S42.431 — Displaced fracture (avulsion) of lateral epicondyle of right humerus
Is S42.431 billable?
No — S42.431 is a non-billable header code. S42.431 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 S42.431.
Billable codes under this header
- S42.431ADisplaced fracture (avulsion) of lateral epicondyle of right humerus, initial encounter for closed fracture
- S42.431BDisplaced fracture (avulsion) of lateral epicondyle of right humerus, initial encounter for open fracture
- S42.431DDisplaced fracture (avulsion) of lateral epicondyle of right humerus, subsequent encounter for fracture with routine healing
- S42.431GDisplaced fracture (avulsion) of lateral epicondyle of right humerus, subsequent encounter for fracture with delayed healing
- S42.431KDisplaced fracture (avulsion) of lateral epicondyle of right humerus, subsequent encounter for fracture with nonunion
- S42.431PDisplaced fracture (avulsion) of lateral epicondyle of right humerus, subsequent encounter for fracture with malunion
- S42.431SDisplaced fracture (avulsion) of lateral epicondyle of right humerus, sequela
S42.431 at a glance
| Code | S42.431 |
|---|---|
| Description | Displaced fracture (avulsion) of lateral epicondyle of right humerus |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is S42.431 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S42.43, the nearest indexed parent of S42.431. Use them to find the family, then select the specific code.
- Fracture, traumatic › humerus › lower end › epicondyle › lateral (abduction) (adduction) (separation)
- Fracture, traumatic › humerus › lower end › epicondyle › lateral › nondisplaced (abduction) (adduction) (separation)
Excludes1 — never code together — inherited from S42
The conditions below can never be reported together with S42.431 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 S42.431 to fully describe the condition. S42.431 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 S42.431, but a patient may have both at the same time. When documentation supports it, S42.431 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S40-S49
The conditions below are not part of S42.431, but a patient may have both at the same time. When documentation supports it, S42.431 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S42
The conditions below are not part of S42.431, but a patient may have both at the same time. When documentation supports it, S42.431 and the excluded code may both be reported.
- periprosthetic fracture around internal prosthetic shoulder joint (M97.3)
Excludes2 — not included here — inherited from S42.4
The conditions below are not part of S42.431, but a patient may have both at the same time. When documentation supports it, S42.431 and the excluded code may both be reported.
What codes fall under S42.431? (7)
- S42.431ADisplaced fracture (avulsion) of lateral epicondyle of right humerus, initial encounter for closed fracture
- S42.431BDisplaced fracture (avulsion) of lateral epicondyle of right humerus, initial encounter for open fracture
- S42.431DDisplaced fracture (avulsion) of lateral epicondyle of right humerus, subsequent encounter for fracture with routine healing
- S42.431GDisplaced fracture (avulsion) of lateral epicondyle of right humerus, subsequent encounter for fracture with delayed healing
- S42.431KDisplaced fracture (avulsion) of lateral epicondyle of right humerus, subsequent encounter for fracture with nonunion
- S42.431PDisplaced fracture (avulsion) of lateral epicondyle of right humerus, subsequent encounter for fracture with malunion
- S42.431SDisplaced fracture (avulsion) of lateral epicondyle of right humerus, sequela
How long has S42.431 existed?
S42.431 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 S42.43 family? (5)
- S42.432Displaced fracture (avulsion) of lateral epicondyle of left humerusnot billable
- S42.433Displaced fracture (avulsion) of lateral epicondyle of unspecified humerusnot billable
- S42.434Nondisplaced fracture (avulsion) of lateral epicondyle of right humerusnot billable
- S42.435Nondisplaced fracture (avulsion) of lateral epicondyle of left humerusnot billable
- S42.436Nondisplaced fracture (avulsion) of lateral epicondyle of unspecified humerusnot billable