S42.26 — Fracture of lesser tuberosity of humerus
Not billable
Is S42.26 billable?
No — S42.26 is a non-billable header code. S42.26 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 S42.26.
Billable codes under this header
- S42.261ADisplaced fracture of lesser tuberosity of right humerus, initial encounter for closed fracture
- S42.261BDisplaced fracture of lesser tuberosity of right humerus, initial encounter for open fracture
- S42.261DDisplaced fracture of lesser tuberosity of right humerus, subsequent encounter for fracture with routine healing
- S42.261GDisplaced fracture of lesser tuberosity of right humerus, subsequent encounter for fracture with delayed healing
- S42.261KDisplaced fracture of lesser tuberosity of right humerus, subsequent encounter for fracture with nonunion
- S42.261PDisplaced fracture of lesser tuberosity of right humerus, subsequent encounter for fracture with malunion
- S42.261SDisplaced fracture of lesser tuberosity of right humerus, sequela
- S42.262ADisplaced fracture of lesser tuberosity of left humerus, initial encounter for closed fracture
- S42.262BDisplaced fracture of lesser tuberosity of left humerus, initial encounter for open fracture
- S42.262DDisplaced fracture of lesser tuberosity of left humerus, subsequent encounter for fracture with routine healing
- S42.262GDisplaced fracture of lesser tuberosity of left humerus, subsequent encounter for fracture with delayed healing
- S42.262KDisplaced fracture of lesser tuberosity of left humerus, subsequent encounter for fracture with nonunion
- S42.262PDisplaced fracture of lesser tuberosity of left humerus, subsequent encounter for fracture with malunion
- S42.262SDisplaced fracture of lesser tuberosity of left humerus, sequela
- S42.263ADisplaced fracture of lesser tuberosity of unspecified humerus, initial encounter for closed fracture
- S42.263BDisplaced fracture of lesser tuberosity of unspecified humerus, initial encounter for open fracture
- S42.263DDisplaced fracture of lesser tuberosity of unspecified humerus, subsequent encounter for fracture with routine healing
- S42.263GDisplaced fracture of lesser tuberosity of unspecified humerus, subsequent encounter for fracture with delayed healing
- S42.263KDisplaced fracture of lesser tuberosity of unspecified humerus, subsequent encounter for fracture with nonunion
- S42.263PDisplaced fracture of lesser tuberosity of unspecified humerus, subsequent encounter for fracture with malunion
- S42.263SDisplaced fracture of lesser tuberosity of unspecified humerus, sequela
- S42.264ANondisplaced fracture of lesser tuberosity of right humerus, initial encounter for closed fracture
- S42.264BNondisplaced fracture of lesser tuberosity of right humerus, initial encounter for open fracture
- S42.264DNondisplaced fracture of lesser tuberosity of right humerus, subsequent encounter for fracture with routine healing
- S42.264GNondisplaced fracture of lesser tuberosity of right humerus, subsequent encounter for fracture with delayed healing
- S42.264KNondisplaced fracture of lesser tuberosity of right humerus, subsequent encounter for fracture with nonunion
- S42.264PNondisplaced fracture of lesser tuberosity of right humerus, subsequent encounter for fracture with malunion
- S42.264SNondisplaced fracture of lesser tuberosity of right humerus, sequela
- S42.265ANondisplaced fracture of lesser tuberosity of left humerus, initial encounter for closed fracture
- S42.265BNondisplaced fracture of lesser tuberosity of left humerus, initial encounter for open fracture
- S42.265DNondisplaced fracture of lesser tuberosity of left humerus, subsequent encounter for fracture with routine healing
- S42.265GNondisplaced fracture of lesser tuberosity of left humerus, subsequent encounter for fracture with delayed healing
- S42.265KNondisplaced fracture of lesser tuberosity of left humerus, subsequent encounter for fracture with nonunion
- S42.265PNondisplaced fracture of lesser tuberosity of left humerus, subsequent encounter for fracture with malunion
- S42.265SNondisplaced fracture of lesser tuberosity of left humerus, sequela
- S42.266ANondisplaced fracture of lesser tuberosity of unspecified humerus, initial encounter for closed fracture
- S42.266BNondisplaced fracture of lesser tuberosity of unspecified humerus, initial encounter for open fracture
- S42.266DNondisplaced fracture of lesser tuberosity of unspecified humerus, subsequent encounter for fracture with routine healing
- S42.266GNondisplaced fracture of lesser tuberosity of unspecified humerus, subsequent encounter for fracture with delayed healing
- S42.266KNondisplaced fracture of lesser tuberosity of unspecified humerus, subsequent encounter for fracture with nonunion
- S42.266PNondisplaced fracture of lesser tuberosity of unspecified humerus, subsequent encounter for fracture with malunion
- S42.266SNondisplaced fracture of lesser tuberosity of unspecified humerus, sequela
S42.26 at a glance
| Code | S42.26 |
|---|---|
| Description | Fracture of lesser tuberosity of humerus |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is S42.26 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to S42.26. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Fracture, traumatic › humerus › upper end › lesser tuberosity (abduction) (adduction) (separation)
- Fracture, traumatic › humerus › upper end › lesser tuberosity › nondisplaced (abduction) (adduction) (separation)
Excludes1 — never code together — inherited from S42
The conditions below can never be reported together with S42.26 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 S42.26 to fully describe the condition. S42.26 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 S42.26, but a patient may have both at the same time. When documentation supports it, S42.26 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S40-S49
The conditions below are not part of S42.26, but a patient may have both at the same time. When documentation supports it, S42.26 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S42
The conditions below are not part of S42.26, but a patient may have both at the same time. When documentation supports it, S42.26 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 S42.26, but a patient may have both at the same time. When documentation supports it, S42.26 and the excluded code may both be reported.
What codes fall under S42.26? (6)
- S42.261Displaced fracture of lesser tuberosity of right humerusnot billable
- S42.262Displaced fracture of lesser tuberosity of left humerusnot billable
- S42.263Displaced fracture of lesser tuberosity of unspecified humerusnot billable
- S42.264Nondisplaced fracture of lesser tuberosity of right humerusnot billable
- S42.265Nondisplaced fracture of lesser tuberosity of left humerusnot billable
- S42.266Nondisplaced fracture of lesser tuberosity of unspecified humerusnot billable
How long has S42.26 existed?
S42.26 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
- S42.222-part 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
- S42.27Torus fracture of upper end of humerusnot billable
- S42.29Other fracture of upper end of humerusnot billable