S42.301 — Unspecified fracture of shaft of humerus, right arm
Is S42.301 billable?
No — S42.301 is a non-billable header code. S42.301 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 S42.301.
Billable codes under this header
- S42.301AUnspecified fracture of shaft of humerus, right arm, initial encounter for closed fracture
- S42.301BUnspecified fracture of shaft of humerus, right arm, initial encounter for open fracture
- S42.301DUnspecified fracture of shaft of humerus, right arm, subsequent encounter for fracture with routine healing
- S42.301GUnspecified fracture of shaft of humerus, right arm, subsequent encounter for fracture with delayed healing
- S42.301KUnspecified fracture of shaft of humerus, right arm, subsequent encounter for fracture with nonunion
- S42.301PUnspecified fracture of shaft of humerus, right arm, subsequent encounter for fracture with malunion
- S42.301SUnspecified fracture of shaft of humerus, right arm, sequela
S42.301 at a glance
| Code | S42.301 |
|---|---|
| Description | Unspecified fracture of shaft of humerus, right arm |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is S42.301 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S42.30, the nearest indexed parent of S42.301. Use them to find the family, then select the specific code.
- Fracture, traumatic › humerus (abduction) (adduction) (separation)
- Fracture, traumatic › humerus › shaft (abduction) (adduction) (separation)
Excludes1 — never code together — inherited from S42
The conditions below can never be reported together with S42.301 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 S42.301 to fully describe the condition. S42.301 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 S42.301, but a patient may have both at the same time. When documentation supports it, S42.301 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S40-S49
The conditions below are not part of S42.301, but a patient may have both at the same time. When documentation supports it, S42.301 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S42
The conditions below are not part of S42.301, but a patient may have both at the same time. When documentation supports it, S42.301 and the excluded code may both be reported.
- periprosthetic fracture around internal prosthetic shoulder joint (M97.3)
Excludes2 — not included here — inherited from S42.3
The conditions below are not part of S42.301, but a patient may have both at the same time. When documentation supports it, S42.301 and the excluded code may both be reported.
What codes fall under S42.301? (7)
- S42.301AUnspecified fracture of shaft of humerus, right arm, initial encounter for closed fracture
- S42.301BUnspecified fracture of shaft of humerus, right arm, initial encounter for open fracture
- S42.301DUnspecified fracture of shaft of humerus, right arm, subsequent encounter for fracture with routine healing
- S42.301GUnspecified fracture of shaft of humerus, right arm, subsequent encounter for fracture with delayed healing
- S42.301KUnspecified fracture of shaft of humerus, right arm, subsequent encounter for fracture with nonunion
- S42.301PUnspecified fracture of shaft of humerus, right arm, subsequent encounter for fracture with malunion
- S42.301SUnspecified fracture of shaft of humerus, right arm, sequela
How long has S42.301 existed?
S42.301 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.