S42.2
Header — not billableFracture of upper end of humerus
The ICD-10 code for fracture of upper end of humerus is S42.2.
S42.2 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 9 more specific codes below.
Clinical notes
Excludes2 (not included here)
An Excludes2 note means the excluded condition is not part of this one, but a patient can have both at the same time — in that case both codes may be reported together.
Also known as
Alternate wording, synonyms, or specific conditions that fall under this code, listed to help confirm you've picked the right one.
- Fracture of proximal end of humerus
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •This is a non-billable header code. Documentation must support a more specific child code before this diagnosis can be reported on a claim.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Child codes under S42.2
- S42.20Unspecified fracture of upper end of humerusnon-billable header
- S42.21Unspecified fracture of surgical neck of humerusnon-billable header
- S42.222-part fracture of surgical neck of humerusnon-billable header
- S42.233-part fracture of surgical neck of humerusnon-billable header
- S42.244-part fracture of surgical neck of humerusnon-billable header
- S42.25Fracture of greater tuberosity of humerusnon-billable header
- S42.26Fracture of lesser tuberosity of humerusnon-billable header
- S42.27Torus fracture of upper end of humerusnon-billable header
- S42.29Other fracture of upper end of humerusnon-billable header
Related codes in this category
- S42.0Fracture of claviclenon-billable header
- S42.1Fracture of scapulanon-billable header
- S42.3Fracture of shaft of humerusnon-billable header
- S42.4Fracture of lower end of humerusnon-billable header
- S42.9Fracture of shoulder girdle, part unspecifiednon-billable header
- S42.2Fracture of upper end of humerusnon-billable header