S42.91 — Fracture of right shoulder girdle, part unspecified
Is S42.91 billable?
No — S42.91 is a non-billable header code. S42.91 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 S42.91.
Billable codes under this header
- S42.91XAFracture of right shoulder girdle, part unspecified, initial encounter for closed fracture
- S42.91XBFracture of right shoulder girdle, part unspecified, initial encounter for open fracture
- S42.91XDFracture of right shoulder girdle, part unspecified, subsequent encounter for fracture with routine healing
- S42.91XGFracture of right shoulder girdle, part unspecified, subsequent encounter for fracture with delayed healing
- S42.91XKFracture of right shoulder girdle, part unspecified, subsequent encounter for fracture with nonunion
- S42.91XPFracture of right shoulder girdle, part unspecified, subsequent encounter for fracture with malunion
- S42.91XSFracture of right shoulder girdle, part unspecified, sequela
S42.91 at a glance
| Code | S42.91 |
|---|---|
| Description | Fracture of right shoulder girdle, part unspecified |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is S42.91 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S42.9, the nearest indexed parent of S42.91. Use them to find the family, then select the specific code.
- Fracture, traumatic › shoulder (abduction) (adduction) (separation)
Excludes1 — never code together — inherited from S42
The conditions below can never be reported together with S42.91 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 S42.91 to fully describe the condition. S42.91 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 S42.91, but a patient may have both at the same time. When documentation supports it, S42.91 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S40-S49
The conditions below are not part of S42.91, but a patient may have both at the same time. When documentation supports it, S42.91 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S42
The conditions below are not part of S42.91, but a patient may have both at the same time. When documentation supports it, S42.91 and the excluded code may both be reported.
- periprosthetic fracture around internal prosthetic shoulder joint (M97.3)
What codes fall under S42.91? (7)
- S42.91XAFracture of right shoulder girdle, part unspecified, initial encounter for closed fracture
- S42.91XBFracture of right shoulder girdle, part unspecified, initial encounter for open fracture
- S42.91XDFracture of right shoulder girdle, part unspecified, subsequent encounter for fracture with routine healing
- S42.91XGFracture of right shoulder girdle, part unspecified, subsequent encounter for fracture with delayed healing
- S42.91XKFracture of right shoulder girdle, part unspecified, subsequent encounter for fracture with nonunion
- S42.91XPFracture of right shoulder girdle, part unspecified, subsequent encounter for fracture with malunion
- S42.91XSFracture of right shoulder girdle, part unspecified, sequela
How long has S42.91 existed?
S42.91 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.