S42.90 Fracture of unspecified shoulder girdle, part unspecified

Non-billable ICD-10-CM code.

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 S42.9 Fracture of shoulder girdle, part unspecified

Applicable to

• Fracture of shoulder NOS

Code annotations containing back-references to S42.90

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)")

Nearby codes

• S42.496G Other nondisplaced fracture of lower end of unspecified humerus, subsequent encounter for fracture with delayed healing
• S42.496K Other nondisplaced fracture of lower end of unspecified humerus, subsequent encounter for fracture with nonunion
• S42.496P Other nondisplaced fracture of lower end of unspecified humerus, subsequent encounter for fracture with malunion
• S42.496S Other nondisplaced fracture of lower end of unspecified humerus, sequela
• S42.9 Fracture of shoulder girdle, part unspecified
• S42.90 Fracture of unspecified shoulder girdle, part unspecified (this code)
• S42.90XA Fracture of unspecified shoulder girdle, part unspecified, initial encounter for closed fracture
• S42.90XB Fracture of unspecified shoulder girdle, part unspecified, initial encounter for open fracture
• S42.90XD Fracture of unspecified shoulder girdle, part unspecified, subsequent encounter for fracture with routine healing
• S42.90XG Fracture of unspecified shoulder girdle, part unspecified, subsequent encounter for fracture with delayed healing
• S42.90XK Fracture of unspecified shoulder girdle, part unspecified, subsequent encounter for fracture with nonunion