ICDcodes.org
FY2027

S42.2 — Fracture of upper end of humerus

Not billable

Is S42.2 billable?

No — S42.2 is a non-billable header code. S42.2 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 60 billable codes beneath S42.2.

Billable codes under this header

S42.2 at a glance

CodeS42.2
DescriptionFracture of upper end of humerus
BillableNo — header code
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Excludes2 — not included here

The conditions below are not part of S42.2, but a patient may have both at the same time. When documentation supports it, S42.2 and the excluded code may both be reported.

  • fracture of shaft of humerus (S42.3-)
  • physeal fracture of upper end of humerus (S49.0-)

Inclusion terms

Alternative wording in documentation that is classified to S42.2.

  • Fracture of proximal end of humerus

Excludes1 — never code together — inherited from S42

The conditions below can never be reported together with S42.2 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 S42.2 to fully describe the condition. S42.2 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 S42.2, but a patient may have both at the same time. When documentation supports it, S42.2 and the excluded code may both be reported.

  • birth trauma (P10-P15)
  • obstetric trauma (O70-O71)

Excludes2 — not included here — inherited from S40-S49

The conditions below are not part of S42.2, but a patient may have both at the same time. When documentation supports it, S42.2 and the excluded code may both be reported.

  • burns and corrosions (T20-T32)
  • frostbite (T33-T34)
  • injuries of elbow (S50-S59)
  • insect bite or sting, venomous (T63.4)

Excludes2 — not included here — inherited from S42

The conditions below are not part of S42.2, but a patient may have both at the same time. When documentation supports it, S42.2 and the excluded code may both be reported.

  • periprosthetic fracture around internal prosthetic shoulder joint (M97.3)

What codes fall under S42.2? (9)

How long has S42.2 existed?

S42.2 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 family? (5)