S42.22 — 2-part fracture of surgical neck of humerus
Is S42.22 billable?
No — S42.22 is a non-billable header code. S42.22 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 S42.22.
Billable codes under this header
- S42.221A2-part displaced fracture of surgical neck of right humerus, initial encounter for closed fracture
- S42.221B2-part displaced fracture of surgical neck of right humerus, initial encounter for open fracture
- S42.221D2-part displaced fracture of surgical neck of right humerus, subsequent encounter for fracture with routine healing
- S42.221G2-part displaced fracture of surgical neck of right humerus, subsequent encounter for fracture with delayed healing
- S42.221K2-part displaced fracture of surgical neck of right humerus, subsequent encounter for fracture with nonunion
- S42.221P2-part displaced fracture of surgical neck of right humerus, subsequent encounter for fracture with malunion
- S42.221S2-part displaced fracture of surgical neck of right humerus, sequela
- S42.222A2-part displaced fracture of surgical neck of left humerus, initial encounter for closed fracture
- S42.222B2-part displaced fracture of surgical neck of left humerus, initial encounter for open fracture
- S42.222D2-part displaced fracture of surgical neck of left humerus, subsequent encounter for fracture with routine healing
- S42.222G2-part displaced fracture of surgical neck of left humerus, subsequent encounter for fracture with delayed healing
- S42.222K2-part displaced fracture of surgical neck of left humerus, subsequent encounter for fracture with nonunion
- S42.222P2-part displaced fracture of surgical neck of left humerus, subsequent encounter for fracture with malunion
- S42.222S2-part displaced fracture of surgical neck of left humerus, sequela
- S42.223A2-part displaced fracture of surgical neck of unspecified humerus, initial encounter for closed fracture
- S42.223B2-part displaced fracture of surgical neck of unspecified humerus, initial encounter for open fracture
- S42.223D2-part displaced fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with routine healing
- S42.223G2-part displaced fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with delayed healing
- S42.223K2-part displaced fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with nonunion
- S42.223P2-part displaced fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with malunion
- S42.223S2-part displaced fracture of surgical neck of unspecified humerus, sequela
- S42.224A2-part nondisplaced fracture of surgical neck of right humerus, initial encounter for closed fracture
- S42.224B2-part nondisplaced fracture of surgical neck of right humerus, initial encounter for open fracture
- S42.224D2-part nondisplaced fracture of surgical neck of right humerus, subsequent encounter for fracture with routine healing
- S42.224G2-part nondisplaced fracture of surgical neck of right humerus, subsequent encounter for fracture with delayed healing
- S42.224K2-part nondisplaced fracture of surgical neck of right humerus, subsequent encounter for fracture with nonunion
- S42.224P2-part nondisplaced fracture of surgical neck of right humerus, subsequent encounter for fracture with malunion
- S42.224S2-part nondisplaced fracture of surgical neck of right humerus, sequela
- S42.225A2-part nondisplaced fracture of surgical neck of left humerus, initial encounter for closed fracture
- S42.225B2-part nondisplaced fracture of surgical neck of left humerus, initial encounter for open fracture
- S42.225D2-part nondisplaced fracture of surgical neck of left humerus, subsequent encounter for fracture with routine healing
- S42.225G2-part nondisplaced fracture of surgical neck of left humerus, subsequent encounter for fracture with delayed healing
- S42.225K2-part nondisplaced fracture of surgical neck of left humerus, subsequent encounter for fracture with nonunion
- S42.225P2-part nondisplaced fracture of surgical neck of left humerus, subsequent encounter for fracture with malunion
- S42.225S2-part nondisplaced fracture of surgical neck of left humerus, sequela
- S42.226A2-part nondisplaced fracture of surgical neck of unspecified humerus, initial encounter for closed fracture
- S42.226B2-part nondisplaced fracture of surgical neck of unspecified humerus, initial encounter for open fracture
- S42.226D2-part nondisplaced fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with routine healing
- S42.226G2-part nondisplaced fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with delayed healing
- S42.226K2-part nondisplaced fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with nonunion
- S42.226P2-part nondisplaced fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with malunion
- S42.226S2-part nondisplaced fracture of surgical neck of unspecified humerus, sequela
S42.22 at a glance
| Code | S42.22 |
|---|---|
| Description | 2-part fracture of surgical neck of humerus |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is S42.22 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to S42.22. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Fracture, traumatic › humerus › upper end › surgical neck › two-part (abduction) (adduction) (separation)
- Fracture, traumatic › humerus › upper end › surgical neck › two-part › nondisplaced (abduction) (adduction) (separation)
Excludes1 — never code together — inherited from S42
The conditions below can never be reported together with S42.22 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 S42.22 to fully describe the condition. S42.22 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 S42.22, but a patient may have both at the same time. When documentation supports it, S42.22 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S40-S49
The conditions below are not part of S42.22, but a patient may have both at the same time. When documentation supports it, S42.22 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S42
The conditions below are not part of S42.22, but a patient may have both at the same time. When documentation supports it, S42.22 and the excluded code may both be reported.
- periprosthetic fracture around internal prosthetic shoulder joint (M97.3)
Excludes2 — not included here — inherited from S42.2
The conditions below are not part of S42.22, but a patient may have both at the same time. When documentation supports it, S42.22 and the excluded code may both be reported.
What codes fall under S42.22? (6)
- S42.2212-part displaced fracture of surgical neck of right humerusnot billable
- S42.2222-part displaced fracture of surgical neck of left humerusnot billable
- S42.2232-part displaced fracture of surgical neck of unspecified humerusnot billable
- S42.2242-part nondisplaced fracture of surgical neck of right humerusnot billable
- S42.2252-part nondisplaced fracture of surgical neck of left humerusnot billable
- S42.2262-part nondisplaced fracture of surgical neck of unspecified humerusnot billable
How long has S42.22 existed?
S42.22 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 S42.2 family? (8)
- S42.20Unspecified fracture of upper end of humerusnot billable
- S42.21Unspecified fracture of surgical neck of humerusnot billable
- S42.233-part fracture of surgical neck of humerusnot billable
- S42.244-part fracture of surgical neck of humerusnot billable
- S42.25Fracture of greater tuberosity of humerusnot billable
- S42.26Fracture of lesser tuberosity of humerusnot billable
- S42.27Torus fracture of upper end of humerusnot billable
- S42.29Other fracture of upper end of humerusnot billable