ICD-10-CM Code For Fracture Of Shoulder And Upper Arm: Group Overview
The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group S42 includes fractures of the shoulder and upper arm, covering injuries to the proximal humerus, humeral shaft, scapula, and associated shoulder girdle structures. These ICD-10-CM diagnosis codes are used to document traumatic bony injuries, capture anatomic site and displacement details, and reflect whether fractures are open or closed and initial or subsequent encounters. Accurate coding within the ICD-10-CM S42 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.
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ICD-10-CM S42: Fracture Of Shoulder And Upper Arm Overview
The ICD-10-CM S42 code group covers fractures of the shoulder girdle and upper arm, including proximal humerus, shaft, and scapular injuries. These diagnoses affect the musculoskeletal system and often follow trauma such as falls or direct impact. Accurate coding is important for clinical documentation, appropriate billing, and guiding care coordination for fracture management.