S42.36 — Segmental fracture of shaft of humerus
Not billable
Is S42.36 billable?
No — S42.36 is a non-billable header code. S42.36 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 S42.36.
Billable codes under this header
- S42.361ADisplaced segmental fracture of shaft of humerus, right arm, initial encounter for closed fracture
- S42.361BDisplaced segmental fracture of shaft of humerus, right arm, initial encounter for open fracture
- S42.361DDisplaced segmental fracture of shaft of humerus, right arm, subsequent encounter for fracture with routine healing
- S42.361GDisplaced segmental fracture of shaft of humerus, right arm, subsequent encounter for fracture with delayed healing
- S42.361KDisplaced segmental fracture of shaft of humerus, right arm, subsequent encounter for fracture with nonunion
- S42.361PDisplaced segmental fracture of shaft of humerus, right arm, subsequent encounter for fracture with malunion
- S42.361SDisplaced segmental fracture of shaft of humerus, right arm, sequela
- S42.362ADisplaced segmental fracture of shaft of humerus, left arm, initial encounter for closed fracture
- S42.362BDisplaced segmental fracture of shaft of humerus, left arm, initial encounter for open fracture
- S42.362DDisplaced segmental fracture of shaft of humerus, left arm, subsequent encounter for fracture with routine healing
- S42.362GDisplaced segmental fracture of shaft of humerus, left arm, subsequent encounter for fracture with delayed healing
- S42.362KDisplaced segmental fracture of shaft of humerus, left arm, subsequent encounter for fracture with nonunion
- S42.362PDisplaced segmental fracture of shaft of humerus, left arm, subsequent encounter for fracture with malunion
- S42.362SDisplaced segmental fracture of shaft of humerus, left arm, sequela
- S42.363ADisplaced segmental fracture of shaft of humerus, unspecified arm, initial encounter for closed fracture
- S42.363BDisplaced segmental fracture of shaft of humerus, unspecified arm, initial encounter for open fracture
- S42.363DDisplaced segmental fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with routine healing
- S42.363GDisplaced segmental fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with delayed healing
- S42.363KDisplaced segmental fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with nonunion
- S42.363PDisplaced segmental fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with malunion
- S42.363SDisplaced segmental fracture of shaft of humerus, unspecified arm, sequela
- S42.364ANondisplaced segmental fracture of shaft of humerus, right arm, initial encounter for closed fracture
- S42.364BNondisplaced segmental fracture of shaft of humerus, right arm, initial encounter for open fracture
- S42.364DNondisplaced segmental fracture of shaft of humerus, right arm, subsequent encounter for fracture with routine healing
- S42.364GNondisplaced segmental fracture of shaft of humerus, right arm, subsequent encounter for fracture with delayed healing
- S42.364KNondisplaced segmental fracture of shaft of humerus, right arm, subsequent encounter for fracture with nonunion
- S42.364PNondisplaced segmental fracture of shaft of humerus, right arm, subsequent encounter for fracture with malunion
- S42.364SNondisplaced segmental fracture of shaft of humerus, right arm, sequela
- S42.365ANondisplaced segmental fracture of shaft of humerus, left arm, initial encounter for closed fracture
- S42.365BNondisplaced segmental fracture of shaft of humerus, left arm, initial encounter for open fracture
- S42.365DNondisplaced segmental fracture of shaft of humerus, left arm, subsequent encounter for fracture with routine healing
- S42.365GNondisplaced segmental fracture of shaft of humerus, left arm, subsequent encounter for fracture with delayed healing
- S42.365KNondisplaced segmental fracture of shaft of humerus, left arm, subsequent encounter for fracture with nonunion
- S42.365PNondisplaced segmental fracture of shaft of humerus, left arm, subsequent encounter for fracture with malunion
- S42.365SNondisplaced segmental fracture of shaft of humerus, left arm, sequela
- S42.366ANondisplaced segmental fracture of shaft of humerus, unspecified arm, initial encounter for closed fracture
- S42.366BNondisplaced segmental fracture of shaft of humerus, unspecified arm, initial encounter for open fracture
- S42.366DNondisplaced segmental fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with routine healing
- S42.366GNondisplaced segmental fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with delayed healing
- S42.366KNondisplaced segmental fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with nonunion
- S42.366PNondisplaced segmental fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with malunion
- S42.366SNondisplaced segmental fracture of shaft of humerus, unspecified arm, sequela
S42.36 at a glance
| Code | S42.36 |
|---|---|
| Description | Segmental fracture of shaft of humerus |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is S42.36 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to S42.36. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Fracture, traumatic › humerus › shaft › segmental (abduction) (adduction) (separation)
- Fracture, traumatic › humerus › shaft › segmental › nondisplaced (abduction) (adduction) (separation)
Excludes1 — never code together — inherited from S42
The conditions below can never be reported together with S42.36 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 S42.36 to fully describe the condition. S42.36 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 S42.36, but a patient may have both at the same time. When documentation supports it, S42.36 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S40-S49
The conditions below are not part of S42.36, but a patient may have both at the same time. When documentation supports it, S42.36 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S42
The conditions below are not part of S42.36, but a patient may have both at the same time. When documentation supports it, S42.36 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 S42.36, but a patient may have both at the same time. When documentation supports it, S42.36 and the excluded code may both be reported.
What codes fall under S42.36? (6)
- S42.361Displaced segmental fracture of shaft of humerus, right armnot billable
- S42.362Displaced segmental fracture of shaft of humerus, left armnot billable
- S42.363Displaced segmental fracture of shaft of humerus, unspecified armnot billable
- S42.364Nondisplaced segmental fracture of shaft of humerus, right armnot billable
- S42.365Nondisplaced segmental fracture of shaft of humerus, left armnot billable
- S42.366Nondisplaced segmental fracture of shaft of humerus, unspecified armnot billable
How long has S42.36 existed?
S42.36 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 S42.3 family? (7)
- S42.30Unspecified fracture of shaft of humerusnot billable
- S42.31Greenstick fracture of shaft of humerusnot billable
- S42.32Transverse fracture of shaft of humerusnot billable
- S42.33Oblique fracture of shaft of humerusnot billable
- S42.34Spiral fracture of shaft of humerusnot billable
- S42.35Comminuted fracture of shaft of humerusnot billable
- S42.39Other fracture of shaft of humerusnot billable