S42.27
Header — not billableTorus fracture of upper end of humerus
The ICD-10 code for torus fracture of upper end of humerus is S42.27.
S42.27 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.
Clinical notes
7th character definitions
These definitions specify what each valid 7th-character value means for codes in this category.
- [object Object]
7th character note
This category requires a 7th character to indicate additional clinical detail (e.g. encounter type: initial, subsequent, sequela). The code is incomplete without it.
- The appropriate 7th character is to be added to all codes in subcategory S42.27
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 category requires a 7th character. Documentation should clearly indicate the episode of care (initial encounter, subsequent encounter, or sequela).
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Related codes in this category
- S42.20Unspecified 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
- S42.29Other fracture of upper end of humerusnon-billable header
- S42.27Torus fracture of upper end of humerusnon-billable header