S42.199 — Fracture of other part of scapula, unspecified shoulder
Is S42.199 billable?
No — S42.199 is a non-billable header code. S42.199 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 S42.199.
Billable codes under this header
- S42.199AFracture of other part of scapula, unspecified shoulder, initial encounter for closed fracture
- S42.199BFracture of other part of scapula, unspecified shoulder, initial encounter for open fracture
- S42.199DFracture of other part of scapula, unspecified shoulder, subsequent encounter for fracture with routine healing
- S42.199GFracture of other part of scapula, unspecified shoulder, subsequent encounter for fracture with delayed healing
- S42.199KFracture of other part of scapula, unspecified shoulder, subsequent encounter for fracture with nonunion
- S42.199PFracture of other part of scapula, unspecified shoulder, subsequent encounter for fracture with malunion
- S42.199SFracture of other part of scapula, unspecified shoulder, sequela
S42.199 at a glance
| Code | S42.199 |
|---|---|
| Description | Fracture of other part 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 S42.199 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S42.19, the nearest indexed parent of S42.199. Use them to find the family, then select the specific code.
- Fracture, traumatic › scapula › specified NEC (abduction) (adduction) (separation)
Excludes1 — never code together — inherited from S42
The conditions below can never be reported together with S42.199 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 S42.199 to fully describe the condition. S42.199 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 S42.199, but a patient may have both at the same time. When documentation supports it, S42.199 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S40-S49
The conditions below are not part of S42.199, but a patient may have both at the same time. When documentation supports it, S42.199 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S42
The conditions below are not part of S42.199, but a patient may have both at the same time. When documentation supports it, S42.199 and the excluded code may both be reported.
- periprosthetic fracture around internal prosthetic shoulder joint (M97.3)
What codes fall under S42.199? (7)
- S42.199AFracture of other part of scapula, unspecified shoulder, initial encounter for closed fracture
- S42.199BFracture of other part of scapula, unspecified shoulder, initial encounter for open fracture
- S42.199DFracture of other part of scapula, unspecified shoulder, subsequent encounter for fracture with routine healing
- S42.199GFracture of other part of scapula, unspecified shoulder, subsequent encounter for fracture with delayed healing
- S42.199KFracture of other part of scapula, unspecified shoulder, subsequent encounter for fracture with nonunion
- S42.199PFracture of other part of scapula, unspecified shoulder, subsequent encounter for fracture with malunion
- S42.199SFracture of other part of scapula, unspecified shoulder, sequela
How long has S42.199 existed?
S42.199 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.