S42.221 — 2-part displaced fracture of surgical neck of right humerus
Is S42.221 billable?
No — S42.221 is a non-billable header code. S42.221 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 S42.221.
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
S42.221 at a glance
| Code | S42.221 |
|---|---|
| Description | 2-part displaced fracture of surgical neck of right humerus |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is S42.221 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S42.22, the nearest indexed parent of S42.221. Use them to find the family, then select the specific code.
- 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 S42.221 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 S42.221 to fully describe the condition. S42.221 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 S42.221, but a patient may have both at the same time. When documentation supports it, S42.221 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S40-S49
The conditions below are not part of S42.221, but a patient may have both at the same time. When documentation supports it, S42.221 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S42
The conditions below are not part of S42.221, but a patient may have both at the same time. When documentation supports it, S42.221 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 S42.221, but a patient may have both at the same time. When documentation supports it, S42.221 and the excluded code may both be reported.
What codes fall under S42.221? (7)
- 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
How long has S42.221 existed?
S42.221 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 S42.22 family? (5)
- 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