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Home/Diagnosis/ICD-10 Coding for Fracture of Humerus

ICD-10 Coding for Fracture of Humerus

S42.231A
S42.352B

Complete ICD-10-CM coding and documentation guide for icd-10 coding for fracture of humerus includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Upper Arm Fracture
Humeral Fracture
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Key Information: ICD-10 Coding for Fracture of Humerus

Essential facts and insights about ICD-10 Coding for Fracture of Humerus

Use ICD-10 code S42.231A for displaced 3-part fracture of right proximal humerus, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Displaced 3-part fracture of right proximal humerus, initial encounter

Billable Code
S42.231A
Billable

Diagnostic Criteria

clinical:
  • • Displacement greater than 1 cm or angulation greater than 45°
documentation:
  • • Initial encounter with detailed fracture description

Applicable To

  • • Displaced fracture of surgical neck of humerus

Important Notes

  • • Ensure documentation specifies displacement and laterality.

Open displaced fracture of left humeral shaft with radial nerve palsy, subsequent encounter

Billable Code
S42.352B
Billable

Diagnostic Criteria

Applicable To

  • • Open fracture of humeral shaft with nerve injury

Important Notes

  • • Ensure Gustilo classification is documented for open fractures.
Ancillary Codes

Additional codes that may be used with this diagnosis

G56.30

Radial nerve palsy

Use when radial nerve injury is documented with the fracture.

W19.XXXA

Fall, initial encounter

Use to describe the external cause of the fracture.

Frequently Asked Questions

What is the ICD-10 code for a displaced fracture of the humerus?

The ICD-10 code for a displaced fracture of the humerus depends on the location and specifics, such as S42.231A for a displaced 3-part fracture of the right proximal humerus.

How do you code an open fracture of the humerus?

For an open fracture of the humerus, document the Gustilo classification and use codes like S42.352B for an open displaced fracture of the left humeral shaft.

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