S42.209⚠ Requires 7th Character
Unspecified fracture of upper end of unspecified humerus
⚠ 7th Character Required
The appropriate 7th character is to be added to all codes from category S42
This code is not valid for billing without a 7th character. Append one of the following to S42.209:
Ainitial encounter for closed fractureS42.209ABinitial encounter for open fractureS42.209BDsubsequent encounter for fracture with routine healingS42.209DGsubsequent encounter for fracture with delayed healingS42.209GKsubsequent encounter for fracture with nonunionS42.209KPsubsequent encounter for fracture with malunionS42.209PSsequelaS42.209S
Sub-codes of S42.209(7)
S42.209 is a non-billable header. Select a sub-code to bill.
S42.209AUnspecified fracture of upper end of unspecified humerus, in…✓ BillableS42.209BUnspecified fracture of upper end of unspecified humerus, in…✓ BillableS42.209DUnspecified fracture of upper end of unspecified humerus, su…✓ BillableS42.209GUnspecified fracture of upper end of unspecified humerus, su…✓ BillableS42.209KUnspecified fracture of upper end of unspecified humerus, su…✓ BillableS42.209PUnspecified fracture of upper end of unspecified humerus, su…✓ BillableS42.209SUnspecified fracture of upper end of unspecified humerus, se…✓ Billable
Code Hierarchy
┌19Injury, poisoning and certain other consequences of external causes (S00-T88)├S40-S49Injuries to the shoulder and upper arm (S40-S49)├S42Fracture of shoulder and upper arm
└S42.209Unspecified fracture of upper end of unspecified humerus
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