S42.433 — Displaced fracture (avulsion) of lateral epicondyle of unspecified humerus
Is S42.433 billable?
No — S42.433 is a non-billable header code. S42.433 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 S42.433.
Billable codes under this header
- S42.433ADisplaced fracture (avulsion) of lateral epicondyle of unspecified humerus, initial encounter for closed fracture
- S42.433BDisplaced fracture (avulsion) of lateral epicondyle of unspecified humerus, initial encounter for open fracture
- S42.433DDisplaced fracture (avulsion) of lateral epicondyle of unspecified humerus, subsequent encounter for fracture with routine healing
- S42.433GDisplaced fracture (avulsion) of lateral epicondyle of unspecified humerus, subsequent encounter for fracture with delayed healing
- S42.433KDisplaced fracture (avulsion) of lateral epicondyle of unspecified humerus, subsequent encounter for fracture with nonunion
- S42.433PDisplaced fracture (avulsion) of lateral epicondyle of unspecified humerus, subsequent encounter for fracture with malunion
- S42.433SDisplaced fracture (avulsion) of lateral epicondyle of unspecified humerus, sequela
S42.433 at a glance
| Code | S42.433 |
|---|---|
| Description | Displaced fracture (avulsion) of lateral epicondyle of unspecified humerus |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is S42.433 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S42.43, the nearest indexed parent of S42.433. 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 S42.433 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 S42.433 to fully describe the condition. S42.433 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 S42.433, but a patient may have both at the same time. When documentation supports it, S42.433 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S40-S49
The conditions below are not part of S42.433, but a patient may have both at the same time. When documentation supports it, S42.433 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S42
The conditions below are not part of S42.433, but a patient may have both at the same time. When documentation supports it, S42.433 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 S42.433, but a patient may have both at the same time. When documentation supports it, S42.433 and the excluded code may both be reported.
What codes fall under S42.433? (7)
- S42.433ADisplaced fracture (avulsion) of lateral epicondyle of unspecified humerus, initial encounter for closed fracture
- S42.433BDisplaced fracture (avulsion) of lateral epicondyle of unspecified humerus, initial encounter for open fracture
- S42.433DDisplaced fracture (avulsion) of lateral epicondyle of unspecified humerus, subsequent encounter for fracture with routine healing
- S42.433GDisplaced fracture (avulsion) of lateral epicondyle of unspecified humerus, subsequent encounter for fracture with delayed healing
- S42.433KDisplaced fracture (avulsion) of lateral epicondyle of unspecified humerus, subsequent encounter for fracture with nonunion
- S42.433PDisplaced fracture (avulsion) of lateral epicondyle of unspecified humerus, subsequent encounter for fracture with malunion
- S42.433SDisplaced fracture (avulsion) of lateral epicondyle of unspecified humerus, sequela
How long has S42.433 existed?
S42.433 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)
- S42.431Displaced fracture (avulsion) of lateral epicondyle of right humerusnot billable
- S42.432Displaced fracture (avulsion) of lateral epicondyle of left 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