S42.363 — Displaced segmental fracture of shaft of humerus, unspecified arm
Is S42.363 billable?
No — S42.363 is a non-billable header code. S42.363 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 S42.363.
Billable codes under this header
- 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
S42.363 at a glance
| Code | S42.363 |
|---|---|
| Description | Displaced segmental fracture of shaft of humerus, unspecified arm |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is S42.363 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S42.36, the nearest indexed parent of S42.363. Use them to find the family, then select the specific code.
- 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 S42.363 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 S42.363 to fully describe the condition. S42.363 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 S42.363, but a patient may have both at the same time. When documentation supports it, S42.363 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S40-S49
The conditions below are not part of S42.363, but a patient may have both at the same time. When documentation supports it, S42.363 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S42
The conditions below are not part of S42.363, but a patient may have both at the same time. When documentation supports it, S42.363 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 S42.363, but a patient may have both at the same time. When documentation supports it, S42.363 and the excluded code may both be reported.
What codes fall under S42.363? (7)
- 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
How long has S42.363 existed?
S42.363 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 S42.36 family? (5)
- S42.361Displaced segmental fracture of shaft of humerus, right armnot billable
- S42.362Displaced segmental fracture of shaft of humerus, left 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