healing
- S42.151GDisplaced fracture of neck of scapula, right shoulder, subsequent encounter for fracture with delayed healing
- S42.151KDisplaced fracture of neck of scapula, right shoulder, subsequent encounter for fracture with nonunion
- S42.151PDisplaced fracture of neck of scapula, right shoulder, subsequent encounter for fracture with malunion
- S42.151SDisplaced fracture of neck of scapula, right shoulder, sequela
- S42.152ADisplaced fracture of neck of scapula, left shoulder, initial encounter for closed fracture
- S42.152BDisplaced fracture of neck of scapula, left shoulder, initial encounter for open fracture
- S42.152DDisplaced fracture of neck of scapula, left shoulder, subsequent encounter for fracture with routine healing
- S42.152GDisplaced fracture of neck of scapula, left shoulder, subsequent encounter for fracture with delayed healing
- S42.152KDisplaced fracture of neck of scapula, left shoulder, subsequent encounter for fracture with nonunion
- S42.152PDisplaced fracture of neck of scapula, left shoulder, subsequent encounter for fracture with malunion
- S42.152SDisplaced fracture of neck of scapula, left shoulder, sequela
- S42.153ADisplaced fracture of neck of scapula, unspecified shoulder, initial encounter for closed fracture
- S42.153BDisplaced fracture of neck of scapula, unspecified shoulder, initial encounter for open fracture
- S42.153DDisplaced fracture of neck of scapula, unspecified shoulder, subsequent encounter for fracture with routine healing
- S42.153GDisplaced fracture of neck of scapula, unspecified shoulder, subsequent encounter for fracture with delayed healing
- S42.153KDisplaced fracture of neck of scapula, unspecified shoulder, subsequent encounter for fracture with nonunion
- S42.153PDisplaced fracture of neck of scapula, unspecified shoulder, subsequent encounter for fracture with malunion
- S42.153SDisplaced fracture of neck of scapula, unspecified shoulder, sequela
- S42.154ANondisplaced fracture of neck of scapula, right shoulder, initial encounter for closed fracture
- S42.154BNondisplaced fracture of neck of scapula, right shoulder, initial encounter for open fracture
- S42.154DNondisplaced fracture of neck of scapula, right shoulder, subsequent encounter for fracture with routine healing
- S42.154GNondisplaced fracture of neck of scapula, right shoulder, subsequent encounter for fracture with delayed healing
- S42.154KNondisplaced fracture of neck of scapula, right shoulder, subsequent encounter for fracture with nonunion
- S42.154PNondisplaced fracture of neck of scapula, right shoulder, subsequent encounter for fracture with malunion
- S42.154SNondisplaced fracture of neck of scapula, right shoulder, sequela
- S42.155ANondisplaced fracture of neck of scapula, left shoulder, initial encounter for closed fracture
- S42.155BNondisplaced fracture of neck of scapula, left shoulder, initial encounter for open fracture
- S42.155DNondisplaced fracture of neck of scapula, left shoulder, subsequent encounter for fracture with routine healing
- S42.155GNondisplaced fracture of neck of scapula, left shoulder, subsequent encounter for fracture with delayed healing
- S42.155KNondisplaced fracture of neck of scapula, left shoulder, subsequent encounter for fracture with nonunion
- S42.155PNondisplaced fracture of neck of scapula, left shoulder, subsequent encounter for fracture with malunion
- S42.155SNondisplaced fracture of neck of scapula, left shoulder, sequela
- S42.156ANondisplaced fracture of neck of scapula, unspecified shoulder, initial encounter for closed fracture
- S42.156BNondisplaced fracture of neck of scapula, unspecified shoulder, initial encounter for open fracture
- S42.156DNondisplaced fracture of neck of scapula, unspecified shoulder, subsequent encounter for fracture with routine healing
- S42.156GNondisplaced fracture of neck of scapula, unspecified shoulder, subsequent encounter for fracture with delayed healing
- S42.156KNondisplaced fracture of neck of scapula, unspecified shoulder, subsequent encounter for fracture with nonunion
- S42.156PNondisplaced fracture of neck of scapula, unspecified shoulder, subsequent encounter for fracture with malunion
- S42.156SNondisplaced fracture of neck of scapula, unspecified shoulder, sequela
S42.15 at a glance
| Code | S42.15 |
|---|---|
| Description | Fracture of neck of scapula |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is S42.15 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to S42.15. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Fracture, traumatic › scapula › neck (abduction) (adduction) (separation)
- Fracture, traumatic › scapula › neck › nondisplaced (abduction) (adduction) (separation)
Excludes1 — never code together — inherited from S42
The conditions below can never be reported together with S42.15 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 S42.15 to fully describe the condition. S42.15 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 S42.15, but a patient may have both at the same time. When documentation supports it, S42.15 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S40-S49
The conditions below are not part of S42.15, but a patient may have both at the same time. When documentation supports it, S42.15 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S42
The conditions below are not part of S42.15, but a patient may have both at the same time. When documentation supports it, S42.15 and the excluded code may both be reported.
- periprosthetic fracture around internal prosthetic shoulder joint (M97.3)
What codes fall under S42.15? (6)
- S42.151Displaced fracture of neck of scapula, right shouldernot billable
- S42.152Displaced fracture of neck of scapula, left shouldernot billable
- S42.153Displaced fracture of neck of scapula, unspecified shouldernot billable
- S42.154Nondisplaced fracture of neck of scapula, right shouldernot billable
- S42.155Nondisplaced fracture of neck of scapula, left shouldernot billable
- S42.156Nondisplaced fracture of neck of scapula, unspecified shouldernot billable
How long has S42.15 existed?
S42.15 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 S42.1 family? (6)
- S42.10Fracture of unspecified part of scapulanot billable
- S42.11Fracture of body of scapulanot billable
- S42.12Fracture of acromial processnot billable
- S42.13Fracture of coracoid processnot billable
- S42.14Fracture of glenoid cavity of scapulanot billable
- S42.19Fracture of other part of scapulanot billable