S42 Fracture of shoulder and upper arm

⚠ Non-Billable ICD-10-CM 2026
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The ICD-10-CM code for Fracture of shoulder and upper arm is S42 (FY2026). It is a non-billable category code — select a more specific code below for claims.

Classification

Section
S40-S49: Injuries to the shoulder and upper arm (S40-S49)
Category S42
246 codes (201 billable)
FY2026 Status
Stable since FY2024
Excludes1
Not coded here. These conditions should NOT be coded together with S42.
  • traumatic amputation of shoulder and upper arm (S48.-)
Excludes2
Not included here. These conditions are coded elsewhere but may be coded together if applicable.
  • periprosthetic fracture around internal prosthetic shoulder joint (M97.3)

Notes

  • A fracture not indicated as displaced or nondisplaced should be coded to displaced
  • A fracture not indicated as open or closed should be coded to closed

Official Coding Guidelines

Code traumatic fractures individually by site per listed categories

c. Coding of Traumatic Fractures The principles of multiple coding of injuries should be followed in coding fractures. Fractures of specified sites are coded individually by site in accordance with both the provisions within categories S02, S12, S22, S32, S42, S49, S52, S59, S62, S72, S79, S82, S89, S92 and the level of detail furnished by medical record content.

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.19.c
Sequence blood vessel/nerve injury first (fragment)

injury is to the blood vessels or nerves, that injury should be sequenced first.

— ICD-10-CM Official Guidelines for Coding and Reporting, FY2026, Section I.C.19.b.2

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

Related Codes

More Specific Codes

S42.0 Fracture of clavicle S42.00 Fracture of unspecified part of clavicle S42.001 Fracture of unspecified part of right clavicle S42.002 Fracture of unspecified part of left clavicle S42.009 Fracture of unspecified part of unspecified clavicle S42.01 Fracture of sternal end of clavicle S42.011 Anterior displaced fracture of sternal end of right clavicle S42.012 Anterior displaced fracture of sternal end of left clavicle S42.013 Anterior displaced fracture of sternal end of unspecified clavicle S42.014 Posterior displaced fracture of sternal end of right clavicle S42.015 Posterior displaced fracture of sternal end of left clavicle S42.016 Posterior displaced fracture of sternal end of unspecified clavicle S42.017 Nondisplaced fracture of sternal end of right clavicle S42.018 Nondisplaced fracture of sternal end of left clavicle S42.019 Nondisplaced fracture of sternal end of unspecified clavicle S42.02 Fracture of shaft of clavicle S42.021 Displaced fracture of shaft of right clavicle S42.022 Displaced fracture of shaft of left clavicle S42.023 Displaced fracture of shaft of unspecified clavicle S42.024 Nondisplaced fracture of shaft of right clavicle S42.025 Nondisplaced fracture of shaft of left clavicle S42.026 Nondisplaced fracture of shaft of unspecified clavicle S42.03 Fracture of lateral end of clavicle S42.031 Displaced fracture of lateral end of right clavicle S42.032 Displaced fracture of lateral end of left clavicle S42.033 Displaced fracture of lateral end of unspecified clavicle S42.034 Nondisplaced fracture of lateral end of right clavicle S42.035 Nondisplaced fracture of lateral end of left clavicle S42.036 Nondisplaced fracture of lateral end of unspecified clavicle S42.1 Fracture of scapula

Related Codes in S42

S42.0 Fracture of clavicle S42.00 Fracture of unspecified part of clavicle S42.001 Fracture of unspecified part of right clavicle S42.002 Fracture of unspecified part of left clavicle S42.009 Fracture of unspecified part of unspecified clavicle S42.01 Fracture of sternal end of clavicle S42.011 Anterior displaced fracture of sternal end of right clavicle S42.012 Anterior displaced fracture of sternal end of left clavicle S42.013 Anterior displaced fracture of sternal end of unspecified clavicle S42.014 Posterior displaced fracture of sternal end of right clavicle S42.015 Posterior displaced fracture of sternal end of left clavicle S42.016 Posterior displaced fracture of sternal end of unspecified clavicle S42.017 Nondisplaced fracture of sternal end of right clavicle S42.018 Nondisplaced fracture of sternal end of left clavicle S42.019 Nondisplaced fracture of sternal end of unspecified clavicle S42.02 Fracture of shaft of clavicle S42.021 Displaced fracture of shaft of right clavicle S42.022 Displaced fracture of shaft of left clavicle S42.023 Displaced fracture of shaft of unspecified clavicle S42.024 Nondisplaced fracture of shaft of right clavicle
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Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2025-10-01

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