S42.26 Fracture of lesser tuberosity of humerus

Non-billable header with 6 child codes.

Applies from S42 Fracture of shoulder and upper arm

Excludes1 (never code together)

• traumatic amputation of shoulder and upper arm (S48.-)

Excludes2 (not included here)

• periprosthetic fracture around internal prosthetic shoulder joint (M97.3)

7th character note

• The appropriate 7th character is to be added to all codes from category S42

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

7th character required

• A — initial encounter for closed fracture
• B — initial encounter for open fracture
• D — subsequent encounter for fracture with routine healing
• G — subsequent encounter for fracture with delayed healing
• K — subsequent encounter for fracture with nonunion
• P — subsequent encounter for fracture with malunion
• S — sequela

Applies from S42.2 Fracture of upper end of humerus

Applicable to

• Fracture of proximal end of humerus

Excludes2 (not included here)

• fracture of shaft of humerus (S42.3-)
• physeal fracture of upper end of humerus (S49.0-)

Codes under S42.26

• S42.261 Displaced fracture of lesser tuberosity of right humerus
• S42.262 Displaced fracture of lesser tuberosity of left humerus
• S42.263 Displaced fracture of lesser tuberosity of unspecified humerus
• S42.264 Nondisplaced fracture of lesser tuberosity of right humerus
• S42.265 Nondisplaced fracture of lesser tuberosity of left humerus
• S42.266 Nondisplaced fracture of lesser tuberosity of unspecified humerus

Code annotations containing back-references to S42.26

Back-references to S42

• Type 1 Excludes: M84.3 Stress fracture ("traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)")
• Type 1 Excludes: M84.4 Pathological fracture, not elsewhere classified ("traumatic fracture (S12.-, S22.-, S32.-, S42.-, S52.-, S62.-, S72.-, S82.-, S92.-)")
• Type 2 Excludes: S41 Open wound of shoulder and upper arm ("open fracture of shoulder and upper arm (S42.- with 7th character B or C)")

Diagnosis Index entries for S42.26

• Fracture, traumatic (abduction) (adduction) (separation) › humerus › upper end › lesser tuberosity (displaced)
• Fracture, traumatic (abduction) (adduction) (separation) › humerus › upper end › lesser tuberosity (displaced) › nondisplaced

Nearby codes

• S42.256D Nondisplaced fracture of greater tuberosity of unspecified humerus, subsequent encounter for fracture with routine healing
• S42.256G Nondisplaced fracture of greater tuberosity of unspecified humerus, subsequent encounter for fracture with delayed healing
• S42.256K Nondisplaced fracture of greater tuberosity of unspecified humerus, subsequent encounter for fracture with nonunion
• S42.256P Nondisplaced fracture of greater tuberosity of unspecified humerus, subsequent encounter for fracture with malunion
• S42.256S Nondisplaced fracture of greater tuberosity of unspecified humerus, sequela
• S42.26 Fracture of lesser tuberosity of humerus (this code)
• S42.261 Displaced fracture of lesser tuberosity of right humerus
• S42.261A Displaced fracture of lesser tuberosity of right humerus, initial encounter for closed fracture
• S42.261B Displaced fracture of lesser tuberosity of right humerus, initial encounter for open fracture
• S42.261D Displaced fracture of lesser tuberosity of right humerus, subsequent encounter for fracture with routine healing
• S42.261G Displaced fracture of lesser tuberosity of right humerus, subsequent encounter for fracture with delayed healing