S42.20
Header — not billableUnspecified fracture of upper end of humerus
The ICD-10 code for unspecified fracture of upper end of humerus is S42.20.
S42.20 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 3 more specific codes below.
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.
- •This code describes an unspecified presentation. If the medical record documents a more specific detail (e.g. laterality, type, or affected site), a more specific sibling code should be used instead — see Related codes below.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Related codes in this category
- 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
- S42.20Unspecified fracture of upper end of humerusnon-billable header