S42.27 — Torus fracture of upper end of humerus
Is S42.27 billable?
No — S42.27 is a non-billable header code. S42.27 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 18 billable codes beneath S42.27.
Billable codes under this header
- S42.271ATorus fracture of upper end of right humerus, initial encounter for closed fracture
- S42.271DTorus fracture of upper end of right humerus, subsequent encounter for fracture with routine healing
- S42.271GTorus fracture of upper end of right humerus, subsequent encounter for fracture with delayed healing
- S42.271KTorus fracture of upper end of right humerus, subsequent encounter for fracture with nonunion
- S42.271PTorus fracture of upper end of right humerus, subsequent encounter for fracture with malunion
- S42.271STorus fracture of upper end of right humerus, sequela
- S42.272ATorus fracture of upper end of left humerus, initial encounter for closed fracture
- S42.272DTorus fracture of upper end of left humerus, subsequent encounter for fracture with routine healing
- S42.272GTorus fracture of upper end of left humerus, subsequent encounter for fracture with delayed healing
- S42.272KTorus fracture of upper end of left humerus, subsequent encounter for fracture with nonunion
- S42.272PTorus fracture of upper end of left humerus, subsequent encounter for fracture with malunion
- S42.272STorus fracture of upper end of left humerus, sequela
- S42.279ATorus fracture of upper end of unspecified humerus, initial encounter for closed fracture
- S42.279DTorus fracture of upper end of unspecified humerus, subsequent encounter for fracture with routine healing
- S42.279GTorus fracture of upper end of unspecified humerus, subsequent encounter for fracture with delayed healing
- S42.279KTorus fracture of upper end of unspecified humerus, subsequent encounter for fracture with nonunion
- S42.279PTorus fracture of upper end of unspecified humerus, subsequent encounter for fracture with malunion
- S42.279STorus fracture of upper end of unspecified humerus, sequela
S42.27 at a glance
| Code | S42.27 |
|---|---|
| Description | Torus fracture of upper end of humerus |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is S42.27 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to S42.27. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Fracture, traumatic › humerus › upper end › torus (abduction) (adduction) (separation)
Excludes1 — never code together — inherited from S42
The conditions below can never be reported together with S42.27 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 S42.27 to fully describe the condition. S42.27 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 S42.27, but a patient may have both at the same time. When documentation supports it, S42.27 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S40-S49
The conditions below are not part of S42.27, but a patient may have both at the same time. When documentation supports it, S42.27 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S42
The conditions below are not part of S42.27, but a patient may have both at the same time. When documentation supports it, S42.27 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 S42.27, but a patient may have both at the same time. When documentation supports it, S42.27 and the excluded code may both be reported.
What codes fall under S42.27? (3)
How long has S42.27 existed?
S42.27 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
- S42.26Fracture of lesser tuberosity of humerusnot billable
- S42.29Other fracture of upper end of humerusnot billable