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Home/Diagnosis/ICD-10 Coding for Humerus Fracture

ICD-10 Coding for Humerus Fracture

S42.202A

Complete ICD-10-CM coding and documentation guide for icd-10 coding for humerus fracture 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 Humerus Fracture

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

Use ICD-10 code S42.202A for unspecified fracture of upper end of left humerus, initial encounter for closed fracture, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Unspecified fracture of upper end of left humerus, initial encounter for closed fracture

Billable Code
S42.202A
Billable

Diagnostic Criteria

  • • Presence of shoulder deformity and pain with arm abduction

Applicable To

  • • Proximal humerus fracture

Important Notes

  • • Ensure laterality is documented to avoid unspecified coding.
Ancillary Codes

Additional codes that may be used with this diagnosis

M80.011A

Age-related osteoporosis with current pathological fracture, left humerus

Use when the fracture is due to osteoporosis.

Frequently Asked Questions

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

The ICD-10 code for a humerus fracture varies based on the location and specifics of the fracture, such as S42.202A for an unspecified fracture of the upper end of the left humerus.

How do you code a humerus fracture?

Coding a humerus fracture requires specifying the fracture's location, laterality, and whether it is open or closed. Use codes like S42.202A for proximal fractures.

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