ICD-10 · PDGM grouping
S42 Fracture of shoulder and upper arm
All 1,398 codes in the S42 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in family
1,398
Can lead a claim
932
Cannot lead a claim
466
What CMS assigns to S42
932 of the 1,398 codes group to Musculoskeletal Rehabilitation; 466 are assigned no clinical group. None of the 1,398 is assigned a comorbidity subgroup. 932 of the 1,398 can lead a claim.
Every code in S42
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| S42.0 Fracture of clavicle | ||||
| S42.00 Fracture of unspecified part of clavicle | ||||
| S42.001 Fracture of unspecified part of right clavicle | ||||
| S42.001A | Fracture of unspecified part of right clavicle, initial encounter for closed fractureCMS: Fracture of unsp part of right clavicle, init for clos fx | Can lead a claim | E | None |
| S42.001B | Fracture of unspecified part of right clavicle, initial encounter for open fractureCMS: Fracture of unsp part of right clavicle, init for opn fx | Can lead a claim | E | None |
| S42.001D | Fracture of unspecified part of right clavicle, subsequent encounter for fracture with routine healingCMS: Fx unsp part of r clavicle, subs for fx w routn heal | Can lead a claim | E | None |
| S42.001G | Fracture of unspecified part of right clavicle, subsequent encounter for fracture with delayed healingCMS: Fx unsp part of r clavicle, subs for fx w delay heal | Can lead a claim | E | None |
| S42.001K | Fracture of unspecified part of right clavicle, subsequent encounter for fracture with nonunionCMS: Fracture of unsp part of r clavicle, subs for fx w nonunion | Can lead a claim | E | None |
| S42.001P | Fracture of unspecified part of right clavicle, subsequent encounter for fracture with malunionCMS: Fracture of unsp part of r clavicle, subs for fx w malunion | Can lead a claim | E | None |
| S42.001S | Fracture of unspecified part of right clavicle, sequela | Can lead a claim | E | None |
| S42.002 Fracture of unspecified part of left clavicle | ||||
| S42.002A | Fracture of unspecified part of left clavicle, initial encounter for closed fractureCMS: Fracture of unsp part of left clavicle, init for clos fx | Can lead a claim | E | None |
| S42.002B | Fracture of unspecified part of left clavicle, initial encounter for open fractureCMS: Fracture of unsp part of left clavicle, init for opn fx | Can lead a claim | E | None |
| S42.002D | Fracture of unspecified part of left clavicle, subsequent encounter for fracture with routine healingCMS: Fx unsp part of l clavicle, subs for fx w routn heal | Can lead a claim | E | None |
| S42.002G | Fracture of unspecified part of left clavicle, subsequent encounter for fracture with delayed healingCMS: Fx unsp part of l clavicle, subs for fx w delay heal | Can lead a claim | E | None |
| S42.002K | Fracture of unspecified part of left clavicle, subsequent encounter for fracture with nonunionCMS: Fracture of unsp part of l clavicle, subs for fx w nonunion | Can lead a claim | E | None |
| S42.002P | Fracture of unspecified part of left clavicle, subsequent encounter for fracture with malunionCMS: Fracture of unsp part of l clavicle, subs for fx w malunion | Can lead a claim | E | None |
| S42.002S | Fracture of unspecified part of left clavicle, sequela | Can lead a claim | E | None |
| S42.009 Fracture of unspecified part of unspecified clavicle | ||||
| S42.009A | Fracture of unspecified part of unspecified clavicle, initial encounter for closed fractureCMS: Fracture of unsp part of unsp clavicle, init for clos fx | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.009B | Fracture of unspecified part of unspecified clavicle, initial encounter for open fractureCMS: Fracture of unsp part of unsp clavicle, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.009D | Fracture of unspecified part of unspecified clavicle, subsequent encounter for fracture with routine healingCMS: Fx unsp part of unsp clavicle, subs for fx w routn heal | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.009G | Fracture of unspecified part of unspecified clavicle, subsequent encounter for fracture with delayed healingCMS: Fx unsp part of unsp clavicle, subs for fx w delay heal | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.009K | Fracture of unspecified part of unspecified clavicle, subsequent encounter for fracture with nonunionCMS: Fx unsp part of unsp clavicle, subs for fx w nonunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.009P | Fracture of unspecified part of unspecified clavicle, subsequent encounter for fracture with malunionCMS: Fx unsp part of unsp clavicle, subs for fx w malunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.009S | Fracture of unspecified part of unspecified clavicle, sequelaCMS: Fracture of unsp part of unspecified clavicle, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.01 Fracture of sternal end of clavicle | ||||
| S42.011 Anterior displaced fracture of sternal end of right clavicle | ||||
| S42.011A | Anterior displaced fracture of sternal end of right clavicle, initial encounter for closed fractureCMS: Anterior disp fx of sternal end of right clavicle, init | Can lead a claim | E | None |
| S42.011B | Anterior displaced fracture of sternal end of right clavicle, initial encounter for open fractureCMS: Ant disp fx of sternal end of r clavicle, init for opn fx | Can lead a claim | E | None |
| S42.011D | Anterior displaced fracture of sternal end of right clavicle, subsequent encounter for fracture with routine healingCMS: Ant disp fx of sternal end r clavicle, 7thD | Can lead a claim | E | None |
| S42.011G | Anterior displaced fracture of sternal end of right clavicle, subsequent encounter for fracture with delayed healingCMS: Ant disp fx of sternal end r clavicle, 7thG | Can lead a claim | E | None |
| S42.011K | Anterior displaced fracture of sternal end of right clavicle, subsequent encounter for fracture with nonunionCMS: Ant disp fx of sternal end r clavicle, 7thK | Can lead a claim | E | None |
| S42.011P | Anterior displaced fracture of sternal end of right clavicle, subsequent encounter for fracture with malunionCMS: Ant disp fx of sternal end r clavicle, 7thP | Can lead a claim | E | None |
| S42.011S | Anterior displaced fracture of sternal end of right clavicle, sequelaCMS: Anterior disp fx of sternal end of right clavicle, sequela | Can lead a claim | E | None |
| S42.012 Anterior displaced fracture of sternal end of left clavicle | ||||
| S42.012A | Anterior displaced fracture of sternal end of left clavicle, initial encounter for closed fractureCMS: Anterior disp fx of sternal end of left clavicle, init | Can lead a claim | E | None |
| S42.012B | Anterior displaced fracture of sternal end of left clavicle, initial encounter for open fractureCMS: Ant disp fx of sternal end of l clavicle, init for opn fx | Can lead a claim | E | None |
| S42.012D | Anterior displaced fracture of sternal end of left clavicle, subsequent encounter for fracture with routine healingCMS: Ant disp fx of sternal end l clavicle, 7thD | Can lead a claim | E | None |
| S42.012G | Anterior displaced fracture of sternal end of left clavicle, subsequent encounter for fracture with delayed healingCMS: Ant disp fx of sternal end l clavicle, 7thG | Can lead a claim | E | None |
| S42.012K | Anterior displaced fracture of sternal end of left clavicle, subsequent encounter for fracture with nonunionCMS: Ant disp fx of sternal end l clavicle, 7thK | Can lead a claim | E | None |
| S42.012P | Anterior displaced fracture of sternal end of left clavicle, subsequent encounter for fracture with malunionCMS: Ant disp fx of sternal end l clavicle, 7thP | Can lead a claim | E | None |
| S42.012S | Anterior displaced fracture of sternal end of left clavicle, sequelaCMS: Anterior disp fx of sternal end of left clavicle, sequela | Can lead a claim | E | None |
| S42.013 Anterior displaced fracture of sternal end of unspecified clavicle | ||||
| S42.013A | Anterior displaced fracture of sternal end of unspecified clavicle, initial encounter for closed fractureCMS: Anterior disp fx of sternal end of unsp clavicle, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.013B | Anterior displaced fracture of sternal end of unspecified clavicle, initial encounter for open fractureCMS: Ant disp fx of sternal end of unsp clavicle, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.013D | Anterior displaced fracture of sternal end of unspecified clavicle, subsequent encounter for fracture with routine healingCMS: Ant disp fx of sternal end unsp clavicle, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.013G | Anterior displaced fracture of sternal end of unspecified clavicle, subsequent encounter for fracture with delayed healingCMS: Ant disp fx of sternal end unsp clavicle, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.013K | Anterior displaced fracture of sternal end of unspecified clavicle, subsequent encounter for fracture with nonunionCMS: Ant disp fx of sternal end unsp clavicle, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.013P | Anterior displaced fracture of sternal end of unspecified clavicle, subsequent encounter for fracture with malunionCMS: Ant disp fx of sternal end unsp clavicle, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.013S | Anterior displaced fracture of sternal end of unspecified clavicle, sequelaCMS: Anterior disp fx of sternal end of unsp clavicle, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.014 Posterior displaced fracture of sternal end of right clavicle | ||||
| S42.014A | Posterior displaced fracture of sternal end of right clavicle, initial encounter for closed fractureCMS: Posterior disp fx of sternal end of right clavicle, init | Can lead a claim | E | None |
| S42.014B | Posterior displaced fracture of sternal end of right clavicle, initial encounter for open fractureCMS: Post disp fx of sternal end of r clavicle, init for opn fx | Can lead a claim | E | None |
| S42.014D | Posterior displaced fracture of sternal end of right clavicle, subsequent encounter for fracture with routine healingCMS: Post disp fx of sternal end r clavicle, 7thD | Can lead a claim | E | None |
| S42.014G | Posterior displaced fracture of sternal end of right clavicle, subsequent encounter for fracture with delayed healingCMS: Post disp fx of sternal end r clavicle, 7thG | Can lead a claim | E | None |
| S42.014K | Posterior displaced fracture of sternal end of right clavicle, subsequent encounter for fracture with nonunionCMS: Post disp fx of sternal end r clavicle, 7thK | Can lead a claim | E | None |
| S42.014P | Posterior displaced fracture of sternal end of right clavicle, subsequent encounter for fracture with malunionCMS: Post disp fx of sternal end r clavicle, 7thP | Can lead a claim | E | None |
| S42.014S | Posterior displaced fracture of sternal end of right clavicle, sequelaCMS: Posterior disp fx of sternal end of right clavicle, sequela | Can lead a claim | E | None |
| S42.015 Posterior displaced fracture of sternal end of left clavicle | ||||
| S42.015A | Posterior displaced fracture of sternal end of left clavicle, initial encounter for closed fractureCMS: Posterior disp fx of sternal end of left clavicle, init | Can lead a claim | E | None |
| S42.015B | Posterior displaced fracture of sternal end of left clavicle, initial encounter for open fractureCMS: Post disp fx of sternal end of l clavicle, init for opn fx | Can lead a claim | E | None |
| S42.015D | Posterior displaced fracture of sternal end of left clavicle, subsequent encounter for fracture with routine healingCMS: Post disp fx of sternal end l clavicle, 7thD | Can lead a claim | E | None |
| S42.015G | Posterior displaced fracture of sternal end of left clavicle, subsequent encounter for fracture with delayed healingCMS: Post disp fx of sternal end l clavicle, 7thG | Can lead a claim | E | None |
| S42.015K | Posterior displaced fracture of sternal end of left clavicle, subsequent encounter for fracture with nonunionCMS: Post disp fx of sternal end l clavicle, 7thK | Can lead a claim | E | None |
| S42.015P | Posterior displaced fracture of sternal end of left clavicle, subsequent encounter for fracture with malunionCMS: Post disp fx of sternal end l clavicle, 7thP | Can lead a claim | E | None |
| S42.015S | Posterior displaced fracture of sternal end of left clavicle, sequelaCMS: Posterior disp fx of sternal end of left clavicle, sequela | Can lead a claim | E | None |
| S42.016 Posterior displaced fracture of sternal end of unspecified clavicle | ||||
| S42.016A | Posterior displaced fracture of sternal end of unspecified clavicle, initial encounter for closed fractureCMS: Posterior disp fx of sternal end of unsp clavicle, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.016B | Posterior displaced fracture of sternal end of unspecified clavicle, initial encounter for open fractureCMS: Post disp fx of sternal end unsp clavicle, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.016D | Posterior displaced fracture of sternal end of unspecified clavicle, subsequent encounter for fracture with routine healingCMS: Post disp fx of sternal end unsp clavicle, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.016G | Posterior displaced fracture of sternal end of unspecified clavicle, subsequent encounter for fracture with delayed healingCMS: Post disp fx of sternal end unsp clavicle, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.016K | Posterior displaced fracture of sternal end of unspecified clavicle, subsequent encounter for fracture with nonunionCMS: Post disp fx of sternal end unsp clavicle, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.016P | Posterior displaced fracture of sternal end of unspecified clavicle, subsequent encounter for fracture with malunionCMS: Post disp fx of sternal end unsp clavicle, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.016S | Posterior displaced fracture of sternal end of unspecified clavicle, sequelaCMS: Posterior disp fx of sternal end of unsp clavicle, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.017 Nondisplaced fracture of sternal end of right clavicle | ||||
| S42.017A | Nondisplaced fracture of sternal end of right clavicle, initial encounter for closed fractureCMS: Nondisp fx of sternal end of right clavicle, init | Can lead a claim | E | None |
| S42.017B | Nondisplaced fracture of sternal end of right clavicle, initial encounter for open fractureCMS: Nondisp fx of sternal end of right clavicle, init for opn fx | Can lead a claim | E | None |
| S42.017D | Nondisplaced fracture of sternal end of right clavicle, subsequent encounter for fracture with routine healingCMS: Nondisp fx of sternal end r clavicle, 7thD | Can lead a claim | E | None |
| S42.017G | Nondisplaced fracture of sternal end of right clavicle, subsequent encounter for fracture with delayed healingCMS: Nondisp fx of sternal end r clavicle, 7thG | Can lead a claim | E | None |
| S42.017K | Nondisplaced fracture of sternal end of right clavicle, subsequent encounter for fracture with nonunionCMS: Nondisp fx of sternal end r clavicle, subs for fx w nonunion | Can lead a claim | E | None |
| S42.017P | Nondisplaced fracture of sternal end of right clavicle, subsequent encounter for fracture with malunionCMS: Nondisp fx of sternal end r clavicle, subs for fx w malunion | Can lead a claim | E | None |
| S42.017S | Nondisplaced fracture of sternal end of right clavicle, sequelaCMS: Nondisp fx of sternal end of right clavicle, sequela | Can lead a claim | E | None |
| S42.018 Nondisplaced fracture of sternal end of left clavicle | ||||
| S42.018A | Nondisplaced fracture of sternal end of left clavicle, initial encounter for closed fractureCMS: Nondisp fx of sternal end of left clavicle, init for clos fx | Can lead a claim | E | None |
| S42.018B | Nondisplaced fracture of sternal end of left clavicle, initial encounter for open fractureCMS: Nondisp fx of sternal end of left clavicle, init for opn fx | Can lead a claim | E | None |
| S42.018D | Nondisplaced fracture of sternal end of left clavicle, subsequent encounter for fracture with routine healingCMS: Nondisp fx of sternal end l clavicle, 7thD | Can lead a claim | E | None |
| S42.018G | Nondisplaced fracture of sternal end of left clavicle, subsequent encounter for fracture with delayed healingCMS: Nondisp fx of sternal end l clavicle, 7thG | Can lead a claim | E | None |
| S42.018K | Nondisplaced fracture of sternal end of left clavicle, subsequent encounter for fracture with nonunionCMS: Nondisp fx of sternal end l clavicle, subs for fx w nonunion | Can lead a claim | E | None |
| S42.018P | Nondisplaced fracture of sternal end of left clavicle, subsequent encounter for fracture with malunionCMS: Nondisp fx of sternal end l clavicle, subs for fx w malunion | Can lead a claim | E | None |
| S42.018S | Nondisplaced fracture of sternal end of left clavicle, sequelaCMS: Nondisp fx of sternal end of left clavicle, sequela | Can lead a claim | E | None |
| S42.019 Nondisplaced fracture of sternal end of unspecified clavicle | ||||
| S42.019A | Nondisplaced fracture of sternal end of unspecified clavicle, initial encounter for closed fractureCMS: Nondisp fx of sternal end of unsp clavicle, init for clos fx | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.019B | Nondisplaced fracture of sternal end of unspecified clavicle, initial encounter for open fractureCMS: Nondisp fx of sternal end of unsp clavicle, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.019D | Nondisplaced fracture of sternal end of unspecified clavicle, subsequent encounter for fracture with routine healingCMS: Nondisp fx of sternal end unsp clavicle, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.019G | Nondisplaced fracture of sternal end of unspecified clavicle, subsequent encounter for fracture with delayed healingCMS: Nondisp fx of sternal end unsp clavicle, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.019K | Nondisplaced fracture of sternal end of unspecified clavicle, subsequent encounter for fracture with nonunionCMS: Nondisp fx of sternal end unsp clavicle, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.019P | Nondisplaced fracture of sternal end of unspecified clavicle, subsequent encounter for fracture with malunionCMS: Nondisp fx of sternal end unsp clavicle, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.019S | Nondisplaced fracture of sternal end of unspecified clavicle, sequelaCMS: Nondisp fx of sternal end of unspecified clavicle, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.02 Fracture of shaft of clavicle | ||||
| S42.021 Displaced fracture of shaft of right clavicle | ||||
| S42.021A | Displaced fracture of shaft of right clavicle, initial encounter for closed fractureCMS: Disp fx of shaft of right clavicle, init for clos fx | Can lead a claim | E | None |
| S42.021B | Displaced fracture of shaft of right clavicle, initial encounter for open fractureCMS: Disp fx of shaft of right clavicle, init for opn fx | Can lead a claim | E | None |
| S42.021D | Displaced fracture of shaft of right clavicle, subsequent encounter for fracture with routine healingCMS: Disp fx of shaft of right clavicle, subs for fx w routn heal | Can lead a claim | E | None |
| S42.021G | Displaced fracture of shaft of right clavicle, subsequent encounter for fracture with delayed healingCMS: Disp fx of shaft of right clavicle, subs for fx w delay heal | Can lead a claim | E | None |
| S42.021K | Displaced fracture of shaft of right clavicle, subsequent encounter for fracture with nonunionCMS: Disp fx of shaft of right clavicle, subs for fx w nonunion | Can lead a claim | E | None |
| S42.021P | Displaced fracture of shaft of right clavicle, subsequent encounter for fracture with malunionCMS: Disp fx of shaft of right clavicle, subs for fx w malunion | Can lead a claim | E | None |
| S42.021S | Displaced fracture of shaft of right clavicle, sequela | Can lead a claim | E | None |
| S42.022 Displaced fracture of shaft of left clavicle | ||||
| S42.022A | Displaced fracture of shaft of left clavicle, initial encounter for closed fractureCMS: Disp fx of shaft of left clavicle, init for clos fx | Can lead a claim | E | None |
| S42.022B | Displaced fracture of shaft of left clavicle, initial encounter for open fractureCMS: Disp fx of shaft of left clavicle, init for opn fx | Can lead a claim | E | None |
| S42.022D | Displaced fracture of shaft of left clavicle, subsequent encounter for fracture with routine healingCMS: Disp fx of shaft of left clavicle, subs for fx w routn heal | Can lead a claim | E | None |
| S42.022G | Displaced fracture of shaft of left clavicle, subsequent encounter for fracture with delayed healingCMS: Disp fx of shaft of left clavicle, subs for fx w delay heal | Can lead a claim | E | None |
| S42.022K | Displaced fracture of shaft of left clavicle, subsequent encounter for fracture with nonunionCMS: Disp fx of shaft of left clavicle, subs for fx w nonunion | Can lead a claim | E | None |
| S42.022P | Displaced fracture of shaft of left clavicle, subsequent encounter for fracture with malunionCMS: Disp fx of shaft of left clavicle, subs for fx w malunion | Can lead a claim | E | None |
| S42.022S | Displaced fracture of shaft of left clavicle, sequela | Can lead a claim | E | None |
| S42.023 Displaced fracture of shaft of unspecified clavicle | ||||
| S42.023A | Displaced fracture of shaft of unspecified clavicle, initial encounter for closed fractureCMS: Disp fx of shaft of unsp clavicle, init for clos fx | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.023B | Displaced fracture of shaft of unspecified clavicle, initial encounter for open fractureCMS: Disp fx of shaft of unsp clavicle, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.023D | Displaced fracture of shaft of unspecified clavicle, subsequent encounter for fracture with routine healingCMS: Disp fx of shaft of unsp clavicle, subs for fx w routn heal | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.023G | Displaced fracture of shaft of unspecified clavicle, subsequent encounter for fracture with delayed healingCMS: Disp fx of shaft of unsp clavicle, subs for fx w delay heal | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.023K | Displaced fracture of shaft of unspecified clavicle, subsequent encounter for fracture with nonunionCMS: Disp fx of shaft of unsp clavicle, subs for fx w nonunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.023P | Displaced fracture of shaft of unspecified clavicle, subsequent encounter for fracture with malunionCMS: Disp fx of shaft of unsp clavicle, subs for fx w malunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.023S | Displaced fracture of shaft of unspecified clavicle, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.024 Nondisplaced fracture of shaft of right clavicle | ||||
| S42.024A | Nondisplaced fracture of shaft of right clavicle, initial encounter for closed fractureCMS: Nondisp fx of shaft of right clavicle, init for clos fx | Can lead a claim | E | None |
| S42.024B | Nondisplaced fracture of shaft of right clavicle, initial encounter for open fractureCMS: Nondisp fx of shaft of right clavicle, init for opn fx | Can lead a claim | E | None |
| S42.024D | Nondisplaced fracture of shaft of right clavicle, subsequent encounter for fracture with routine healingCMS: Nondisp fx of shaft of r clavicle, subs for fx w routn heal | Can lead a claim | E | None |
| S42.024G | Nondisplaced fracture of shaft of right clavicle, subsequent encounter for fracture with delayed healingCMS: Nondisp fx of shaft of r clavicle, subs for fx w delay heal | Can lead a claim | E | None |
| S42.024K | Nondisplaced fracture of shaft of right clavicle, subsequent encounter for fracture with nonunionCMS: Nondisp fx of shaft of r clavicle, subs for fx w nonunion | Can lead a claim | E | None |
| S42.024P | Nondisplaced fracture of shaft of right clavicle, subsequent encounter for fracture with malunionCMS: Nondisp fx of shaft of r clavicle, subs for fx w malunion | Can lead a claim | E | None |
| S42.024S | Nondisplaced fracture of shaft of right clavicle, sequela | Can lead a claim | E | None |
| S42.025 Nondisplaced fracture of shaft of left clavicle | ||||
| S42.025A | Nondisplaced fracture of shaft of left clavicle, initial encounter for closed fractureCMS: Nondisp fx of shaft of left clavicle, init for clos fx | Can lead a claim | E | None |
| S42.025B | Nondisplaced fracture of shaft of left clavicle, initial encounter for open fractureCMS: Nondisp fx of shaft of left clavicle, init for opn fx | Can lead a claim | E | None |
| S42.025D | Nondisplaced fracture of shaft of left clavicle, subsequent encounter for fracture with routine healingCMS: Nondisp fx of shaft of l clavicle, subs for fx w routn heal | Can lead a claim | E | None |
| S42.025G | Nondisplaced fracture of shaft of left clavicle, subsequent encounter for fracture with delayed healingCMS: Nondisp fx of shaft of l clavicle, subs for fx w delay heal | Can lead a claim | E | None |
| S42.025K | Nondisplaced fracture of shaft of left clavicle, subsequent encounter for fracture with nonunionCMS: Nondisp fx of shaft of left clavicle, subs for fx w nonunion | Can lead a claim | E | None |
| S42.025P | Nondisplaced fracture of shaft of left clavicle, subsequent encounter for fracture with malunionCMS: Nondisp fx of shaft of left clavicle, subs for fx w malunion | Can lead a claim | E | None |
| S42.025S | Nondisplaced fracture of shaft of left clavicle, sequela | Can lead a claim | E | None |
| S42.026 Nondisplaced fracture of shaft of unspecified clavicle | ||||
| S42.026A | Nondisplaced fracture of shaft of unspecified clavicle, initial encounter for closed fractureCMS: Nondisp fx of shaft of unsp clavicle, init for clos fx | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.026B | Nondisplaced fracture of shaft of unspecified clavicle, initial encounter for open fractureCMS: Nondisp fx of shaft of unsp clavicle, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.026D | Nondisplaced fracture of shaft of unspecified clavicle, subsequent encounter for fracture with routine healingCMS: Nondisp fx of shaft of unsp clavicle, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.026G | Nondisplaced fracture of shaft of unspecified clavicle, subsequent encounter for fracture with delayed healingCMS: Nondisp fx of shaft of unsp clavicle, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.026K | Nondisplaced fracture of shaft of unspecified clavicle, subsequent encounter for fracture with nonunionCMS: Nondisp fx of shaft of unsp clavicle, subs for fx w nonunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.026P | Nondisplaced fracture of shaft of unspecified clavicle, subsequent encounter for fracture with malunionCMS: Nondisp fx of shaft of unsp clavicle, subs for fx w malunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.026S | Nondisplaced fracture of shaft of unspecified clavicle, sequelaCMS: Nondisp fx of shaft of unspecified clavicle, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.03 Fracture of lateral end of clavicle | ||||
| S42.031 Displaced fracture of lateral end of right clavicle | ||||
| S42.031A | Displaced fracture of lateral end of right clavicle, initial encounter for closed fractureCMS: Disp fx of lateral end of right clavicle, init for clos fx | Can lead a claim | E | None |
| S42.031B | Displaced fracture of lateral end of right clavicle, initial encounter for open fractureCMS: Disp fx of lateral end of right clavicle, init for opn fx | Can lead a claim | E | None |
| S42.031D | Displaced fracture of lateral end of right clavicle, subsequent encounter for fracture with routine healingCMS: Disp fx of lateral end r clavicle, subs for fx w routn heal | Can lead a claim | E | None |
| S42.031G | Displaced fracture of lateral end of right clavicle, subsequent encounter for fracture with delayed healingCMS: Disp fx of lateral end r clavicle, subs for fx w delay heal | Can lead a claim | E | None |
| S42.031K | Displaced fracture of lateral end of right clavicle, subsequent encounter for fracture with nonunionCMS: Disp fx of lateral end of r clavicle, subs for fx w nonunion | Can lead a claim | E | None |
| S42.031P | Displaced fracture of lateral end of right clavicle, subsequent encounter for fracture with malunionCMS: Disp fx of lateral end of r clavicle, subs for fx w malunion | Can lead a claim | E | None |
| S42.031S | Displaced fracture of lateral end of right clavicle, sequela | Can lead a claim | E | None |
| S42.032 Displaced fracture of lateral end of left clavicle | ||||
| S42.032A | Displaced fracture of lateral end of left clavicle, initial encounter for closed fractureCMS: Disp fx of lateral end of left clavicle, init for clos fx | Can lead a claim | E | None |
| S42.032B | Displaced fracture of lateral end of left clavicle, initial encounter for open fractureCMS: Disp fx of lateral end of left clavicle, init for opn fx | Can lead a claim | E | None |
| S42.032D | Displaced fracture of lateral end of left clavicle, subsequent encounter for fracture with routine healingCMS: Disp fx of lateral end l clavicle, subs for fx w routn heal | Can lead a claim | E | None |
| S42.032G | Displaced fracture of lateral end of left clavicle, subsequent encounter for fracture with delayed healingCMS: Disp fx of lateral end l clavicle, subs for fx w delay heal | Can lead a claim | E | None |
| S42.032K | Displaced fracture of lateral end of left clavicle, subsequent encounter for fracture with nonunionCMS: Disp fx of lateral end of l clavicle, subs for fx w nonunion | Can lead a claim | E | None |
| S42.032P | Displaced fracture of lateral end of left clavicle, subsequent encounter for fracture with malunionCMS: Disp fx of lateral end of l clavicle, subs for fx w malunion | Can lead a claim | E | None |
| S42.032S | Displaced fracture of lateral end of left clavicle, sequela | Can lead a claim | E | None |
| S42.033 Displaced fracture of lateral end of unspecified clavicle | ||||
| S42.033A | Displaced fracture of lateral end of unspecified clavicle, initial encounter for closed fractureCMS: Disp fx of lateral end of unsp clavicle, init for clos fx | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.033B | Displaced fracture of lateral end of unspecified clavicle, initial encounter for open fractureCMS: Disp fx of lateral end of unsp clavicle, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.033D | Displaced fracture of lateral end of unspecified clavicle, subsequent encounter for fracture with routine healingCMS: Disp fx of lateral end unsp clavicle, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.033G | Displaced fracture of lateral end of unspecified clavicle, subsequent encounter for fracture with delayed healingCMS: Disp fx of lateral end unsp clavicle, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.033K | Displaced fracture of lateral end of unspecified clavicle, subsequent encounter for fracture with nonunionCMS: Disp fx of lateral end unsp clavicle, subs for fx w nonunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.033P | Displaced fracture of lateral end of unspecified clavicle, subsequent encounter for fracture with malunionCMS: Disp fx of lateral end unsp clavicle, subs for fx w malunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.033S | Displaced fracture of lateral end of unspecified clavicle, sequelaCMS: Disp fx of lateral end of unspecified clavicle, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.034 Nondisplaced fracture of lateral end of right clavicle | ||||
| S42.034A | Nondisplaced fracture of lateral end of right clavicle, initial encounter for closed fractureCMS: Nondisp fx of lateral end of right clavicle, init | Can lead a claim | E | None |
| S42.034B | Nondisplaced fracture of lateral end of right clavicle, initial encounter for open fractureCMS: Nondisp fx of lateral end of right clavicle, init for opn fx | Can lead a claim | E | None |
| S42.034D | Nondisplaced fracture of lateral end of right clavicle, subsequent encounter for fracture with routine healingCMS: Nondisp fx of lateral end r clavicle, 7thD | Can lead a claim | E | None |
| S42.034G | Nondisplaced fracture of lateral end of right clavicle, subsequent encounter for fracture with delayed healingCMS: Nondisp fx of lateral end r clavicle, 7thG | Can lead a claim | E | None |
| S42.034K | Nondisplaced fracture of lateral end of right clavicle, subsequent encounter for fracture with nonunionCMS: Nondisp fx of lateral end r clavicle, subs for fx w nonunion | Can lead a claim | E | None |
| S42.034P | Nondisplaced fracture of lateral end of right clavicle, subsequent encounter for fracture with malunionCMS: Nondisp fx of lateral end r clavicle, subs for fx w malunion | Can lead a claim | E | None |
| S42.034S | Nondisplaced fracture of lateral end of right clavicle, sequelaCMS: Nondisp fx of lateral end of right clavicle, sequela | Can lead a claim | E | None |
| S42.035 Nondisplaced fracture of lateral end of left clavicle | ||||
| S42.035A | Nondisplaced fracture of lateral end of left clavicle, initial encounter for closed fractureCMS: Nondisp fx of lateral end of left clavicle, init for clos fx | Can lead a claim | E | None |
| S42.035B | Nondisplaced fracture of lateral end of left clavicle, initial encounter for open fractureCMS: Nondisp fx of lateral end of left clavicle, init for opn fx | Can lead a claim | E | None |
| S42.035D | Nondisplaced fracture of lateral end of left clavicle, subsequent encounter for fracture with routine healingCMS: Nondisp fx of lateral end l clavicle, 7thD | Can lead a claim | E | None |
| S42.035G | Nondisplaced fracture of lateral end of left clavicle, subsequent encounter for fracture with delayed healingCMS: Nondisp fx of lateral end l clavicle, 7thG | Can lead a claim | E | None |
| S42.035K | Nondisplaced fracture of lateral end of left clavicle, subsequent encounter for fracture with nonunionCMS: Nondisp fx of lateral end l clavicle, subs for fx w nonunion | Can lead a claim | E | None |
| S42.035P | Nondisplaced fracture of lateral end of left clavicle, subsequent encounter for fracture with malunionCMS: Nondisp fx of lateral end l clavicle, subs for fx w malunion | Can lead a claim | E | None |
| S42.035S | Nondisplaced fracture of lateral end of left clavicle, sequelaCMS: Nondisp fx of lateral end of left clavicle, sequela | Can lead a claim | E | None |
| S42.036 Nondisplaced fracture of lateral end of unspecified clavicle | ||||
| S42.036A | Nondisplaced fracture of lateral end of unspecified clavicle, initial encounter for closed fractureCMS: Nondisp fx of lateral end of unsp clavicle, init for clos fx | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.036B | Nondisplaced fracture of lateral end of unspecified clavicle, initial encounter for open fractureCMS: Nondisp fx of lateral end of unsp clavicle, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.036D | Nondisplaced fracture of lateral end of unspecified clavicle, subsequent encounter for fracture with routine healingCMS: Nondisp fx of lateral end unsp clavicle, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.036G | Nondisplaced fracture of lateral end of unspecified clavicle, subsequent encounter for fracture with delayed healingCMS: Nondisp fx of lateral end unsp clavicle, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.036K | Nondisplaced fracture of lateral end of unspecified clavicle, subsequent encounter for fracture with nonunionCMS: Nondisp fx of lateral end unsp clavicle, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.036P | Nondisplaced fracture of lateral end of unspecified clavicle, subsequent encounter for fracture with malunionCMS: Nondisp fx of lateral end unsp clavicle, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.036S | Nondisplaced fracture of lateral end of unspecified clavicle, sequelaCMS: Nondisp fx of lateral end of unspecified clavicle, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.1 Fracture of scapula | ||||
| S42.10 Fracture of unspecified part of scapula | ||||
| S42.101 Fracture of unspecified part of scapula, right shoulder | ||||
| S42.101A | Fracture of unspecified part of scapula, right shoulder, initial encounter for closed fractureCMS: Fracture of unsp part of scapula, right shoulder, init | Can lead a claim | E | None |
| S42.101B | Fracture of unspecified part of scapula, right shoulder, initial encounter for open fractureCMS: Fx unsp part of scapula, r shoulder, init for opn fx | Can lead a claim | E | None |
| S42.101D | Fracture of unspecified part of scapula, right shoulder, subsequent encounter for fracture with routine healingCMS: Fx unsp part of scapula, r shldr, subs for fx w routn heal | Can lead a claim | E | None |
| S42.101G | Fracture of unspecified part of scapula, right shoulder, subsequent encounter for fracture with delayed healingCMS: Fx unsp part of scapula, r shldr, subs for fx w delay heal | Can lead a claim | E | None |
| S42.101K | Fracture of unspecified part of scapula, right shoulder, subsequent encounter for fracture with nonunionCMS: Fx unsp part of scapula, r shoulder, subs for fx w nonunion | Can lead a claim | E | None |
| S42.101P | Fracture of unspecified part of scapula, right shoulder, subsequent encounter for fracture with malunionCMS: Fx unsp part of scapula, r shoulder, subs for fx w malunion | Can lead a claim | E | None |
| S42.101S | Fracture of unspecified part of scapula, right shoulder, sequelaCMS: Fracture of unsp part of scapula, right shoulder, sequela | Can lead a claim | E | None |
| S42.102 Fracture of unspecified part of scapula, left shoulder | ||||
| S42.102A | Fracture of unspecified part of scapula, left shoulder, initial encounter for closed fractureCMS: Fracture of unsp part of scapula, left shoulder, init | Can lead a claim | E | None |
| S42.102B | Fracture of unspecified part of scapula, left shoulder, initial encounter for open fractureCMS: Fx unsp part of scapula, l shoulder, init for opn fx | Can lead a claim | E | None |
| S42.102D | Fracture of unspecified part of scapula, left shoulder, subsequent encounter for fracture with routine healingCMS: Fx unsp part of scapula, l shldr, subs for fx w routn heal | Can lead a claim | E | None |
| S42.102G | Fracture of unspecified part of scapula, left shoulder, subsequent encounter for fracture with delayed healingCMS: Fx unsp part of scapula, l shldr, subs for fx w delay heal | Can lead a claim | E | None |
| S42.102K | Fracture of unspecified part of scapula, left shoulder, subsequent encounter for fracture with nonunionCMS: Fx unsp part of scapula, l shoulder, subs for fx w nonunion | Can lead a claim | E | None |
| S42.102P | Fracture of unspecified part of scapula, left shoulder, subsequent encounter for fracture with malunionCMS: Fx unsp part of scapula, l shoulder, subs for fx w malunion | Can lead a claim | E | None |
| S42.102S | Fracture of unspecified part of scapula, left shoulder, sequelaCMS: Fracture of unsp part of scapula, left shoulder, sequela | Can lead a claim | E | None |
| S42.109 Fracture of unspecified part of scapula, unspecified shoulder | ||||
| S42.109A | Fracture of unspecified part of scapula, unspecified shoulder, initial encounter for closed fractureCMS: Fracture of unsp part of scapula, unsp shoulder, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.109B | Fracture of unspecified part of scapula, unspecified shoulder, initial encounter for open fractureCMS: Fx unsp part of scapula, unsp shoulder, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.109D | Fracture of unspecified part of scapula, unspecified shoulder, subsequent encounter for fracture with routine healingCMS: Fx unsp prt of scapula, unsp shldr, subs for fx w routn heal | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.109G | Fracture of unspecified part of scapula, unspecified shoulder, subsequent encounter for fracture with delayed healingCMS: Fx unsp prt of scapula, unsp shldr, subs for fx w delay heal | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.109K | Fracture of unspecified part of scapula, unspecified shoulder, subsequent encounter for fracture with nonunionCMS: Fx unsp part of scapula, unsp shldr, subs for fx w nonunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.109P | Fracture of unspecified part of scapula, unspecified shoulder, subsequent encounter for fracture with malunionCMS: Fx unsp part of scapula, unsp shldr, subs for fx w malunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.109S | Fracture of unspecified part of scapula, unspecified shoulder, sequelaCMS: Fracture of unsp part of scapula, unsp shoulder, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.11 Fracture of body of scapula | ||||
| S42.111 Displaced fracture of body of scapula, right shoulder | ||||
| S42.111A | Displaced fracture of body of scapula, right shoulder, initial encounter for closed fractureCMS: Disp fx of body of scapula, right shoulder, init for clos fx | Can lead a claim | E | None |
| S42.111B | Displaced fracture of body of scapula, right shoulder, initial encounter for open fractureCMS: Disp fx of body of scapula, right shoulder, init for opn fx | Can lead a claim | E | None |
| S42.111D | Displaced fracture of body of scapula, right shoulder, subsequent encounter for fracture with routine healingCMS: Disp fx of body of scapula, r shldr, 7thD | Can lead a claim | E | None |
| S42.111G | Displaced fracture of body of scapula, right shoulder, subsequent encounter for fracture with delayed healingCMS: Disp fx of body of scapula, r shldr, 7thG | Can lead a claim | E | None |
| S42.111K | Displaced fracture of body of scapula, right shoulder, subsequent encounter for fracture with nonunionCMS: Disp fx of body of scapula, r shldr, subs for fx w nonunion | Can lead a claim | E | None |
| S42.111P | Displaced fracture of body of scapula, right shoulder, subsequent encounter for fracture with malunionCMS: Disp fx of body of scapula, r shldr, subs for fx w malunion | Can lead a claim | E | None |
| S42.111S | Displaced fracture of body of scapula, right shoulder, sequelaCMS: Disp fx of body of scapula, right shoulder, sequela | Can lead a claim | E | None |
| S42.112 Displaced fracture of body of scapula, left shoulder | ||||
| S42.112A | Displaced fracture of body of scapula, left shoulder, initial encounter for closed fractureCMS: Disp fx of body of scapula, left shoulder, init for clos fx | Can lead a claim | E | None |
| S42.112B | Displaced fracture of body of scapula, left shoulder, initial encounter for open fractureCMS: Disp fx of body of scapula, left shoulder, init for opn fx | Can lead a claim | E | None |
| S42.112D | Displaced fracture of body of scapula, left shoulder, subsequent encounter for fracture with routine healingCMS: Disp fx of body of scapula, l shldr, 7thD | Can lead a claim | E | None |
| S42.112G | Displaced fracture of body of scapula, left shoulder, subsequent encounter for fracture with delayed healingCMS: Disp fx of body of scapula, l shldr, 7thG | Can lead a claim | E | None |
| S42.112K | Displaced fracture of body of scapula, left shoulder, subsequent encounter for fracture with nonunionCMS: Disp fx of body of scapula, l shldr, subs for fx w nonunion | Can lead a claim | E | None |
| S42.112P | Displaced fracture of body of scapula, left shoulder, subsequent encounter for fracture with malunionCMS: Disp fx of body of scapula, l shldr, subs for fx w malunion | Can lead a claim | E | None |
| S42.112S | Displaced fracture of body of scapula, left shoulder, sequelaCMS: Disp fx of body of scapula, left shoulder, sequela | Can lead a claim | E | None |
| S42.113 Displaced fracture of body of scapula, unspecified shoulder | ||||
| S42.113A | Displaced fracture of body of scapula, unspecified shoulder, initial encounter for closed fractureCMS: Disp fx of body of scapula, unsp shoulder, init for clos fx | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.113B | Displaced fracture of body of scapula, unspecified shoulder, initial encounter for open fractureCMS: Disp fx of body of scapula, unsp shoulder, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.113D | Displaced fracture of body of scapula, unspecified shoulder, subsequent encounter for fracture with routine healingCMS: Disp fx of body of scapula, unsp shldr, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.113G | Displaced fracture of body of scapula, unspecified shoulder, subsequent encounter for fracture with delayed healingCMS: Disp fx of body of scapula, unsp shldr, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.113K | Displaced fracture of body of scapula, unspecified shoulder, subsequent encounter for fracture with nonunionCMS: Disp fx of body of scapula, unsp shldr, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.113P | Displaced fracture of body of scapula, unspecified shoulder, subsequent encounter for fracture with malunionCMS: Disp fx of body of scapula, unsp shldr, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.113S | Displaced fracture of body of scapula, unspecified shoulder, sequelaCMS: Disp fx of body of scapula, unspecified shoulder, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.114 Nondisplaced fracture of body of scapula, right shoulder | ||||
| S42.114A | Nondisplaced fracture of body of scapula, right shoulder, initial encounter for closed fractureCMS: Nondisp fx of body of scapula, right shoulder, init | Can lead a claim | E | None |
| S42.114B | Nondisplaced fracture of body of scapula, right shoulder, initial encounter for open fractureCMS: Nondisp fx of body of scapula, r shoulder, init for opn fx | Can lead a claim | E | None |
| S42.114D | Nondisplaced fracture of body of scapula, right shoulder, subsequent encounter for fracture with routine healingCMS: Nondisp fx of body of scapula, r shldr, 7thD | Can lead a claim | E | None |
| S42.114G | Nondisplaced fracture of body of scapula, right shoulder, subsequent encounter for fracture with delayed healingCMS: Nondisp fx of body of scapula, r shldr, 7thG | Can lead a claim | E | None |
| S42.114K | Nondisplaced fracture of body of scapula, right shoulder, subsequent encounter for fracture with nonunionCMS: Nondisp fx of body of scapula, r shldr, 7thK | Can lead a claim | E | None |
| S42.114P | Nondisplaced fracture of body of scapula, right shoulder, subsequent encounter for fracture with malunionCMS: Nondisp fx of body of scapula, r shldr, 7thP | Can lead a claim | E | None |
| S42.114S | Nondisplaced fracture of body of scapula, right shoulder, sequelaCMS: Nondisp fx of body of scapula, right shoulder, sequela | Can lead a claim | E | None |
| S42.115 Nondisplaced fracture of body of scapula, left shoulder | ||||
| S42.115A | Nondisplaced fracture of body of scapula, left shoulder, initial encounter for closed fractureCMS: Nondisp fx of body of scapula, left shoulder, init | Can lead a claim | E | None |
| S42.115B | Nondisplaced fracture of body of scapula, left shoulder, initial encounter for open fractureCMS: Nondisp fx of body of scapula, l shoulder, init for opn fx | Can lead a claim | E | None |
| S42.115D | Nondisplaced fracture of body of scapula, left shoulder, subsequent encounter for fracture with routine healingCMS: Nondisp fx of body of scapula, l shldr, 7thD | Can lead a claim | E | None |
| S42.115G | Nondisplaced fracture of body of scapula, left shoulder, subsequent encounter for fracture with delayed healingCMS: Nondisp fx of body of scapula, l shldr, 7thG | Can lead a claim | E | None |
| S42.115K | Nondisplaced fracture of body of scapula, left shoulder, subsequent encounter for fracture with nonunionCMS: Nondisp fx of body of scapula, l shldr, 7thK | Can lead a claim | E | None |
| S42.115P | Nondisplaced fracture of body of scapula, left shoulder, subsequent encounter for fracture with malunionCMS: Nondisp fx of body of scapula, l shldr, 7thP | Can lead a claim | E | None |
| S42.115S | Nondisplaced fracture of body of scapula, left shoulder, sequelaCMS: Nondisp fx of body of scapula, left shoulder, sequela | Can lead a claim | E | None |
| S42.116 Nondisplaced fracture of body of scapula, unspecified shoulder | ||||
| S42.116A | Nondisplaced fracture of body of scapula, unspecified shoulder, initial encounter for closed fractureCMS: Nondisp fx of body of scapula, unsp shoulder, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.116B | Nondisplaced fracture of body of scapula, unspecified shoulder, initial encounter for open fractureCMS: Nondisp fx of body of scapula, unsp shldr, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.116D | Nondisplaced fracture of body of scapula, unspecified shoulder, subsequent encounter for fracture with routine healingCMS: Nondisp fx of body of scapula, unsp shldr, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.116G | Nondisplaced fracture of body of scapula, unspecified shoulder, subsequent encounter for fracture with delayed healingCMS: Nondisp fx of body of scapula, unsp shldr, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.116K | Nondisplaced fracture of body of scapula, unspecified shoulder, subsequent encounter for fracture with nonunionCMS: Nondisp fx of body of scapula, unsp shldr, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.116P | Nondisplaced fracture of body of scapula, unspecified shoulder, subsequent encounter for fracture with malunionCMS: Nondisp fx of body of scapula, unsp shldr, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.116S | Nondisplaced fracture of body of scapula, unspecified shoulder, sequelaCMS: Nondisp fx of body of scapula, unspecified shoulder, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.12 Fracture of acromial process | ||||
| S42.121 Displaced fracture of acromial process, right shoulder | ||||
| S42.121A | Displaced fracture of acromial process, right shoulder, initial encounter for closed fractureCMS: Disp fx of acromial process, right shoulder, init | Can lead a claim | E | None |
| S42.121B | Displaced fracture of acromial process, right shoulder, initial encounter for open fractureCMS: Disp fx of acromial process, right shoulder, init for opn fx | Can lead a claim | E | None |
| S42.121D | Displaced fracture of acromial process, right shoulder, subsequent encounter for fracture with routine healingCMS: Disp fx of acromial pro, r shldr, subs for fx w routn heal | Can lead a claim | E | None |
| S42.121G | Displaced fracture of acromial process, right shoulder, subsequent encounter for fracture with delayed healingCMS: Disp fx of acromial pro, r shldr, subs for fx w delay heal | Can lead a claim | E | None |
| S42.121K | Displaced fracture of acromial process, right shoulder, subsequent encounter for fracture with nonunionCMS: Disp fx of acromial process, r shldr, subs for fx w nonunion | Can lead a claim | E | None |
| S42.121P | Displaced fracture of acromial process, right shoulder, subsequent encounter for fracture with malunionCMS: Disp fx of acromial process, r shldr, subs for fx w malunion | Can lead a claim | E | None |
| S42.121S | Displaced fracture of acromial process, right shoulder, sequelaCMS: Disp fx of acromial process, right shoulder, sequela | Can lead a claim | E | None |
| S42.122 Displaced fracture of acromial process, left shoulder | ||||
| S42.122A | Displaced fracture of acromial process, left shoulder, initial encounter for closed fractureCMS: Disp fx of acromial process, left shoulder, init for clos fx | Can lead a claim | E | None |
| S42.122B | Displaced fracture of acromial process, left shoulder, initial encounter for open fractureCMS: Disp fx of acromial process, left shoulder, init for opn fx | Can lead a claim | E | None |
| S42.122D | Displaced fracture of acromial process, left shoulder, subsequent encounter for fracture with routine healingCMS: Disp fx of acromial pro, l shldr, subs for fx w routn heal | Can lead a claim | E | None |
| S42.122G | Displaced fracture of acromial process, left shoulder, subsequent encounter for fracture with delayed healingCMS: Disp fx of acromial pro, l shldr, subs for fx w delay heal | Can lead a claim | E | None |
| S42.122K | Displaced fracture of acromial process, left shoulder, subsequent encounter for fracture with nonunionCMS: Disp fx of acromial process, l shldr, subs for fx w nonunion | Can lead a claim | E | None |
| S42.122P | Displaced fracture of acromial process, left shoulder, subsequent encounter for fracture with malunionCMS: Disp fx of acromial process, l shldr, subs for fx w malunion | Can lead a claim | E | None |
| S42.122S | Displaced fracture of acromial process, left shoulder, sequelaCMS: Disp fx of acromial process, left shoulder, sequela | Can lead a claim | E | None |
| S42.123 Displaced fracture of acromial process, unspecified shoulder | ||||
| S42.123A | Displaced fracture of acromial process, unspecified shoulder, initial encounter for closed fractureCMS: Disp fx of acromial process, unsp shoulder, init for clos fx | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.123B | Displaced fracture of acromial process, unspecified shoulder, initial encounter for open fractureCMS: Disp fx of acromial process, unsp shoulder, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.123D | Displaced fracture of acromial process, unspecified shoulder, subsequent encounter for fracture with routine healingCMS: Disp fx of acromial pro, unsp shldr, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.123G | Displaced fracture of acromial process, unspecified shoulder, subsequent encounter for fracture with delayed healingCMS: Disp fx of acromial pro, unsp shldr, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.123K | Displaced fracture of acromial process, unspecified shoulder, subsequent encounter for fracture with nonunionCMS: Disp fx of acromial pro, unsp shldr, subs for fx w nonunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.123P | Displaced fracture of acromial process, unspecified shoulder, subsequent encounter for fracture with malunionCMS: Disp fx of acromial pro, unsp shldr, subs for fx w malunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.123S | Displaced fracture of acromial process, unspecified shoulder, sequelaCMS: Disp fx of acromial process, unspecified shoulder, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.124 Nondisplaced fracture of acromial process, right shoulder | ||||
| S42.124A | Nondisplaced fracture of acromial process, right shoulder, initial encounter for closed fractureCMS: Nondisp fx of acromial process, right shoulder, init | Can lead a claim | E | None |
| S42.124B | Nondisplaced fracture of acromial process, right shoulder, initial encounter for open fractureCMS: Nondisp fx of acromial process, r shoulder, init for opn fx | Can lead a claim | E | None |
| S42.124D | Nondisplaced fracture of acromial process, right shoulder, subsequent encounter for fracture with routine healingCMS: Nondisp fx of acromial pro, r shldr, 7thD | Can lead a claim | E | None |
| S42.124G | Nondisplaced fracture of acromial process, right shoulder, subsequent encounter for fracture with delayed healingCMS: Nondisp fx of acromial pro, r shldr, 7thG | Can lead a claim | E | None |
| S42.124K | Nondisplaced fracture of acromial process, right shoulder, subsequent encounter for fracture with nonunionCMS: Nondisp fx of acromial pro, r shldr, subs for fx w nonunion | Can lead a claim | E | None |
| S42.124P | Nondisplaced fracture of acromial process, right shoulder, subsequent encounter for fracture with malunionCMS: Nondisp fx of acromial pro, r shldr, subs for fx w malunion | Can lead a claim | E | None |
| S42.124S | Nondisplaced fracture of acromial process, right shoulder, sequelaCMS: Nondisp fx of acromial process, right shoulder, sequela | Can lead a claim | E | None |
| S42.125 Nondisplaced fracture of acromial process, left shoulder | ||||
| S42.125A | Nondisplaced fracture of acromial process, left shoulder, initial encounter for closed fractureCMS: Nondisp fx of acromial process, left shoulder, init | Can lead a claim | E | None |
| S42.125B | Nondisplaced fracture of acromial process, left shoulder, initial encounter for open fractureCMS: Nondisp fx of acromial process, l shoulder, init for opn fx | Can lead a claim | E | None |
| S42.125D | Nondisplaced fracture of acromial process, left shoulder, subsequent encounter for fracture with routine healingCMS: Nondisp fx of acromial pro, l shldr, 7thD | Can lead a claim | E | None |
| S42.125G | Nondisplaced fracture of acromial process, left shoulder, subsequent encounter for fracture with delayed healingCMS: Nondisp fx of acromial pro, l shldr, 7thG | Can lead a claim | E | None |
| S42.125K | Nondisplaced fracture of acromial process, left shoulder, subsequent encounter for fracture with nonunionCMS: Nondisp fx of acromial pro, l shldr, subs for fx w nonunion | Can lead a claim | E | None |
| S42.125P | Nondisplaced fracture of acromial process, left shoulder, subsequent encounter for fracture with malunionCMS: Nondisp fx of acromial pro, l shldr, subs for fx w malunion | Can lead a claim | E | None |
| S42.125S | Nondisplaced fracture of acromial process, left shoulder, sequelaCMS: Nondisp fx of acromial process, left shoulder, sequela | Can lead a claim | E | None |
| S42.126 Nondisplaced fracture of acromial process, unspecified shoulder | ||||
| S42.126A | Nondisplaced fracture of acromial process, unspecified shoulder, initial encounter for closed fractureCMS: Nondisp fx of acromial process, unsp shoulder, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.126B | Nondisplaced fracture of acromial process, unspecified shoulder, initial encounter for open fractureCMS: Nondisp fx of acromial process, unsp shldr, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.126D | Nondisplaced fracture of acromial process, unspecified shoulder, subsequent encounter for fracture with routine healingCMS: Nondisp fx of acromial pro, unsp shldr, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.126G | Nondisplaced fracture of acromial process, unspecified shoulder, subsequent encounter for fracture with delayed healingCMS: Nondisp fx of acromial pro, unsp shldr, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.126K | Nondisplaced fracture of acromial process, unspecified shoulder, subsequent encounter for fracture with nonunionCMS: Nondisp fx of acromial pro, unsp shldr, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.126P | Nondisplaced fracture of acromial process, unspecified shoulder, subsequent encounter for fracture with malunionCMS: Nondisp fx of acromial pro, unsp shldr, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.126S | Nondisplaced fracture of acromial process, unspecified shoulder, sequelaCMS: Nondisp fx of acromial process, unsp shoulder, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.13 Fracture of coracoid process | ||||
| S42.131 Displaced fracture of coracoid process, right shoulder | ||||
| S42.131A | Displaced fracture of coracoid process, right shoulder, initial encounter for closed fractureCMS: Disp fx of coracoid process, right shoulder, init | Can lead a claim | E | None |
| S42.131B | Displaced fracture of coracoid process, right shoulder, initial encounter for open fractureCMS: Disp fx of coracoid process, right shoulder, init for opn fx | Can lead a claim | E | None |
| S42.131D | Displaced fracture of coracoid process, right shoulder, subsequent encounter for fracture with routine healingCMS: Disp fx of coracoid pro, r shldr, subs for fx w routn heal | Can lead a claim | E | None |
| S42.131G | Displaced fracture of coracoid process, right shoulder, subsequent encounter for fracture with delayed healingCMS: Disp fx of coracoid pro, r shldr, subs for fx w delay heal | Can lead a claim | E | None |
| S42.131K | Displaced fracture of coracoid process, right shoulder, subsequent encounter for fracture with nonunionCMS: Disp fx of coracoid process, r shldr, subs for fx w nonunion | Can lead a claim | E | None |
| S42.131P | Displaced fracture of coracoid process, right shoulder, subsequent encounter for fracture with malunionCMS: Disp fx of coracoid process, r shldr, subs for fx w malunion | Can lead a claim | E | None |
| S42.131S | Displaced fracture of coracoid process, right shoulder, sequelaCMS: Disp fx of coracoid process, right shoulder, sequela | Can lead a claim | E | None |
| S42.132 Displaced fracture of coracoid process, left shoulder | ||||
| S42.132A | Displaced fracture of coracoid process, left shoulder, initial encounter for closed fractureCMS: Disp fx of coracoid process, left shoulder, init for clos fx | Can lead a claim | E | None |
| S42.132B | Displaced fracture of coracoid process, left shoulder, initial encounter for open fractureCMS: Disp fx of coracoid process, left shoulder, init for opn fx | Can lead a claim | E | None |
| S42.132D | Displaced fracture of coracoid process, left shoulder, subsequent encounter for fracture with routine healingCMS: Disp fx of coracoid pro, l shldr, subs for fx w routn heal | Can lead a claim | E | None |
| S42.132G | Displaced fracture of coracoid process, left shoulder, subsequent encounter for fracture with delayed healingCMS: Disp fx of coracoid pro, l shldr, subs for fx w delay heal | Can lead a claim | E | None |
| S42.132K | Displaced fracture of coracoid process, left shoulder, subsequent encounter for fracture with nonunionCMS: Disp fx of coracoid process, l shldr, subs for fx w nonunion | Can lead a claim | E | None |
| S42.132P | Displaced fracture of coracoid process, left shoulder, subsequent encounter for fracture with malunionCMS: Disp fx of coracoid process, l shldr, subs for fx w malunion | Can lead a claim | E | None |
| S42.132S | Displaced fracture of coracoid process, left shoulder, sequelaCMS: Disp fx of coracoid process, left shoulder, sequela | Can lead a claim | E | None |
| S42.133 Displaced fracture of coracoid process, unspecified shoulder | ||||
| S42.133A | Displaced fracture of coracoid process, unspecified shoulder, initial encounter for closed fractureCMS: Disp fx of coracoid process, unsp shoulder, init for clos fx | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.133B | Displaced fracture of coracoid process, unspecified shoulder, initial encounter for open fractureCMS: Disp fx of coracoid process, unsp shoulder, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.133D | Displaced fracture of coracoid process, unspecified shoulder, subsequent encounter for fracture with routine healingCMS: Disp fx of coracoid pro, unsp shldr, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.133G | Displaced fracture of coracoid process, unspecified shoulder, subsequent encounter for fracture with delayed healingCMS: Disp fx of coracoid pro, unsp shldr, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.133K | Displaced fracture of coracoid process, unspecified shoulder, subsequent encounter for fracture with nonunionCMS: Disp fx of coracoid pro, unsp shldr, subs for fx w nonunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.133P | Displaced fracture of coracoid process, unspecified shoulder, subsequent encounter for fracture with malunionCMS: Disp fx of coracoid pro, unsp shldr, subs for fx w malunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.133S | Displaced fracture of coracoid process, unspecified shoulder, sequelaCMS: Disp fx of coracoid process, unspecified shoulder, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.134 Nondisplaced fracture of coracoid process, right shoulder | ||||
| S42.134A | Nondisplaced fracture of coracoid process, right shoulder, initial encounter for closed fractureCMS: Nondisp fx of coracoid process, right shoulder, init | Can lead a claim | E | None |
| S42.134B | Nondisplaced fracture of coracoid process, right shoulder, initial encounter for open fractureCMS: Nondisp fx of coracoid process, r shoulder, init for opn fx | Can lead a claim | E | None |
| S42.134D | Nondisplaced fracture of coracoid process, right shoulder, subsequent encounter for fracture with routine healingCMS: Nondisp fx of coracoid pro, r shldr, 7thD | Can lead a claim | E | None |
| S42.134G | Nondisplaced fracture of coracoid process, right shoulder, subsequent encounter for fracture with delayed healingCMS: Nondisp fx of coracoid pro, r shldr, 7thG | Can lead a claim | E | None |
| S42.134K | Nondisplaced fracture of coracoid process, right shoulder, subsequent encounter for fracture with nonunionCMS: Nondisp fx of coracoid pro, r shldr, subs for fx w nonunion | Can lead a claim | E | None |
| S42.134P | Nondisplaced fracture of coracoid process, right shoulder, subsequent encounter for fracture with malunionCMS: Nondisp fx of coracoid pro, r shldr, subs for fx w malunion | Can lead a claim | E | None |
| S42.134S | Nondisplaced fracture of coracoid process, right shoulder, sequelaCMS: Nondisp fx of coracoid process, right shoulder, sequela | Can lead a claim | E | None |
| S42.135 Nondisplaced fracture of coracoid process, left shoulder | ||||
| S42.135A | Nondisplaced fracture of coracoid process, left shoulder, initial encounter for closed fractureCMS: Nondisp fx of coracoid process, left shoulder, init | Can lead a claim | E | None |
| S42.135B | Nondisplaced fracture of coracoid process, left shoulder, initial encounter for open fractureCMS: Nondisp fx of coracoid process, l shoulder, init for opn fx | Can lead a claim | E | None |
| S42.135D | Nondisplaced fracture of coracoid process, left shoulder, subsequent encounter for fracture with routine healingCMS: Nondisp fx of coracoid pro, l shldr, 7thD | Can lead a claim | E | None |
| S42.135G | Nondisplaced fracture of coracoid process, left shoulder, subsequent encounter for fracture with delayed healingCMS: Nondisp fx of coracoid pro, l shldr, 7thG | Can lead a claim | E | None |
| S42.135K | Nondisplaced fracture of coracoid process, left shoulder, subsequent encounter for fracture with nonunionCMS: Nondisp fx of coracoid pro, l shldr, subs for fx w nonunion | Can lead a claim | E | None |
| S42.135P | Nondisplaced fracture of coracoid process, left shoulder, subsequent encounter for fracture with malunionCMS: Nondisp fx of coracoid pro, l shldr, subs for fx w malunion | Can lead a claim | E | None |
| S42.135S | Nondisplaced fracture of coracoid process, left shoulder, sequelaCMS: Nondisp fx of coracoid process, left shoulder, sequela | Can lead a claim | E | None |
| S42.136 Nondisplaced fracture of coracoid process, unspecified shoulder | ||||
| S42.136A | Nondisplaced fracture of coracoid process, unspecified shoulder, initial encounter for closed fractureCMS: Nondisp fx of coracoid process, unsp shoulder, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.136B | Nondisplaced fracture of coracoid process, unspecified shoulder, initial encounter for open fractureCMS: Nondisp fx of coracoid process, unsp shldr, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.136D | Nondisplaced fracture of coracoid process, unspecified shoulder, subsequent encounter for fracture with routine healingCMS: Nondisp fx of coracoid pro, unsp shldr, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.136G | Nondisplaced fracture of coracoid process, unspecified shoulder, subsequent encounter for fracture with delayed healingCMS: Nondisp fx of coracoid pro, unsp shldr, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.136K | Nondisplaced fracture of coracoid process, unspecified shoulder, subsequent encounter for fracture with nonunionCMS: Nondisp fx of coracoid pro, unsp shldr, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.136P | Nondisplaced fracture of coracoid process, unspecified shoulder, subsequent encounter for fracture with malunionCMS: Nondisp fx of coracoid pro, unsp shldr, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.136S | Nondisplaced fracture of coracoid process, unspecified shoulder, sequelaCMS: Nondisp fx of coracoid process, unsp shoulder, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.14 Fracture of glenoid cavity of scapula | ||||
| S42.141 Displaced fracture of glenoid cavity of scapula, right shoulder | ||||
| S42.141A | Displaced fracture of glenoid cavity of scapula, right shoulder, initial encounter for closed fractureCMS: Disp fx of glenoid cavity of scapula, right shoulder, init | Can lead a claim | E | None |
| S42.141B | Displaced fracture of glenoid cavity of scapula, right shoulder, initial encounter for open fractureCMS: Disp fx of glenoid cav of scapula, r shldr, init for opn fx | Can lead a claim | E | None |
| S42.141D | Displaced fracture of glenoid cavity of scapula, right shoulder, subsequent encounter for fracture with routine healingCMS: Disp fx of glenoid cav of scapula, r shldr, 7thD | Can lead a claim | E | None |
| S42.141G | Displaced fracture of glenoid cavity of scapula, right shoulder, subsequent encounter for fracture with delayed healingCMS: Disp fx of glenoid cav of scapula, r shldr, 7thG | Can lead a claim | E | None |
| S42.141K | Displaced fracture of glenoid cavity of scapula, right shoulder, subsequent encounter for fracture with nonunionCMS: Disp fx of glenoid cav of scapula, r shldr, 7thK | Can lead a claim | E | None |
| S42.141P | Displaced fracture of glenoid cavity of scapula, right shoulder, subsequent encounter for fracture with malunionCMS: Disp fx of glenoid cav of scapula, r shldr, 7thP | Can lead a claim | E | None |
| S42.141S | Displaced fracture of glenoid cavity of scapula, right shoulder, sequelaCMS: Disp fx of glenoid cav of scapula, right shoulder, sequela | Can lead a claim | E | None |
| S42.142 Displaced fracture of glenoid cavity of scapula, left shoulder | ||||
| S42.142A | Displaced fracture of glenoid cavity of scapula, left shoulder, initial encounter for closed fractureCMS: Disp fx of glenoid cavity of scapula, left shoulder, init | Can lead a claim | E | None |
| S42.142B | Displaced fracture of glenoid cavity of scapula, left shoulder, initial encounter for open fractureCMS: Disp fx of glenoid cav of scapula, l shldr, init for opn fx | Can lead a claim | E | None |
| S42.142D | Displaced fracture of glenoid cavity of scapula, left shoulder, subsequent encounter for fracture with routine healingCMS: Disp fx of glenoid cav of scapula, l shldr, 7thD | Can lead a claim | E | None |
| S42.142G | Displaced fracture of glenoid cavity of scapula, left shoulder, subsequent encounter for fracture with delayed healingCMS: Disp fx of glenoid cav of scapula, l shldr, 7thG | Can lead a claim | E | None |
| S42.142K | Displaced fracture of glenoid cavity of scapula, left shoulder, subsequent encounter for fracture with nonunionCMS: Disp fx of glenoid cav of scapula, l shldr, 7thK | Can lead a claim | E | None |
| S42.142P | Displaced fracture of glenoid cavity of scapula, left shoulder, subsequent encounter for fracture with malunionCMS: Disp fx of glenoid cav of scapula, l shldr, 7thP | Can lead a claim | E | None |
| S42.142S | Displaced fracture of glenoid cavity of scapula, left shoulder, sequelaCMS: Disp fx of glenoid cavity of scapula, left shoulder, sequela | Can lead a claim | E | None |
| S42.143 Displaced fracture of glenoid cavity of scapula, unspecified shoulder | ||||
| S42.143A | Displaced fracture of glenoid cavity of scapula, unspecified shoulder, initial encounter for closed fractureCMS: Disp fx of glenoid cavity of scapula, unsp shoulder, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.143B | Displaced fracture of glenoid cavity of scapula, unspecified shoulder, initial encounter for open fractureCMS: Disp fx of glenoid cav of scapula, unsp shldr, 7thB | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.143D | Displaced fracture of glenoid cavity of scapula, unspecified shoulder, subsequent encounter for fracture with routine healingCMS: Disp fx of glenoid cav of scapula, unsp shldr, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.143G | Displaced fracture of glenoid cavity of scapula, unspecified shoulder, subsequent encounter for fracture with delayed healingCMS: Disp fx of glenoid cav of scapula, unsp shldr, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.143K | Displaced fracture of glenoid cavity of scapula, unspecified shoulder, subsequent encounter for fracture with nonunionCMS: Disp fx of glenoid cav of scapula, unsp shldr, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.143P | Displaced fracture of glenoid cavity of scapula, unspecified shoulder, subsequent encounter for fracture with malunionCMS: Disp fx of glenoid cav of scapula, unsp shldr, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.143S | Displaced fracture of glenoid cavity of scapula, unspecified shoulder, sequelaCMS: Disp fx of glenoid cavity of scapula, unsp shoulder, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.144 Nondisplaced fracture of glenoid cavity of scapula, right shoulder | ||||
| S42.144A | Nondisplaced fracture of glenoid cavity of scapula, right shoulder, initial encounter for closed fractureCMS: Nondisp fx of glenoid cav of scapula, right shoulder, init | Can lead a claim | E | None |
| S42.144B | Nondisplaced fracture of glenoid cavity of scapula, right shoulder, initial encounter for open fractureCMS: Nondisp fx of glenoid cav of scapula, r shldr, 7thB | Can lead a claim | E | None |
| S42.144D | Nondisplaced fracture of glenoid cavity of scapula, right shoulder, subsequent encounter for fracture with routine healingCMS: Nondisp fx of glenoid cav of scapula, r shldr, 7thD | Can lead a claim | E | None |
| S42.144G | Nondisplaced fracture of glenoid cavity of scapula, right shoulder, subsequent encounter for fracture with delayed healingCMS: Nondisp fx of glenoid cav of scapula, r shldr, 7thG | Can lead a claim | E | None |
| S42.144K | Nondisplaced fracture of glenoid cavity of scapula, right shoulder, subsequent encounter for fracture with nonunionCMS: Nondisp fx of glenoid cav of scapula, r shldr, 7thK | Can lead a claim | E | None |
| S42.144P | Nondisplaced fracture of glenoid cavity of scapula, right shoulder, subsequent encounter for fracture with malunionCMS: Nondisp fx of glenoid cav of scapula, r shldr, 7thP | Can lead a claim | E | None |
| S42.144S | Nondisplaced fracture of glenoid cavity of scapula, right shoulder, sequelaCMS: Nondisp fx of glenoid cav of scapula, r shoulder, sequela | Can lead a claim | E | None |
| S42.145 Nondisplaced fracture of glenoid cavity of scapula, left shoulder | ||||
| S42.145A | Nondisplaced fracture of glenoid cavity of scapula, left shoulder, initial encounter for closed fractureCMS: Nondisp fx of glenoid cavity of scapula, left shoulder, init | Can lead a claim | E | None |
| S42.145B | Nondisplaced fracture of glenoid cavity of scapula, left shoulder, initial encounter for open fractureCMS: Nondisp fx of glenoid cav of scapula, l shldr, 7thB | Can lead a claim | E | None |
| S42.145D | Nondisplaced fracture of glenoid cavity of scapula, left shoulder, subsequent encounter for fracture with routine healingCMS: Nondisp fx of glenoid cav of scapula, l shldr, 7thD | Can lead a claim | E | None |
| S42.145G | Nondisplaced fracture of glenoid cavity of scapula, left shoulder, subsequent encounter for fracture with delayed healingCMS: Nondisp fx of glenoid cav of scapula, l shldr, 7thG | Can lead a claim | E | None |
| S42.145K | Nondisplaced fracture of glenoid cavity of scapula, left shoulder, subsequent encounter for fracture with nonunionCMS: Nondisp fx of glenoid cav of scapula, l shldr, 7thK | Can lead a claim | E | None |
| S42.145P | Nondisplaced fracture of glenoid cavity of scapula, left shoulder, subsequent encounter for fracture with malunionCMS: Nondisp fx of glenoid cav of scapula, l shldr, 7thP | Can lead a claim | E | None |
| S42.145S | Nondisplaced fracture of glenoid cavity of scapula, left shoulder, sequelaCMS: Nondisp fx of glenoid cav of scapula, left shoulder, sequela | Can lead a claim | E | None |
| S42.146 Nondisplaced fracture of glenoid cavity of scapula, unspecified shoulder | ||||
| S42.146A | Nondisplaced fracture of glenoid cavity of scapula, unspecified shoulder, initial encounter for closed fractureCMS: Nondisp fx of glenoid cavity of scapula, unsp shoulder, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.146B | Nondisplaced fracture of glenoid cavity of scapula, unspecified shoulder, initial encounter for open fractureCMS: Nondisp fx of glenoid cav of scapula, unsp shldr, 7thB | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.146D | Nondisplaced fracture of glenoid cavity of scapula, unspecified shoulder, subsequent encounter for fracture with routine healingCMS: Nondisp fx of glenoid cav of scapula, unsp shldr, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.146G | Nondisplaced fracture of glenoid cavity of scapula, unspecified shoulder, subsequent encounter for fracture with delayed healingCMS: Nondisp fx of glenoid cav of scapula, unsp shldr, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.146K | Nondisplaced fracture of glenoid cavity of scapula, unspecified shoulder, subsequent encounter for fracture with nonunionCMS: Nondisp fx of glenoid cav of scapula, unsp shldr, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.146P | Nondisplaced fracture of glenoid cavity of scapula, unspecified shoulder, subsequent encounter for fracture with malunionCMS: Nondisp fx of glenoid cav of scapula, unsp shldr, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.146S | Nondisplaced fracture of glenoid cavity of scapula, unspecified shoulder, sequelaCMS: Nondisp fx of glenoid cav of scapula, unsp shoulder, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.15 Fracture of neck of scapula | ||||
| S42.151 Displaced fracture of neck of scapula, right shoulder | ||||
| S42.151A | Displaced fracture of neck of scapula, right shoulder, initial encounter for closed fractureCMS: Disp fx of neck of scapula, right shoulder, init for clos fx | Can lead a claim | E | None |
| S42.151B | Displaced fracture of neck of scapula, right shoulder, initial encounter for open fractureCMS: Disp fx of neck of scapula, right shoulder, init for opn fx | Can lead a claim | E | None |
| S42.151D | Displaced fracture of neck of scapula, right shoulder, subsequent encounter for fracture with routine healingCMS: Disp fx of nk of scapula, r shldr, subs for fx w routn heal | Can lead a claim | E | None |
| S42.151G | Displaced fracture of neck of scapula, right shoulder, subsequent encounter for fracture with delayed healingCMS: Disp fx of nk of scapula, r shldr, subs for fx w delay heal | Can lead a claim | E | None |
| S42.151K | Displaced fracture of neck of scapula, right shoulder, subsequent encounter for fracture with nonunionCMS: Disp fx of neck of scapula, r shldr, subs for fx w nonunion | Can lead a claim | E | None |
| S42.151P | Displaced fracture of neck of scapula, right shoulder, subsequent encounter for fracture with malunionCMS: Disp fx of neck of scapula, r shldr, subs for fx w malunion | Can lead a claim | E | None |
| S42.151S | Displaced fracture of neck of scapula, right shoulder, sequelaCMS: Disp fx of neck of scapula, right shoulder, sequela | Can lead a claim | E | None |
| S42.152 Displaced fracture of neck of scapula, left shoulder | ||||
| S42.152A | Displaced fracture of neck of scapula, left shoulder, initial encounter for closed fractureCMS: Disp fx of neck of scapula, left shoulder, init for clos fx | Can lead a claim | E | None |
| S42.152B | Displaced fracture of neck of scapula, left shoulder, initial encounter for open fractureCMS: Disp fx of neck of scapula, left shoulder, init for opn fx | Can lead a claim | E | None |
| S42.152D | Displaced fracture of neck of scapula, left shoulder, subsequent encounter for fracture with routine healingCMS: Disp fx of nk of scapula, l shldr, subs for fx w routn heal | Can lead a claim | E | None |
| S42.152G | Displaced fracture of neck of scapula, left shoulder, subsequent encounter for fracture with delayed healingCMS: Disp fx of nk of scapula, l shldr, subs for fx w delay heal | Can lead a claim | E | None |
| S42.152K | Displaced fracture of neck of scapula, left shoulder, subsequent encounter for fracture with nonunionCMS: Disp fx of neck of scapula, l shldr, subs for fx w nonunion | Can lead a claim | E | None |
| S42.152P | Displaced fracture of neck of scapula, left shoulder, subsequent encounter for fracture with malunionCMS: Disp fx of neck of scapula, l shldr, subs for fx w malunion | Can lead a claim | E | None |
| S42.152S | Displaced fracture of neck of scapula, left shoulder, sequelaCMS: Disp fx of neck of scapula, left shoulder, sequela | Can lead a claim | E | None |
| S42.153 Displaced fracture of neck of scapula, unspecified shoulder | ||||
| S42.153A | Displaced fracture of neck of scapula, unspecified shoulder, initial encounter for closed fractureCMS: Disp fx of neck of scapula, unsp shoulder, init for clos fx | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.153B | Displaced fracture of neck of scapula, unspecified shoulder, initial encounter for open fractureCMS: Disp fx of neck of scapula, unsp shoulder, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.153D | Displaced fracture of neck of scapula, unspecified shoulder, subsequent encounter for fracture with routine healingCMS: Disp fx of nk of scapula, unsp shldr, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.153G | Displaced fracture of neck of scapula, unspecified shoulder, subsequent encounter for fracture with delayed healingCMS: Disp fx of nk of scapula, unsp shldr, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.153K | Displaced fracture of neck of scapula, unspecified shoulder, subsequent encounter for fracture with nonunionCMS: Disp fx of nk of scapula, unsp shldr, subs for fx w nonunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.153P | Displaced fracture of neck of scapula, unspecified shoulder, subsequent encounter for fracture with malunionCMS: Disp fx of nk of scapula, unsp shldr, subs for fx w malunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.153S | Displaced fracture of neck of scapula, unspecified shoulder, sequelaCMS: Disp fx of neck of scapula, unspecified shoulder, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.154 Nondisplaced fracture of neck of scapula, right shoulder | ||||
| S42.154A | Nondisplaced fracture of neck of scapula, right shoulder, initial encounter for closed fractureCMS: Nondisp fx of neck of scapula, right shoulder, init | Can lead a claim | E | None |
| S42.154B | Nondisplaced fracture of neck of scapula, right shoulder, initial encounter for open fractureCMS: Nondisp fx of neck of scapula, r shoulder, init for opn fx | Can lead a claim | E | None |
| S42.154D | Nondisplaced fracture of neck of scapula, right shoulder, subsequent encounter for fracture with routine healingCMS: Nondisp fx of nk of scapula, r shldr, 7thD | Can lead a claim | E | None |
| S42.154G | Nondisplaced fracture of neck of scapula, right shoulder, subsequent encounter for fracture with delayed healingCMS: Nondisp fx of nk of scapula, r shldr, 7thG | Can lead a claim | E | None |
| S42.154K | Nondisplaced fracture of neck of scapula, right shoulder, subsequent encounter for fracture with nonunionCMS: Nondisp fx of nk of scapula, r shldr, subs for fx w nonunion | Can lead a claim | E | None |
| S42.154P | Nondisplaced fracture of neck of scapula, right shoulder, subsequent encounter for fracture with malunionCMS: Nondisp fx of nk of scapula, r shldr, subs for fx w malunion | Can lead a claim | E | None |
| S42.154S | Nondisplaced fracture of neck of scapula, right shoulder, sequelaCMS: Nondisp fx of neck of scapula, right shoulder, sequela | Can lead a claim | E | None |
| S42.155 Nondisplaced fracture of neck of scapula, left shoulder | ||||
| S42.155A | Nondisplaced fracture of neck of scapula, left shoulder, initial encounter for closed fractureCMS: Nondisp fx of neck of scapula, left shoulder, init | Can lead a claim | E | None |
| S42.155B | Nondisplaced fracture of neck of scapula, left shoulder, initial encounter for open fractureCMS: Nondisp fx of neck of scapula, l shoulder, init for opn fx | Can lead a claim | E | None |
| S42.155D | Nondisplaced fracture of neck of scapula, left shoulder, subsequent encounter for fracture with routine healingCMS: Nondisp fx of nk of scapula, l shldr, 7thD | Can lead a claim | E | None |
| S42.155G | Nondisplaced fracture of neck of scapula, left shoulder, subsequent encounter for fracture with delayed healingCMS: Nondisp fx of nk of scapula, l shldr, 7thG | Can lead a claim | E | None |
| S42.155K | Nondisplaced fracture of neck of scapula, left shoulder, subsequent encounter for fracture with nonunionCMS: Nondisp fx of nk of scapula, l shldr, subs for fx w nonunion | Can lead a claim | E | None |
| S42.155P | Nondisplaced fracture of neck of scapula, left shoulder, subsequent encounter for fracture with malunionCMS: Nondisp fx of nk of scapula, l shldr, subs for fx w malunion | Can lead a claim | E | None |
| S42.155S | Nondisplaced fracture of neck of scapula, left shoulder, sequelaCMS: Nondisp fx of neck of scapula, left shoulder, sequela | Can lead a claim | E | None |
| S42.156 Nondisplaced fracture of neck of scapula, unspecified shoulder | ||||
| S42.156A | Nondisplaced fracture of neck of scapula, unspecified shoulder, initial encounter for closed fractureCMS: Nondisp fx of neck of scapula, unsp shoulder, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.156B | Nondisplaced fracture of neck of scapula, unspecified shoulder, initial encounter for open fractureCMS: Nondisp fx of neck of scapula, unsp shldr, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.156D | Nondisplaced fracture of neck of scapula, unspecified shoulder, subsequent encounter for fracture with routine healingCMS: Nondisp fx of nk of scapula, unsp shldr, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.156G | Nondisplaced fracture of neck of scapula, unspecified shoulder, subsequent encounter for fracture with delayed healingCMS: Nondisp fx of nk of scapula, unsp shldr, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.156K | Nondisplaced fracture of neck of scapula, unspecified shoulder, subsequent encounter for fracture with nonunionCMS: Nondisp fx of nk of scapula, unsp shldr, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.156P | Nondisplaced fracture of neck of scapula, unspecified shoulder, subsequent encounter for fracture with malunionCMS: Nondisp fx of nk of scapula, unsp shldr, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.156S | Nondisplaced fracture of neck of scapula, unspecified shoulder, sequelaCMS: Nondisp fx of neck of scapula, unspecified shoulder, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.19 Fracture of other part of scapula | ||||
| S42.191 Fracture of other part of scapula, right shoulder | ||||
| S42.191A | Fracture of other part of scapula, right shoulder, initial encounter for closed fractureCMS: Fracture of oth part of scapula, right shoulder, init | Can lead a claim | E | None |
| S42.191B | Fracture of other part of scapula, right shoulder, initial encounter for open fractureCMS: Fracture oth prt scapula, right shoulder, init for opn fx | Can lead a claim | E | None |
| S42.191D | Fracture of other part of scapula, right shoulder, subsequent encounter for fracture with routine healingCMS: Fx oth prt scapula, r shoulder, subs for fx w routn heal | Can lead a claim | E | None |
| S42.191G | Fracture of other part of scapula, right shoulder, subsequent encounter for fracture with delayed healingCMS: Fx oth prt scapula, r shoulder, subs for fx w delay heal | Can lead a claim | E | None |
| S42.191K | Fracture of other part of scapula, right shoulder, subsequent encounter for fracture with nonunionCMS: Fracture oth prt scapula, r shoulder, subs for fx w nonunion | Can lead a claim | E | None |
| S42.191P | Fracture of other part of scapula, right shoulder, subsequent encounter for fracture with malunionCMS: Fracture oth prt scapula, r shoulder, subs for fx w malunion | Can lead a claim | E | None |
| S42.191S | Fracture of other part of scapula, right shoulder, sequela | Can lead a claim | E | None |
| S42.192 Fracture of other part of scapula, left shoulder | ||||
| S42.192A | Fracture of other part of scapula, left shoulder, initial encounter for closed fractureCMS: Fracture of oth part of scapula, left shoulder, init | Can lead a claim | E | None |
| S42.192B | Fracture of other part of scapula, left shoulder, initial encounter for open fractureCMS: Fracture oth prt scapula, left shoulder, init for opn fx | Can lead a claim | E | None |
| S42.192D | Fracture of other part of scapula, left shoulder, subsequent encounter for fracture with routine healingCMS: Fx oth prt scapula, l shoulder, subs for fx w routn heal | Can lead a claim | E | None |
| S42.192G | Fracture of other part of scapula, left shoulder, subsequent encounter for fracture with delayed healingCMS: Fx oth prt scapula, l shoulder, subs for fx w delay heal | Can lead a claim | E | None |
| S42.192K | Fracture of other part of scapula, left shoulder, subsequent encounter for fracture with nonunionCMS: Fracture oth prt scapula, l shoulder, subs for fx w nonunion | Can lead a claim | E | None |
| S42.192P | Fracture of other part of scapula, left shoulder, subsequent encounter for fracture with malunionCMS: Fracture oth prt scapula, l shoulder, subs for fx w malunion | Can lead a claim | E | None |
| S42.192S | Fracture of other part of scapula, left shoulder, sequela | Can lead a claim | E | None |
| S42.199 Fracture of other part of scapula, unspecified shoulder | ||||
| S42.199A | Fracture of other part of scapula, unspecified shoulder, initial encounter for closed fractureCMS: Fracture of oth part of scapula, unsp shoulder, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.199B | Fracture of other part of scapula, unspecified shoulder, initial encounter for open fractureCMS: Fracture oth prt scapula, unsp shoulder, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.199D | Fracture of other part of scapula, unspecified shoulder, subsequent encounter for fracture with routine healingCMS: Fx oth prt scapula, unsp shoulder, subs for fx w routn heal | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.199G | Fracture of other part of scapula, unspecified shoulder, subsequent encounter for fracture with delayed healingCMS: Fx oth prt scapula, unsp shoulder, subs for fx w delay heal | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.199K | Fracture of other part of scapula, unspecified shoulder, subsequent encounter for fracture with nonunionCMS: Fx oth prt scapula, unsp shoulder, subs for fx w nonunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.199P | Fracture of other part of scapula, unspecified shoulder, subsequent encounter for fracture with malunionCMS: Fx oth prt scapula, unsp shoulder, subs for fx w malunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.199S | Fracture of other part of scapula, unspecified shoulder, sequelaCMS: Fracture of other part of scapula, unsp shoulder, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.2 Fracture of upper end of humerus | ||||
| S42.20 Unspecified fracture of upper end of humerus | ||||
| S42.201 Unspecified fracture of upper end of right humerus | ||||
| S42.201A | Unspecified fracture of upper end of right humerus, initial encounter for closed fractureCMS: Unsp fracture of upper end of right humerus, init | Can lead a claim | E | None |
| S42.201B | Unspecified fracture of upper end of right humerus, initial encounter for open fractureCMS: Unsp fracture of upper end of right humerus, init for opn fx | Can lead a claim | E | None |
| S42.201D | Unspecified fracture of upper end of right humerus, subsequent encounter for fracture with routine healingCMS: Unsp fx upper end of r humerus, subs for fx w routn heal | Can lead a claim | E | None |
| S42.201G | Unspecified fracture of upper end of right humerus, subsequent encounter for fracture with delayed healingCMS: Unsp fx upper end of r humerus, subs for fx w delay heal | Can lead a claim | E | None |
| S42.201K | Unspecified fracture of upper end of right humerus, subsequent encounter for fracture with nonunionCMS: Unsp fx upper end of r humerus, subs for fx w nonunion | Can lead a claim | E | None |
| S42.201P | Unspecified fracture of upper end of right humerus, subsequent encounter for fracture with malunionCMS: Unsp fx upper end of r humerus, subs for fx w malunion | Can lead a claim | E | None |
| S42.201S | Unspecified fracture of upper end of right humerus, sequela | Can lead a claim | E | None |
| S42.202 Unspecified fracture of upper end of left humerus | ||||
| S42.202A | Unspecified fracture of upper end of left humerus, initial encounter for closed fractureCMS: Unsp fracture of upper end of left humerus, init for clos fx | Can lead a claim | E | None |
| S42.202B | Unspecified fracture of upper end of left humerus, initial encounter for open fractureCMS: Unsp fracture of upper end of left humerus, init for opn fx | Can lead a claim | E | None |
| S42.202D | Unspecified fracture of upper end of left humerus, subsequent encounter for fracture with routine healingCMS: Unsp fx upper end of l humerus, subs for fx w routn heal | Can lead a claim | E | None |
| S42.202G | Unspecified fracture of upper end of left humerus, subsequent encounter for fracture with delayed healingCMS: Unsp fx upper end of l humerus, subs for fx w delay heal | Can lead a claim | E | None |
| S42.202K | Unspecified fracture of upper end of left humerus, subsequent encounter for fracture with nonunionCMS: Unsp fx upper end of l humerus, subs for fx w nonunion | Can lead a claim | E | None |
| S42.202P | Unspecified fracture of upper end of left humerus, subsequent encounter for fracture with malunionCMS: Unsp fx upper end of l humerus, subs for fx w malunion | Can lead a claim | E | None |
| S42.202S | Unspecified fracture of upper end of left humerus, sequela | Can lead a claim | E | None |
| S42.209 Unspecified fracture of upper end of unspecified humerus | ||||
| S42.209A | Unspecified fracture of upper end of unspecified humerus, initial encounter for closed fractureCMS: Unsp fracture of upper end of unsp humerus, init for clos fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.209B | Unspecified fracture of upper end of unspecified humerus, initial encounter for open fractureCMS: Unsp fracture of upper end of unsp humerus, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.209D | Unspecified fracture of upper end of unspecified humerus, subsequent encounter for fracture with routine healingCMS: Unsp fx upper end of unsp humerus, subs for fx w routn heal | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.209G | Unspecified fracture of upper end of unspecified humerus, subsequent encounter for fracture with delayed healingCMS: Unsp fx upper end of unsp humerus, subs for fx w delay heal | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.209K | Unspecified fracture of upper end of unspecified humerus, subsequent encounter for fracture with nonunionCMS: Unsp fx upper end of unsp humerus, subs for fx w nonunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.209P | Unspecified fracture of upper end of unspecified humerus, subsequent encounter for fracture with malunionCMS: Unsp fx upper end of unsp humerus, subs for fx w malunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.209S | Unspecified fracture of upper end of unspecified humerus, sequelaCMS: Unsp fracture of upper end of unspecified humerus, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.21 Unspecified fracture of surgical neck of humerus | ||||
| S42.211 Unspecified displaced fracture of surgical neck of right humerus | ||||
| S42.211A | Unspecified displaced fracture of surgical neck of right humerus, initial encounter for closed fractureCMS: Unsp disp fx of surgical neck of right humerus, init | Can lead a claim | E | None |
| S42.211B | Unspecified displaced fracture of surgical neck of right humerus, initial encounter for open fractureCMS: Unsp disp fx of surgical neck of r humerus, init for opn fx | Can lead a claim | E | None |
| S42.211D | Unspecified displaced fracture of surgical neck of right humerus, subsequent encounter for fracture with routine healingCMS: Unsp disp fx of surg nk of r humer, subs for fx w routn heal | Can lead a claim | E | None |
| S42.211G | Unspecified displaced fracture of surgical neck of right humerus, subsequent encounter for fracture with delayed healingCMS: Unsp disp fx of surg nk of r humer, subs for fx w delay heal | Can lead a claim | E | None |
| S42.211K | Unspecified displaced fracture of surgical neck of right humerus, subsequent encounter for fracture with nonunionCMS: Unsp disp fx of surg neck of r humer, subs for fx w nonunion | Can lead a claim | E | None |
| S42.211P | Unspecified displaced fracture of surgical neck of right humerus, subsequent encounter for fracture with malunionCMS: Unsp disp fx of surg neck of r humer, subs for fx w malunion | Can lead a claim | E | None |
| S42.211S | Unspecified displaced fracture of surgical neck of right humerus, sequelaCMS: Unsp disp fx of surgical neck of right humerus, sequela | Can lead a claim | E | None |
| S42.212 Unspecified displaced fracture of surgical neck of left humerus | ||||
| S42.212A | Unspecified displaced fracture of surgical neck of left humerus, initial encounter for closed fractureCMS: Unsp disp fx of surgical neck of left humerus, init | Can lead a claim | E | None |
| S42.212B | Unspecified displaced fracture of surgical neck of left humerus, initial encounter for open fractureCMS: Unsp disp fx of surgical neck of l humerus, init for opn fx | Can lead a claim | E | None |
| S42.212D | Unspecified displaced fracture of surgical neck of left humerus, subsequent encounter for fracture with routine healingCMS: Unsp disp fx of surg nk of l humer, subs for fx w routn heal | Can lead a claim | E | None |
| S42.212G | Unspecified displaced fracture of surgical neck of left humerus, subsequent encounter for fracture with delayed healingCMS: Unsp disp fx of surg nk of l humer, subs for fx w delay heal | Can lead a claim | E | None |
| S42.212K | Unspecified displaced fracture of surgical neck of left humerus, subsequent encounter for fracture with nonunionCMS: Unsp disp fx of surg neck of l humer, subs for fx w nonunion | Can lead a claim | E | None |
| S42.212P | Unspecified displaced fracture of surgical neck of left humerus, subsequent encounter for fracture with malunionCMS: Unsp disp fx of surg neck of l humer, subs for fx w malunion | Can lead a claim | E | None |
| S42.212S | Unspecified displaced fracture of surgical neck of left humerus, sequelaCMS: Unsp disp fx of surgical neck of left humerus, sequela | Can lead a claim | E | None |
| S42.213 Unspecified displaced fracture of surgical neck of unspecified humerus | ||||
| S42.213A | Unspecified displaced fracture of surgical neck of unspecified humerus, initial encounter for closed fractureCMS: Unsp disp fx of surgical neck of unsp humerus, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.213B | Unspecified displaced fracture of surgical neck of unspecified humerus, initial encounter for open fractureCMS: Unsp disp fx of surg neck of unsp humerus, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.213D | Unspecified displaced fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with routine healingCMS: Unsp disp fx of surg nk of unsp humer, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.213G | Unspecified displaced fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with delayed healingCMS: Unsp disp fx of surg nk of unsp humer, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.213K | Unspecified displaced fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with nonunionCMS: Unsp disp fx of surg nk of unsp humer, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.213P | Unspecified displaced fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with malunionCMS: Unsp disp fx of surg nk of unsp humer, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.213S | Unspecified displaced fracture of surgical neck of unspecified humerus, sequelaCMS: Unsp disp fx of surgical neck of unsp humerus, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.214 Unspecified nondisplaced fracture of surgical neck of right humerus | ||||
| S42.214A | Unspecified nondisplaced fracture of surgical neck of right humerus, initial encounter for closed fractureCMS: Unsp nondisp fx of surgical neck of right humerus, init | Can lead a claim | E | None |
| S42.214B | Unspecified nondisplaced fracture of surgical neck of right humerus, initial encounter for open fractureCMS: Unsp nondisp fx of surg neck of r humerus, init for opn fx | Can lead a claim | E | None |
| S42.214D | Unspecified nondisplaced fracture of surgical neck of right humerus, subsequent encounter for fracture with routine healingCMS: Unsp nondisp fx of surg nk of r humer, 7thD | Can lead a claim | E | None |
| S42.214G | Unspecified nondisplaced fracture of surgical neck of right humerus, subsequent encounter for fracture with delayed healingCMS: Unsp nondisp fx of surg nk of r humer, 7thG | Can lead a claim | E | None |
| S42.214K | Unspecified nondisplaced fracture of surgical neck of right humerus, subsequent encounter for fracture with nonunionCMS: Unsp nondisp fx of surg nk of r humer, 7thK | Can lead a claim | E | None |
| S42.214P | Unspecified nondisplaced fracture of surgical neck of right humerus, subsequent encounter for fracture with malunionCMS: Unsp nondisp fx of surg nk of r humer, 7thP | Can lead a claim | E | None |
| S42.214S | Unspecified nondisplaced fracture of surgical neck of right humerus, sequelaCMS: Unsp nondisp fx of surgical neck of right humerus, sequela | Can lead a claim | E | None |
| S42.215 Unspecified nondisplaced fracture of surgical neck of left humerus | ||||
| S42.215A | Unspecified nondisplaced fracture of surgical neck of left humerus, initial encounter for closed fractureCMS: Unsp nondisp fx of surgical neck of left humerus, init | Can lead a claim | E | None |
| S42.215B | Unspecified nondisplaced fracture of surgical neck of left humerus, initial encounter for open fractureCMS: Unsp nondisp fx of surg neck of l humerus, init for opn fx | Can lead a claim | E | None |
| S42.215D | Unspecified nondisplaced fracture of surgical neck of left humerus, subsequent encounter for fracture with routine healingCMS: Unsp nondisp fx of surg nk of l humer, 7thD | Can lead a claim | E | None |
| S42.215G | Unspecified nondisplaced fracture of surgical neck of left humerus, subsequent encounter for fracture with delayed healingCMS: Unsp nondisp fx of surg nk of l humer, 7thG | Can lead a claim | E | None |
| S42.215K | Unspecified nondisplaced fracture of surgical neck of left humerus, subsequent encounter for fracture with nonunionCMS: Unsp nondisp fx of surg nk of l humer, 7thK | Can lead a claim | E | None |
| S42.215P | Unspecified nondisplaced fracture of surgical neck of left humerus, subsequent encounter for fracture with malunionCMS: Unsp nondisp fx of surg nk of l humer, 7thP | Can lead a claim | E | None |
| S42.215S | Unspecified nondisplaced fracture of surgical neck of left humerus, sequelaCMS: Unsp nondisp fx of surgical neck of left humerus, sequela | Can lead a claim | E | None |
| S42.216 Unspecified nondisplaced fracture of surgical neck of unspecified humerus | ||||
| S42.216A | Unspecified nondisplaced fracture of surgical neck of unspecified humerus, initial encounter for closed fractureCMS: Unsp nondisp fx of surgical neck of unsp humerus, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.216B | Unspecified nondisplaced fracture of surgical neck of unspecified humerus, initial encounter for open fractureCMS: Unsp nondisp fx of surg neck of unsp humer, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.216D | Unspecified nondisplaced fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with routine healingCMS: Unsp nondisp fx of surg nk of unsp humer, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.216G | Unspecified nondisplaced fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with delayed healingCMS: Unsp nondisp fx of surg nk of unsp humer, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.216K | Unspecified nondisplaced fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with nonunionCMS: Unsp nondisp fx of surg nk of unsp humer, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.216P | Unspecified nondisplaced fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with malunionCMS: Unsp nondisp fx of surg nk of unsp humer, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.216S | Unspecified nondisplaced fracture of surgical neck of unspecified humerus, sequelaCMS: Unsp nondisp fx of surgical neck of unsp humerus, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.22 2-part fracture of surgical neck of humerus | ||||
| S42.221 2-part displaced fracture of surgical neck of right humerus | ||||
| S42.221A | 2-part displaced fracture of surgical neck of right humerus, initial encounter for closed fractureCMS: 2-part disp fx of surgical neck of right humerus, init | Can lead a claim | E | None |
| S42.221B | 2-part displaced fracture of surgical neck of right humerus, initial encounter for open fractureCMS: 2-part disp fx of surg neck of r humerus, init for opn fx | Can lead a claim | E | None |
| S42.221D | 2-part displaced fracture of surgical neck of right humerus, subsequent encounter for fracture with routine healingCMS: 2-part disp fx of surg nk of r humer, 7thD | Can lead a claim | E | None |
| S42.221G | 2-part displaced fracture of surgical neck of right humerus, subsequent encounter for fracture with delayed healingCMS: 2-part disp fx of surg nk of r humer, 7thG | Can lead a claim | E | None |
| S42.221K | 2-part displaced fracture of surgical neck of right humerus, subsequent encounter for fracture with nonunionCMS: 2-part disp fx of surg nk of r humer, subs for fx w nonunion | Can lead a claim | E | None |
| S42.221P | 2-part displaced fracture of surgical neck of right humerus, subsequent encounter for fracture with malunionCMS: 2-part disp fx of surg nk of r humer, subs for fx w malunion | Can lead a claim | E | None |
| S42.221S | 2-part displaced fracture of surgical neck of right humerus, sequelaCMS: 2-part disp fx of surgical neck of right humerus, sequela | Can lead a claim | E | None |
| S42.222 2-part displaced fracture of surgical neck of left humerus | ||||
| S42.222A | 2-part displaced fracture of surgical neck of left humerus, initial encounter for closed fractureCMS: 2-part disp fx of surgical neck of left humerus, init | Can lead a claim | E | None |
| S42.222B | 2-part displaced fracture of surgical neck of left humerus, initial encounter for open fractureCMS: 2-part disp fx of surg neck of l humerus, init for opn fx | Can lead a claim | E | None |
| S42.222D | 2-part displaced fracture of surgical neck of left humerus, subsequent encounter for fracture with routine healingCMS: 2-part disp fx of surg nk of l humer, 7thD | Can lead a claim | E | None |
| S42.222G | 2-part displaced fracture of surgical neck of left humerus, subsequent encounter for fracture with delayed healingCMS: 2-part disp fx of surg nk of l humer, 7thG | Can lead a claim | E | None |
| S42.222K | 2-part displaced fracture of surgical neck of left humerus, subsequent encounter for fracture with nonunionCMS: 2-part disp fx of surg nk of l humer, subs for fx w nonunion | Can lead a claim | E | None |
| S42.222P | 2-part displaced fracture of surgical neck of left humerus, subsequent encounter for fracture with malunionCMS: 2-part disp fx of surg nk of l humer, subs for fx w malunion | Can lead a claim | E | None |
| S42.222S | 2-part displaced fracture of surgical neck of left humerus, sequelaCMS: 2-part disp fx of surgical neck of left humerus, sequela | Can lead a claim | E | None |
| S42.223 2-part displaced fracture of surgical neck of unspecified humerus | ||||
| S42.223A | 2-part displaced fracture of surgical neck of unspecified humerus, initial encounter for closed fractureCMS: 2-part disp fx of surgical neck of unsp humerus, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.223B | 2-part displaced fracture of surgical neck of unspecified humerus, initial encounter for open fractureCMS: 2-part disp fx of surg neck of unsp humerus, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.223D | 2-part displaced fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with routine healingCMS: 2-part disp fx of surg nk of unsp humer, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.223G | 2-part displaced fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with delayed healingCMS: 2-part disp fx of surg nk of unsp humer, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.223K | 2-part displaced fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with nonunionCMS: 2-part disp fx of surg nk of unsp humer, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.223P | 2-part displaced fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with malunionCMS: 2-part disp fx of surg nk of unsp humer, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.223S | 2-part displaced fracture of surgical neck of unspecified humerus, sequelaCMS: 2-part disp fx of surgical neck of unsp humerus, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.224 2-part nondisplaced fracture of surgical neck of right humerus | ||||
| S42.224A | 2-part nondisplaced fracture of surgical neck of right humerus, initial encounter for closed fractureCMS: 2-part nondisp fx of surgical neck of right humerus, init | Can lead a claim | E | None |
| S42.224B | 2-part nondisplaced fracture of surgical neck of right humerus, initial encounter for open fractureCMS: 2-part nondisp fx of surg neck of r humerus, init for opn fx | Can lead a claim | E | None |
| S42.224D | 2-part nondisplaced fracture of surgical neck of right humerus, subsequent encounter for fracture with routine healingCMS: 2-part nondisp fx of surg nk of r humer, 7thD | Can lead a claim | E | None |
| S42.224G | 2-part nondisplaced fracture of surgical neck of right humerus, subsequent encounter for fracture with delayed healingCMS: 2-part nondisp fx of surg nk of r humer, 7thG | Can lead a claim | E | None |
| S42.224K | 2-part nondisplaced fracture of surgical neck of right humerus, subsequent encounter for fracture with nonunionCMS: 2-part nondisp fx of surg nk of r humer, 7thK | Can lead a claim | E | None |
| S42.224P | 2-part nondisplaced fracture of surgical neck of right humerus, subsequent encounter for fracture with malunionCMS: 2-part nondisp fx of surg nk of r humer, 7thP | Can lead a claim | E | None |
| S42.224S | 2-part nondisplaced fracture of surgical neck of right humerus, sequelaCMS: 2-part nondisp fx of surgical neck of right humerus, sequela | Can lead a claim | E | None |
| S42.225 2-part nondisplaced fracture of surgical neck of left humerus | ||||
| S42.225A | 2-part nondisplaced fracture of surgical neck of left humerus, initial encounter for closed fractureCMS: 2-part nondisp fx of surgical neck of left humerus, init | Can lead a claim | E | None |
| S42.225B | 2-part nondisplaced fracture of surgical neck of left humerus, initial encounter for open fractureCMS: 2-part nondisp fx of surg neck of l humerus, init for opn fx | Can lead a claim | E | None |
| S42.225D | 2-part nondisplaced fracture of surgical neck of left humerus, subsequent encounter for fracture with routine healingCMS: 2-part nondisp fx of surg nk of l humer, 7thD | Can lead a claim | E | None |
| S42.225G | 2-part nondisplaced fracture of surgical neck of left humerus, subsequent encounter for fracture with delayed healingCMS: 2-part nondisp fx of surg nk of l humer, 7thG | Can lead a claim | E | None |
| S42.225K | 2-part nondisplaced fracture of surgical neck of left humerus, subsequent encounter for fracture with nonunionCMS: 2-part nondisp fx of surg nk of l humer, 7thK | Can lead a claim | E | None |
| S42.225P | 2-part nondisplaced fracture of surgical neck of left humerus, subsequent encounter for fracture with malunionCMS: 2-part nondisp fx of surg nk of l humer, 7thP | Can lead a claim | E | None |
| S42.225S | 2-part nondisplaced fracture of surgical neck of left humerus, sequelaCMS: 2-part nondisp fx of surgical neck of left humerus, sequela | Can lead a claim | E | None |
| S42.226 2-part nondisplaced fracture of surgical neck of unspecified humerus | ||||
| S42.226A | 2-part nondisplaced fracture of surgical neck of unspecified humerus, initial encounter for closed fractureCMS: 2-part nondisp fx of surgical neck of unsp humerus, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.226B | 2-part nondisplaced fracture of surgical neck of unspecified humerus, initial encounter for open fractureCMS: 2-part nondisp fx of surg nk of unsp humer, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.226D | 2-part nondisplaced fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with routine healingCMS: 2-part nondisp fx of surg nk of unsp humer, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.226G | 2-part nondisplaced fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with delayed healingCMS: 2-part nondisp fx of surg nk of unsp humer, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.226K | 2-part nondisplaced fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with nonunionCMS: 2-part nondisp fx of surg nk of unsp humer, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.226P | 2-part nondisplaced fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with malunionCMS: 2-part nondisp fx of surg nk of unsp humer, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.226S | 2-part nondisplaced fracture of surgical neck of unspecified humerus, sequelaCMS: 2-part nondisp fx of surgical neck of unsp humerus, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.23 3-part fracture of surgical neck of humerus | ||||
| S42.231 3-part fracture of surgical neck of right humerus | ||||
| S42.231A | 3-part fracture of surgical neck of right humerus, initial encounter for closed fractureCMS: 3-part fracture of surgical neck of right humerus, init | Can lead a claim | E | None |
| S42.231B | 3-part fracture of surgical neck of right humerus, initial encounter for open fractureCMS: 3-part fx surgical neck of r humerus, init for opn fx | Can lead a claim | E | None |
| S42.231D | 3-part fracture of surgical neck of right humerus, subsequent encounter for fracture with routine healingCMS: 3-part fx surg neck of r humerus, subs for fx w routn heal | Can lead a claim | E | None |
| S42.231G | 3-part fracture of surgical neck of right humerus, subsequent encounter for fracture with delayed healingCMS: 3-part fx surg neck of r humerus, subs for fx w delay heal | Can lead a claim | E | None |
| S42.231K | 3-part fracture of surgical neck of right humerus, subsequent encounter for fracture with nonunionCMS: 3-part fx surgical neck of r humerus, subs for fx w nonunion | Can lead a claim | E | None |
| S42.231P | 3-part fracture of surgical neck of right humerus, subsequent encounter for fracture with malunionCMS: 3-part fx surgical neck of r humerus, subs for fx w malunion | Can lead a claim | E | None |
| S42.231S | 3-part fracture of surgical neck of right humerus, sequela | Can lead a claim | E | None |
| S42.232 3-part fracture of surgical neck of left humerus | ||||
| S42.232A | 3-part fracture of surgical neck of left humerus, initial encounter for closed fractureCMS: 3-part fracture of surgical neck of left humerus, init | Can lead a claim | E | None |
| S42.232B | 3-part fracture of surgical neck of left humerus, initial encounter for open fractureCMS: 3-part fx surgical neck of l humerus, init for opn fx | Can lead a claim | E | None |
| S42.232D | 3-part fracture of surgical neck of left humerus, subsequent encounter for fracture with routine healingCMS: 3-part fx surg neck of l humerus, subs for fx w routn heal | Can lead a claim | E | None |
| S42.232G | 3-part fracture of surgical neck of left humerus, subsequent encounter for fracture with delayed healingCMS: 3-part fx surg neck of l humerus, subs for fx w delay heal | Can lead a claim | E | None |
| S42.232K | 3-part fracture of surgical neck of left humerus, subsequent encounter for fracture with nonunionCMS: 3-part fx surgical neck of l humerus, subs for fx w nonunion | Can lead a claim | E | None |
| S42.232P | 3-part fracture of surgical neck of left humerus, subsequent encounter for fracture with malunionCMS: 3-part fx surgical neck of l humerus, subs for fx w malunion | Can lead a claim | E | None |
| S42.232S | 3-part fracture of surgical neck of left humerus, sequela | Can lead a claim | E | None |
| S42.239 3-part fracture of surgical neck of unspecified humerus | ||||
| S42.239A | 3-part fracture of surgical neck of unspecified humerus, initial encounter for closed fractureCMS: 3-part fracture of surgical neck of unsp humerus, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.239B | 3-part fracture of surgical neck of unspecified humerus, initial encounter for open fractureCMS: 3-part fx surgical neck of unsp humerus, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.239D | 3-part fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with routine healingCMS: 3-part fx surg neck of unsp humer, subs for fx w routn heal | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.239G | 3-part fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with delayed healingCMS: 3-part fx surg neck of unsp humer, subs for fx w delay heal | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.239K | 3-part fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with nonunionCMS: 3-part fx surg neck of unsp humerus, subs for fx w nonunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.239P | 3-part fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with malunionCMS: 3-part fx surg neck of unsp humerus, subs for fx w malunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.239S | 3-part fracture of surgical neck of unspecified humerus, sequelaCMS: 3-part fracture of surgical neck of unsp humerus, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.24 4-part fracture of surgical neck of humerus | ||||
| S42.241 4-part fracture of surgical neck of right humerus | ||||
| S42.241A | 4-part fracture of surgical neck of right humerus, initial encounter for closed fractureCMS: 4-part fracture of surgical neck of right humerus, init | Can lead a claim | E | None |
| S42.241B | 4-part fracture of surgical neck of right humerus, initial encounter for open fractureCMS: 4-part fx surgical neck of r humerus, init for opn fx | Can lead a claim | E | None |
| S42.241D | 4-part fracture of surgical neck of right humerus, subsequent encounter for fracture with routine healingCMS: 4-part fx surg neck of r humerus, subs for fx w routn heal | Can lead a claim | E | None |
| S42.241G | 4-part fracture of surgical neck of right humerus, subsequent encounter for fracture with delayed healingCMS: 4-part fx surg neck of r humerus, subs for fx w delay heal | Can lead a claim | E | None |
| S42.241K | 4-part fracture of surgical neck of right humerus, subsequent encounter for fracture with nonunionCMS: 4-part fx surgical neck of r humerus, subs for fx w nonunion | Can lead a claim | E | None |
| S42.241P | 4-part fracture of surgical neck of right humerus, subsequent encounter for fracture with malunionCMS: 4-part fx surgical neck of r humerus, subs for fx w malunion | Can lead a claim | E | None |
| S42.241S | 4-part fracture of surgical neck of right humerus, sequela | Can lead a claim | E | None |
| S42.242 4-part fracture of surgical neck of left humerus | ||||
| S42.242A | 4-part fracture of surgical neck of left humerus, initial encounter for closed fractureCMS: 4-part fracture of surgical neck of left humerus, init | Can lead a claim | E | None |
| S42.242B | 4-part fracture of surgical neck of left humerus, initial encounter for open fractureCMS: 4-part fx surgical neck of l humerus, init for opn fx | Can lead a claim | E | None |
| S42.242D | 4-part fracture of surgical neck of left humerus, subsequent encounter for fracture with routine healingCMS: 4-part fx surg neck of l humerus, subs for fx w routn heal | Can lead a claim | E | None |
| S42.242G | 4-part fracture of surgical neck of left humerus, subsequent encounter for fracture with delayed healingCMS: 4-part fx surg neck of l humerus, subs for fx w delay heal | Can lead a claim | E | None |
| S42.242K | 4-part fracture of surgical neck of left humerus, subsequent encounter for fracture with nonunionCMS: 4-part fx surgical neck of l humerus, subs for fx w nonunion | Can lead a claim | E | None |
| S42.242P | 4-part fracture of surgical neck of left humerus, subsequent encounter for fracture with malunionCMS: 4-part fx surgical neck of l humerus, subs for fx w malunion | Can lead a claim | E | None |
| S42.242S | 4-part fracture of surgical neck of left humerus, sequela | Can lead a claim | E | None |
| S42.249 4-part fracture of surgical neck of unspecified humerus | ||||
| S42.249A | 4-part fracture of surgical neck of unspecified humerus, initial encounter for closed fractureCMS: 4-part fracture of surgical neck of unsp humerus, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.249B | 4-part fracture of surgical neck of unspecified humerus, initial encounter for open fractureCMS: 4-part fx surgical neck of unsp humerus, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.249D | 4-part fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with routine healingCMS: 4-part fx surg neck of unsp humer, subs for fx w routn heal | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.249G | 4-part fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with delayed healingCMS: 4-part fx surg neck of unsp humer, subs for fx w delay heal | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.249K | 4-part fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with nonunionCMS: 4-part fx surg neck of unsp humerus, subs for fx w nonunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.249P | 4-part fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with malunionCMS: 4-part fx surg neck of unsp humerus, subs for fx w malunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.249S | 4-part fracture of surgical neck of unspecified humerus, sequelaCMS: 4-part fracture of surgical neck of unsp humerus, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.25 Fracture of greater tuberosity of humerus | ||||
| S42.251 Displaced fracture of greater tuberosity of right humerus | ||||
| S42.251A | Displaced fracture of greater tuberosity of right humerus, initial encounter for closed fractureCMS: Disp fx of greater tuberosity of right humerus, init | Can lead a claim | E | None |
| S42.251B | Displaced fracture of greater tuberosity of right humerus, initial encounter for open fractureCMS: Disp fx of greater tuberosity of r humerus, init for opn fx | Can lead a claim | E | None |
| S42.251D | Displaced fracture of greater tuberosity of right humerus, subsequent encounter for fracture with routine healingCMS: Disp fx of greater tuberosity of r humer, 7thD | Can lead a claim | E | None |
| S42.251G | Displaced fracture of greater tuberosity of right humerus, subsequent encounter for fracture with delayed healingCMS: Disp fx of greater tuberosity of r humer, 7thG | Can lead a claim | E | None |
| S42.251K | Displaced fracture of greater tuberosity of right humerus, subsequent encounter for fracture with nonunionCMS: Disp fx of greater tuberosity of r humer, 7thK | Can lead a claim | E | None |
| S42.251P | Displaced fracture of greater tuberosity of right humerus, subsequent encounter for fracture with malunionCMS: Disp fx of greater tuberosity of r humer, 7thP | Can lead a claim | E | None |
| S42.251S | Displaced fracture of greater tuberosity of right humerus, sequelaCMS: Disp fx of greater tuberosity of right humerus, sequela | Can lead a claim | E | None |
| S42.252 Displaced fracture of greater tuberosity of left humerus | ||||
| S42.252A | Displaced fracture of greater tuberosity of left humerus, initial encounter for closed fractureCMS: Disp fx of greater tuberosity of left humerus, init | Can lead a claim | E | None |
| S42.252B | Displaced fracture of greater tuberosity of left humerus, initial encounter for open fractureCMS: Disp fx of greater tuberosity of l humerus, init for opn fx | Can lead a claim | E | None |
| S42.252D | Displaced fracture of greater tuberosity of left humerus, subsequent encounter for fracture with routine healingCMS: Disp fx of greater tuberosity of l humer, 7thD | Can lead a claim | E | None |
| S42.252G | Displaced fracture of greater tuberosity of left humerus, subsequent encounter for fracture with delayed healingCMS: Disp fx of greater tuberosity of l humer, 7thG | Can lead a claim | E | None |
| S42.252K | Displaced fracture of greater tuberosity of left humerus, subsequent encounter for fracture with nonunionCMS: Disp fx of greater tuberosity of l humer, 7thK | Can lead a claim | E | None |
| S42.252P | Displaced fracture of greater tuberosity of left humerus, subsequent encounter for fracture with malunionCMS: Disp fx of greater tuberosity of l humer, 7thP | Can lead a claim | E | None |
| S42.252S | Displaced fracture of greater tuberosity of left humerus, sequelaCMS: Disp fx of greater tuberosity of left humerus, sequela | Can lead a claim | E | None |
| S42.253 Displaced fracture of greater tuberosity of unspecified humerus | ||||
| S42.253A | Displaced fracture of greater tuberosity of unspecified humerus, initial encounter for closed fractureCMS: Disp fx of greater tuberosity of unsp humerus, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.253B | Displaced fracture of greater tuberosity of unspecified humerus, initial encounter for open fractureCMS: Disp fx of greater tuberosity of unsp humer, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.253D | Displaced fracture of greater tuberosity of unspecified humerus, subsequent encounter for fracture with routine healingCMS: Disp fx of greater tuberosity of unsp humer, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.253G | Displaced fracture of greater tuberosity of unspecified humerus, subsequent encounter for fracture with delayed healingCMS: Disp fx of greater tuberosity of unsp humer, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.253K | Displaced fracture of greater tuberosity of unspecified humerus, subsequent encounter for fracture with nonunionCMS: Disp fx of greater tuberosity of unsp humer, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.253P | Displaced fracture of greater tuberosity of unspecified humerus, subsequent encounter for fracture with malunionCMS: Disp fx of greater tuberosity of unsp humer, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.253S | Displaced fracture of greater tuberosity of unspecified humerus, sequelaCMS: Disp fx of greater tuberosity of unsp humerus, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.254 Nondisplaced fracture of greater tuberosity of right humerus | ||||
| S42.254A | Nondisplaced fracture of greater tuberosity of right humerus, initial encounter for closed fractureCMS: Nondisp fx of greater tuberosity of right humerus, init | Can lead a claim | E | None |
| S42.254B | Nondisplaced fracture of greater tuberosity of right humerus, initial encounter for open fractureCMS: Nondisp fx of greater tuberosity of r humer, init for opn fx | Can lead a claim | E | None |
| S42.254D | Nondisplaced fracture of greater tuberosity of right humerus, subsequent encounter for fracture with routine healingCMS: Nondisp fx of greater tuberosity of r humer, 7thD | Can lead a claim | E | None |
| S42.254G | Nondisplaced fracture of greater tuberosity of right humerus, subsequent encounter for fracture with delayed healingCMS: Nondisp fx of greater tuberosity of r humer, 7thG | Can lead a claim | E | None |
| S42.254K | Nondisplaced fracture of greater tuberosity of right humerus, subsequent encounter for fracture with nonunionCMS: Nondisp fx of greater tuberosity of r humer, 7thK | Can lead a claim | E | None |
| S42.254P | Nondisplaced fracture of greater tuberosity of right humerus, subsequent encounter for fracture with malunionCMS: Nondisp fx of greater tuberosity of r humer, 7thP | Can lead a claim | E | None |
| S42.254S | Nondisplaced fracture of greater tuberosity of right humerus, sequelaCMS: Nondisp fx of greater tuberosity of right humerus, sequela | Can lead a claim | E | None |
| S42.255 Nondisplaced fracture of greater tuberosity of left humerus | ||||
| S42.255A | Nondisplaced fracture of greater tuberosity of left humerus, initial encounter for closed fractureCMS: Nondisp fx of greater tuberosity of left humerus, init | Can lead a claim | E | None |
| S42.255B | Nondisplaced fracture of greater tuberosity of left humerus, initial encounter for open fractureCMS: Nondisp fx of greater tuberosity of l humer, init for opn fx | Can lead a claim | E | None |
| S42.255D | Nondisplaced fracture of greater tuberosity of left humerus, subsequent encounter for fracture with routine healingCMS: Nondisp fx of greater tuberosity of l humer, 7thD | Can lead a claim | E | None |
| S42.255G | Nondisplaced fracture of greater tuberosity of left humerus, subsequent encounter for fracture with delayed healingCMS: Nondisp fx of greater tuberosity of l humer, 7thG | Can lead a claim | E | None |
| S42.255K | Nondisplaced fracture of greater tuberosity of left humerus, subsequent encounter for fracture with nonunionCMS: Nondisp fx of greater tuberosity of l humer, 7thK | Can lead a claim | E | None |
| S42.255P | Nondisplaced fracture of greater tuberosity of left humerus, subsequent encounter for fracture with malunionCMS: Nondisp fx of greater tuberosity of l humer, 7thP | Can lead a claim | E | None |
| S42.255S | Nondisplaced fracture of greater tuberosity of left humerus, sequelaCMS: Nondisp fx of greater tuberosity of left humerus, sequela | Can lead a claim | E | None |
| S42.256 Nondisplaced fracture of greater tuberosity of unspecified humerus | ||||
| S42.256A | Nondisplaced fracture of greater tuberosity of unspecified humerus, initial encounter for closed fractureCMS: Nondisp fx of greater tuberosity of unsp humerus, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.256B | Nondisplaced fracture of greater tuberosity of unspecified humerus, initial encounter for open fractureCMS: Nondisp fx of greater tuberosity of unsp humer, 7thB | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.256D | Nondisplaced fracture of greater tuberosity of unspecified humerus, subsequent encounter for fracture with routine healingCMS: Nondisp fx of greater tuberosity of unsp humer, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.256G | Nondisplaced fracture of greater tuberosity of unspecified humerus, subsequent encounter for fracture with delayed healingCMS: Nondisp fx of greater tuberosity of unsp humer, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.256K | Nondisplaced fracture of greater tuberosity of unspecified humerus, subsequent encounter for fracture with nonunionCMS: Nondisp fx of greater tuberosity of unsp humer, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.256P | Nondisplaced fracture of greater tuberosity of unspecified humerus, subsequent encounter for fracture with malunionCMS: Nondisp fx of greater tuberosity of unsp humer, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.256S | Nondisplaced fracture of greater tuberosity of unspecified humerus, sequelaCMS: Nondisp fx of greater tuberosity of unsp humerus, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.26 Fracture of lesser tuberosity of humerus | ||||
| S42.261 Displaced fracture of lesser tuberosity of right humerus | ||||
| S42.261A | Displaced fracture of lesser tuberosity of right humerus, initial encounter for closed fractureCMS: Disp fx of lesser tuberosity of right humerus, init | Can lead a claim | E | None |
| S42.261B | Displaced fracture of lesser tuberosity of right humerus, initial encounter for open fractureCMS: Disp fx of lesser tuberosity of r humerus, init for opn fx | Can lead a claim | E | None |
| S42.261D | Displaced fracture of lesser tuberosity of right humerus, subsequent encounter for fracture with routine healingCMS: Disp fx of less tuberosity of r humer, 7thD | Can lead a claim | E | None |
| S42.261G | Displaced fracture of lesser tuberosity of right humerus, subsequent encounter for fracture with delayed healingCMS: Disp fx of less tuberosity of r humer, 7thG | Can lead a claim | E | None |
| S42.261K | Displaced fracture of lesser tuberosity of right humerus, subsequent encounter for fracture with nonunionCMS: Disp fx of less tuberosity of r humer, 7thK | Can lead a claim | E | None |
| S42.261P | Displaced fracture of lesser tuberosity of right humerus, subsequent encounter for fracture with malunionCMS: Disp fx of less tuberosity of r humer, 7thP | Can lead a claim | E | None |
| S42.261S | Displaced fracture of lesser tuberosity of right humerus, sequelaCMS: Disp fx of lesser tuberosity of right humerus, sequela | Can lead a claim | E | None |
| S42.262 Displaced fracture of lesser tuberosity of left humerus | ||||
| S42.262A | Displaced fracture of lesser tuberosity of left humerus, initial encounter for closed fractureCMS: Disp fx of lesser tuberosity of left humerus, init | Can lead a claim | E | None |
| S42.262B | Displaced fracture of lesser tuberosity of left humerus, initial encounter for open fractureCMS: Disp fx of lesser tuberosity of l humerus, init for opn fx | Can lead a claim | E | None |
| S42.262D | Displaced fracture of lesser tuberosity of left humerus, subsequent encounter for fracture with routine healingCMS: Disp fx of less tuberosity of l humer, 7thD | Can lead a claim | E | None |
| S42.262G | Displaced fracture of lesser tuberosity of left humerus, subsequent encounter for fracture with delayed healingCMS: Disp fx of less tuberosity of l humer, 7thG | Can lead a claim | E | None |
| S42.262K | Displaced fracture of lesser tuberosity of left humerus, subsequent encounter for fracture with nonunionCMS: Disp fx of less tuberosity of l humer, 7thK | Can lead a claim | E | None |
| S42.262P | Displaced fracture of lesser tuberosity of left humerus, subsequent encounter for fracture with malunionCMS: Disp fx of less tuberosity of l humer, 7thP | Can lead a claim | E | None |
| S42.262S | Displaced fracture of lesser tuberosity of left humerus, sequelaCMS: Disp fx of lesser tuberosity of left humerus, sequela | Can lead a claim | E | None |
| S42.263 Displaced fracture of lesser tuberosity of unspecified humerus | ||||
| S42.263A | Displaced fracture of lesser tuberosity of unspecified humerus, initial encounter for closed fractureCMS: Disp fx of lesser tuberosity of unsp humerus, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.263B | Displaced fracture of lesser tuberosity of unspecified humerus, initial encounter for open fractureCMS: Disp fx of lesser tuberosity of unsp humer, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.263D | Displaced fracture of lesser tuberosity of unspecified humerus, subsequent encounter for fracture with routine healingCMS: Disp fx of less tuberosity of unsp humer, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.263G | Displaced fracture of lesser tuberosity of unspecified humerus, subsequent encounter for fracture with delayed healingCMS: Disp fx of less tuberosity of unsp humer, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.263K | Displaced fracture of lesser tuberosity of unspecified humerus, subsequent encounter for fracture with nonunionCMS: Disp fx of less tuberosity of unsp humer, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.263P | Displaced fracture of lesser tuberosity of unspecified humerus, subsequent encounter for fracture with malunionCMS: Disp fx of less tuberosity of unsp humer, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.263S | Displaced fracture of lesser tuberosity of unspecified humerus, sequelaCMS: Disp fx of lesser tuberosity of unspecified humerus, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.264 Nondisplaced fracture of lesser tuberosity of right humerus | ||||
| S42.264A | Nondisplaced fracture of lesser tuberosity of right humerus, initial encounter for closed fractureCMS: Nondisp fx of lesser tuberosity of right humerus, init | Can lead a claim | E | None |
| S42.264B | Nondisplaced fracture of lesser tuberosity of right humerus, initial encounter for open fractureCMS: Nondisp fx of lesser tuberosity of r humer, init for opn fx | Can lead a claim | E | None |
| S42.264D | Nondisplaced fracture of lesser tuberosity of right humerus, subsequent encounter for fracture with routine healingCMS: Nondisp fx of less tuberosity of r humer, 7thD | Can lead a claim | E | None |
| S42.264G | Nondisplaced fracture of lesser tuberosity of right humerus, subsequent encounter for fracture with delayed healingCMS: Nondisp fx of less tuberosity of r humer, 7thG | Can lead a claim | E | None |
| S42.264K | Nondisplaced fracture of lesser tuberosity of right humerus, subsequent encounter for fracture with nonunionCMS: Nondisp fx of less tuberosity of r humer, 7thK | Can lead a claim | E | None |
| S42.264P | Nondisplaced fracture of lesser tuberosity of right humerus, subsequent encounter for fracture with malunionCMS: Nondisp fx of less tuberosity of r humer, 7thP | Can lead a claim | E | None |
| S42.264S | Nondisplaced fracture of lesser tuberosity of right humerus, sequelaCMS: Nondisp fx of lesser tuberosity of right humerus, sequela | Can lead a claim | E | None |
| S42.265 Nondisplaced fracture of lesser tuberosity of left humerus | ||||
| S42.265A | Nondisplaced fracture of lesser tuberosity of left humerus, initial encounter for closed fractureCMS: Nondisp fx of lesser tuberosity of left humerus, init | Can lead a claim | E | None |
| S42.265B | Nondisplaced fracture of lesser tuberosity of left humerus, initial encounter for open fractureCMS: Nondisp fx of lesser tuberosity of l humer, init for opn fx | Can lead a claim | E | None |
| S42.265D | Nondisplaced fracture of lesser tuberosity of left humerus, subsequent encounter for fracture with routine healingCMS: Nondisp fx of less tuberosity of l humer, 7thD | Can lead a claim | E | None |
| S42.265G | Nondisplaced fracture of lesser tuberosity of left humerus, subsequent encounter for fracture with delayed healingCMS: Nondisp fx of less tuberosity of l humer, 7thG | Can lead a claim | E | None |
| S42.265K | Nondisplaced fracture of lesser tuberosity of left humerus, subsequent encounter for fracture with nonunionCMS: Nondisp fx of less tuberosity of l humer, 7thK | Can lead a claim | E | None |
| S42.265P | Nondisplaced fracture of lesser tuberosity of left humerus, subsequent encounter for fracture with malunionCMS: Nondisp fx of less tuberosity of l humer, 7thP | Can lead a claim | E | None |
| S42.265S | Nondisplaced fracture of lesser tuberosity of left humerus, sequelaCMS: Nondisp fx of lesser tuberosity of left humerus, sequela | Can lead a claim | E | None |
| S42.266 Nondisplaced fracture of lesser tuberosity of unspecified humerus | ||||
| S42.266A | Nondisplaced fracture of lesser tuberosity of unspecified humerus, initial encounter for closed fractureCMS: Nondisp fx of lesser tuberosity of unsp humerus, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.266B | Nondisplaced fracture of lesser tuberosity of unspecified humerus, initial encounter for open fractureCMS: Nondisp fx of less tuberosity of unsp humer, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.266D | Nondisplaced fracture of lesser tuberosity of unspecified humerus, subsequent encounter for fracture with routine healingCMS: Nondisp fx of less tuberosity of unsp humer, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.266G | Nondisplaced fracture of lesser tuberosity of unspecified humerus, subsequent encounter for fracture with delayed healingCMS: Nondisp fx of less tuberosity of unsp humer, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.266K | Nondisplaced fracture of lesser tuberosity of unspecified humerus, subsequent encounter for fracture with nonunionCMS: Nondisp fx of less tuberosity of unsp humer, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.266P | Nondisplaced fracture of lesser tuberosity of unspecified humerus, subsequent encounter for fracture with malunionCMS: Nondisp fx of less tuberosity of unsp humer, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.266S | Nondisplaced fracture of lesser tuberosity of unspecified humerus, sequelaCMS: Nondisp fx of lesser tuberosity of unsp humerus, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.27 Torus fracture of upper end of humerus | ||||
| S42.271 Torus fracture of upper end of right humerus | ||||
| S42.271A | Torus fracture of upper end of right humerus, initial encounter for closed fractureCMS: Torus fracture of upper end of right humerus, init | Can lead a claim | E | None |
| S42.271D | Torus fracture of upper end of right humerus, subsequent encounter for fracture with routine healingCMS: Torus fx upper end of r humerus, subs for fx w routn heal | Can lead a claim | E | None |
| S42.271G | Torus fracture of upper end of right humerus, subsequent encounter for fracture with delayed healingCMS: Torus fx upper end of r humerus, subs for fx w delay heal | Can lead a claim | E | None |
| S42.271K | Torus fracture of upper end of right humerus, subsequent encounter for fracture with nonunionCMS: Torus fx upper end of r humerus, subs for fx w nonunion | Can lead a claim | E | None |
| S42.271P | Torus fracture of upper end of right humerus, subsequent encounter for fracture with malunionCMS: Torus fx upper end of r humerus, subs for fx w malunion | Can lead a claim | E | None |
| S42.271S | Torus fracture of upper end of right humerus, sequela | Can lead a claim | E | None |
| S42.272 Torus fracture of upper end of left humerus | ||||
| S42.272A | Torus fracture of upper end of left humerus, initial encounter for closed fractureCMS: Torus fracture of upper end of left humerus, init | Can lead a claim | E | None |
| S42.272D | Torus fracture of upper end of left humerus, subsequent encounter for fracture with routine healingCMS: Torus fx upper end of l humerus, subs for fx w routn heal | Can lead a claim | E | None |
| S42.272G | Torus fracture of upper end of left humerus, subsequent encounter for fracture with delayed healingCMS: Torus fx upper end of l humerus, subs for fx w delay heal | Can lead a claim | E | None |
| S42.272K | Torus fracture of upper end of left humerus, subsequent encounter for fracture with nonunionCMS: Torus fx upper end of l humerus, subs for fx w nonunion | Can lead a claim | E | None |
| S42.272P | Torus fracture of upper end of left humerus, subsequent encounter for fracture with malunionCMS: Torus fx upper end of l humerus, subs for fx w malunion | Can lead a claim | E | None |
| S42.272S | Torus fracture of upper end of left humerus, sequela | Can lead a claim | E | None |
| S42.279 Torus fracture of upper end of unspecified humerus | ||||
| S42.279A | Torus fracture of upper end of unspecified humerus, initial encounter for closed fractureCMS: Torus fracture of upper end of unsp humerus, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.279D | Torus fracture of upper end of unspecified humerus, subsequent encounter for fracture with routine healingCMS: Torus fx upper end of unsp humerus, subs for fx w routn heal | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.279G | Torus fracture of upper end of unspecified humerus, subsequent encounter for fracture with delayed healingCMS: Torus fx upper end of unsp humerus, subs for fx w delay heal | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.279K | Torus fracture of upper end of unspecified humerus, subsequent encounter for fracture with nonunionCMS: Torus fx upper end of unsp humerus, subs for fx w nonunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.279P | Torus fracture of upper end of unspecified humerus, subsequent encounter for fracture with malunionCMS: Torus fx upper end of unsp humerus, subs for fx w malunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.279S | Torus fracture of upper end of unspecified humerus, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.29 Other fracture of upper end of humerus | ||||
| S42.291 Other displaced fracture of upper end of right humerus | ||||
| S42.291A | Other displaced fracture of upper end of right humerus, initial encounter for closed fractureCMS: Oth disp fx of upper end of right humerus, init for clos fx | Can lead a claim | E | None |
| S42.291B | Other displaced fracture of upper end of right humerus, initial encounter for open fractureCMS: Oth disp fx of upper end of right humerus, init for opn fx | Can lead a claim | E | None |
| S42.291D | Other displaced fracture of upper end of right humerus, subsequent encounter for fracture with routine healingCMS: Oth disp fx of upper end r humer, subs for fx w routn heal | Can lead a claim | E | None |
| S42.291G | Other displaced fracture of upper end of right humerus, subsequent encounter for fracture with delayed healingCMS: Oth disp fx of upper end r humer, subs for fx w delay heal | Can lead a claim | E | None |
| S42.291K | Other displaced fracture of upper end of right humerus, subsequent encounter for fracture with nonunionCMS: Oth disp fx of upper end of r humer, subs for fx w nonunion | Can lead a claim | E | None |
| S42.291P | Other displaced fracture of upper end of right humerus, subsequent encounter for fracture with malunionCMS: Oth disp fx of upper end of r humer, subs for fx w malunion | Can lead a claim | E | None |
| S42.291S | Other displaced fracture of upper end of right humerus, sequelaCMS: Other disp fx of upper end of right humerus, sequela | Can lead a claim | E | None |
| S42.292 Other displaced fracture of upper end of left humerus | ||||
| S42.292A | Other displaced fracture of upper end of left humerus, initial encounter for closed fractureCMS: Oth disp fx of upper end of left humerus, init for clos fx | Can lead a claim | E | None |
| S42.292B | Other displaced fracture of upper end of left humerus, initial encounter for open fractureCMS: Oth disp fx of upper end of left humerus, init for opn fx | Can lead a claim | E | None |
| S42.292D | Other displaced fracture of upper end of left humerus, subsequent encounter for fracture with routine healingCMS: Oth disp fx of upper end l humer, subs for fx w routn heal | Can lead a claim | E | None |
| S42.292G | Other displaced fracture of upper end of left humerus, subsequent encounter for fracture with delayed healingCMS: Oth disp fx of upper end l humer, subs for fx w delay heal | Can lead a claim | E | None |
| S42.292K | Other displaced fracture of upper end of left humerus, subsequent encounter for fracture with nonunionCMS: Oth disp fx of upper end of l humer, subs for fx w nonunion | Can lead a claim | E | None |
| S42.292P | Other displaced fracture of upper end of left humerus, subsequent encounter for fracture with malunionCMS: Oth disp fx of upper end of l humer, subs for fx w malunion | Can lead a claim | E | None |
| S42.292S | Other displaced fracture of upper end of left humerus, sequelaCMS: Other disp fx of upper end of left humerus, sequela | Can lead a claim | E | None |
| S42.293 Other displaced fracture of upper end of unspecified humerus | ||||
| S42.293A | Other displaced fracture of upper end of unspecified humerus, initial encounter for closed fractureCMS: Oth disp fx of upper end of unsp humerus, init for clos fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.293B | Other displaced fracture of upper end of unspecified humerus, initial encounter for open fractureCMS: Oth disp fx of upper end of unsp humerus, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.293D | Other displaced fracture of upper end of unspecified humerus, subsequent encounter for fracture with routine healingCMS: Oth disp fx of upr end unsp humer, subs for fx w routn heal | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.293G | Other displaced fracture of upper end of unspecified humerus, subsequent encounter for fracture with delayed healingCMS: Oth disp fx of upr end unsp humer, subs for fx w delay heal | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.293K | Other displaced fracture of upper end of unspecified humerus, subsequent encounter for fracture with nonunionCMS: Oth disp fx of upper end unsp humer, subs for fx w nonunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.293P | Other displaced fracture of upper end of unspecified humerus, subsequent encounter for fracture with malunionCMS: Oth disp fx of upper end unsp humer, subs for fx w malunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.293S | Other displaced fracture of upper end of unspecified humerus, sequelaCMS: Other disp fx of upper end of unspecified humerus, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.294 Other nondisplaced fracture of upper end of right humerus | ||||
| S42.294A | Other nondisplaced fracture of upper end of right humerus, initial encounter for closed fractureCMS: Oth nondisp fx of upper end of right humerus, init | Can lead a claim | E | None |
| S42.294B | Other nondisplaced fracture of upper end of right humerus, initial encounter for open fractureCMS: Oth nondisp fx of upper end of r humerus, init for opn fx | Can lead a claim | E | None |
| S42.294D | Other nondisplaced fracture of upper end of right humerus, subsequent encounter for fracture with routine healingCMS: Oth nondisp fx of upr end r humer, subs for fx w routn heal | Can lead a claim | E | None |
| S42.294G | Other nondisplaced fracture of upper end of right humerus, subsequent encounter for fracture with delayed healingCMS: Oth nondisp fx of upr end r humer, subs for fx w delay heal | Can lead a claim | E | None |
| S42.294K | Other nondisplaced fracture of upper end of right humerus, subsequent encounter for fracture with nonunionCMS: Oth nondisp fx of upper end r humer, subs for fx w nonunion | Can lead a claim | E | None |
| S42.294P | Other nondisplaced fracture of upper end of right humerus, subsequent encounter for fracture with malunionCMS: Oth nondisp fx of upper end r humer, subs for fx w malunion | Can lead a claim | E | None |
| S42.294S | Other nondisplaced fracture of upper end of right humerus, sequelaCMS: Other nondisp fx of upper end of right humerus, sequela | Can lead a claim | E | None |
| S42.295 Other nondisplaced fracture of upper end of left humerus | ||||
| S42.295A | Other nondisplaced fracture of upper end of left humerus, initial encounter for closed fractureCMS: Oth nondisp fx of upper end of left humerus, init | Can lead a claim | E | None |
| S42.295B | Other nondisplaced fracture of upper end of left humerus, initial encounter for open fractureCMS: Oth nondisp fx of upper end of left humerus, init for opn fx | Can lead a claim | E | None |
| S42.295D | Other nondisplaced fracture of upper end of left humerus, subsequent encounter for fracture with routine healingCMS: Oth nondisp fx of upr end l humer, subs for fx w routn heal | Can lead a claim | E | None |
| S42.295G | Other nondisplaced fracture of upper end of left humerus, subsequent encounter for fracture with delayed healingCMS: Oth nondisp fx of upr end l humer, subs for fx w delay heal | Can lead a claim | E | None |
| S42.295K | Other nondisplaced fracture of upper end of left humerus, subsequent encounter for fracture with nonunionCMS: Oth nondisp fx of upper end l humer, subs for fx w nonunion | Can lead a claim | E | None |
| S42.295P | Other nondisplaced fracture of upper end of left humerus, subsequent encounter for fracture with malunionCMS: Oth nondisp fx of upper end l humer, subs for fx w malunion | Can lead a claim | E | None |
| S42.295S | Other nondisplaced fracture of upper end of left humerus, sequelaCMS: Other nondisp fx of upper end of left humerus, sequela | Can lead a claim | E | None |
| S42.296 Other nondisplaced fracture of upper end of unspecified humerus | ||||
| S42.296A | Other nondisplaced fracture of upper end of unspecified humerus, initial encounter for closed fractureCMS: Oth nondisp fx of upper end of unsp humerus, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.296B | Other nondisplaced fracture of upper end of unspecified humerus, initial encounter for open fractureCMS: Oth nondisp fx of upper end of unsp humerus, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.296D | Other nondisplaced fracture of upper end of unspecified humerus, subsequent encounter for fracture with routine healingCMS: Oth nondisp fx of upr end unsp humer, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.296G | Other nondisplaced fracture of upper end of unspecified humerus, subsequent encounter for fracture with delayed healingCMS: Oth nondisp fx of upr end unsp humer, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.296K | Other nondisplaced fracture of upper end of unspecified humerus, subsequent encounter for fracture with nonunionCMS: Oth nondisp fx of upr end unsp humer, subs for fx w nonunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.296P | Other nondisplaced fracture of upper end of unspecified humerus, subsequent encounter for fracture with malunionCMS: Oth nondisp fx of upr end unsp humer, subs for fx w malunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.296S | Other nondisplaced fracture of upper end of unspecified humerus, sequelaCMS: Other nondisp fx of upper end of unsp humerus, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.3 Fracture of shaft of humerus | ||||
| S42.30 Unspecified fracture of shaft of humerus | ||||
| S42.301 Unspecified fracture of shaft of humerus, right arm | ||||
| S42.301A | Unspecified fracture of shaft of humerus, right arm, initial encounter for closed fractureCMS: Unsp fracture of shaft of humerus, right arm, init | Can lead a claim | E | None |
| S42.301B | Unspecified fracture of shaft of humerus, right arm, initial encounter for open fractureCMS: Unsp fx shaft of humerus, right arm, init for opn fx | Can lead a claim | E | None |
| S42.301D | Unspecified fracture of shaft of humerus, right arm, subsequent encounter for fracture with routine healingCMS: Unsp fx shaft of humer, right arm, subs for fx w routn heal | Can lead a claim | E | None |
| S42.301G | Unspecified fracture of shaft of humerus, right arm, subsequent encounter for fracture with delayed healingCMS: Unsp fx shaft of humer, right arm, subs for fx w delay heal | Can lead a claim | E | None |
| S42.301K | Unspecified fracture of shaft of humerus, right arm, subsequent encounter for fracture with nonunionCMS: Unsp fx shaft of humerus, right arm, subs for fx w nonunion | Can lead a claim | E | None |
| S42.301P | Unspecified fracture of shaft of humerus, right arm, subsequent encounter for fracture with malunionCMS: Unsp fx shaft of humerus, right arm, subs for fx w malunion | Can lead a claim | E | None |
| S42.301S | Unspecified fracture of shaft of humerus, right arm, sequela | Can lead a claim | E | None |
| S42.302 Unspecified fracture of shaft of humerus, left arm | ||||
| S42.302A | Unspecified fracture of shaft of humerus, left arm, initial encounter for closed fractureCMS: Unsp fracture of shaft of humerus, left arm, init | Can lead a claim | E | None |
| S42.302B | Unspecified fracture of shaft of humerus, left arm, initial encounter for open fractureCMS: Unsp fracture of shaft of humerus, left arm, init for opn fx | Can lead a claim | E | None |
| S42.302D | Unspecified fracture of shaft of humerus, left arm, subsequent encounter for fracture with routine healingCMS: Unsp fx shaft of humerus, left arm, subs for fx w routn heal | Can lead a claim | E | None |
| S42.302G | Unspecified fracture of shaft of humerus, left arm, subsequent encounter for fracture with delayed healingCMS: Unsp fx shaft of humerus, left arm, subs for fx w delay heal | Can lead a claim | E | None |
| S42.302K | Unspecified fracture of shaft of humerus, left arm, subsequent encounter for fracture with nonunionCMS: Unsp fx shaft of humerus, left arm, subs for fx w nonunion | Can lead a claim | E | None |
| S42.302P | Unspecified fracture of shaft of humerus, left arm, subsequent encounter for fracture with malunionCMS: Unsp fx shaft of humerus, left arm, subs for fx w malunion | Can lead a claim | E | None |
| S42.302S | Unspecified fracture of shaft of humerus, left arm, sequela | Can lead a claim | E | None |
| S42.309 Unspecified fracture of shaft of humerus, unspecified arm | ||||
| S42.309A | Unspecified fracture of shaft of humerus, unspecified arm, initial encounter for closed fractureCMS: Unsp fracture of shaft of humerus, unsp arm, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.309B | Unspecified fracture of shaft of humerus, unspecified arm, initial encounter for open fractureCMS: Unsp fracture of shaft of humerus, unsp arm, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.309D | Unspecified fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with routine healingCMS: Unsp fx shaft of humerus, unsp arm, subs for fx w routn heal | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.309G | Unspecified fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with delayed healingCMS: Unsp fx shaft of humerus, unsp arm, subs for fx w delay heal | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.309K | Unspecified fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with nonunionCMS: Unsp fx shaft of humerus, unsp arm, subs for fx w nonunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.309P | Unspecified fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with malunionCMS: Unsp fx shaft of humerus, unsp arm, subs for fx w malunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.309S | Unspecified fracture of shaft of humerus, unspecified arm, sequelaCMS: Unsp fracture of shaft of humerus, unspecified arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.31 Greenstick fracture of shaft of humerus | ||||
| S42.311 Greenstick fracture of shaft of humerus, right arm | ||||
| S42.311A | Greenstick fracture of shaft of humerus, right arm, initial encounter for closed fractureCMS: Greenstick fracture of shaft of humerus, right arm, init | Can lead a claim | E | None |
| S42.311D | Greenstick fracture of shaft of humerus, right arm, subsequent encounter for fracture with routine healingCMS: Greenstick fx shaft of humer, r arm, 7thD | Can lead a claim | E | None |
| S42.311G | Greenstick fracture of shaft of humerus, right arm, subsequent encounter for fracture with delayed healingCMS: Greenstick fx shaft of humer, r arm, 7thG | Can lead a claim | E | None |
| S42.311K | Greenstick fracture of shaft of humerus, right arm, subsequent encounter for fracture with nonunionCMS: Greenstick fx shaft of humer, r arm, subs for fx w nonunion | Can lead a claim | E | None |
| S42.311P | Greenstick fracture of shaft of humerus, right arm, subsequent encounter for fracture with malunionCMS: Greenstick fx shaft of humer, r arm, subs for fx w malunion | Can lead a claim | E | None |
| S42.311S | Greenstick fracture of shaft of humerus, right arm, sequela | Can lead a claim | E | None |
| S42.312 Greenstick fracture of shaft of humerus, left arm | ||||
| S42.312A | Greenstick fracture of shaft of humerus, left arm, initial encounter for closed fractureCMS: Greenstick fracture of shaft of humerus, left arm, init | Can lead a claim | E | None |
| S42.312D | Greenstick fracture of shaft of humerus, left arm, subsequent encounter for fracture with routine healingCMS: Greenstick fx shaft of humer, l arm, 7thD | Can lead a claim | E | None |
| S42.312G | Greenstick fracture of shaft of humerus, left arm, subsequent encounter for fracture with delayed healingCMS: Greenstick fx shaft of humer, l arm, 7thG | Can lead a claim | E | None |
| S42.312K | Greenstick fracture of shaft of humerus, left arm, subsequent encounter for fracture with nonunionCMS: Greenstick fx shaft of humer, l arm, subs for fx w nonunion | Can lead a claim | E | None |
| S42.312P | Greenstick fracture of shaft of humerus, left arm, subsequent encounter for fracture with malunionCMS: Greenstick fx shaft of humer, l arm, subs for fx w malunion | Can lead a claim | E | None |
| S42.312S | Greenstick fracture of shaft of humerus, left arm, sequela | Can lead a claim | E | None |
| S42.319 Greenstick fracture of shaft of humerus, unspecified arm | ||||
| S42.319A | Greenstick fracture of shaft of humerus, unspecified arm, initial encounter for closed fractureCMS: Greenstick fracture of shaft of humerus, unsp arm, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.319D | Greenstick fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with routine healingCMS: Greenstick fx shaft of humer, unsp arm, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.319G | Greenstick fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with delayed healingCMS: Greenstick fx shaft of humer, unsp arm, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.319K | Greenstick fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with nonunionCMS: Greenstick fx shaft of humer, unsp arm, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.319P | Greenstick fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with malunionCMS: Greenstick fx shaft of humer, unsp arm, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.319S | Greenstick fracture of shaft of humerus, unspecified arm, sequelaCMS: Greenstick fracture of shaft of humerus, unsp arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.32 Transverse fracture of shaft of humerus | ||||
| S42.321 Displaced transverse fracture of shaft of humerus, right arm | ||||
| S42.321A | Displaced transverse fracture of shaft of humerus, right arm, initial encounter for closed fractureCMS: Displaced transverse fx shaft of humerus, right arm, init | Can lead a claim | E | None |
| S42.321B | Displaced transverse fracture of shaft of humerus, right arm, initial encounter for open fractureCMS: Displ transverse fx shaft of humer, r arm, init for opn fx | Can lead a claim | E | None |
| S42.321D | Displaced transverse fracture of shaft of humerus, right arm, subsequent encounter for fracture with routine healingCMS: Displ transverse fx shaft of humer, r arm, 7thD | Can lead a claim | E | None |
| S42.321G | Displaced transverse fracture of shaft of humerus, right arm, subsequent encounter for fracture with delayed healingCMS: Displ transverse fx shaft of humer, r arm, 7thG | Can lead a claim | E | None |
| S42.321K | Displaced transverse fracture of shaft of humerus, right arm, subsequent encounter for fracture with nonunionCMS: Displ transverse fx shaft of humer, r arm, 7thK | Can lead a claim | E | None |
| S42.321P | Displaced transverse fracture of shaft of humerus, right arm, subsequent encounter for fracture with malunionCMS: Displ transverse fx shaft of humer, r arm, 7thP | Can lead a claim | E | None |
| S42.321S | Displaced transverse fracture of shaft of humerus, right arm, sequelaCMS: Displaced transverse fx shaft of humerus, right arm, sequela | Can lead a claim | E | None |
| S42.322 Displaced transverse fracture of shaft of humerus, left arm | ||||
| S42.322A | Displaced transverse fracture of shaft of humerus, left arm, initial encounter for closed fractureCMS: Displaced transverse fx shaft of humerus, left arm, init | Can lead a claim | E | None |
| S42.322B | Displaced transverse fracture of shaft of humerus, left arm, initial encounter for open fractureCMS: Displ transverse fx shaft of humer, l arm, init for opn fx | Can lead a claim | E | None |
| S42.322D | Displaced transverse fracture of shaft of humerus, left arm, subsequent encounter for fracture with routine healingCMS: Displ transverse fx shaft of humer, l arm, 7thD | Can lead a claim | E | None |
| S42.322G | Displaced transverse fracture of shaft of humerus, left arm, subsequent encounter for fracture with delayed healingCMS: Displ transverse fx shaft of humer, l arm, 7thG | Can lead a claim | E | None |
| S42.322K | Displaced transverse fracture of shaft of humerus, left arm, subsequent encounter for fracture with nonunionCMS: Displ transverse fx shaft of humer, l arm, 7thK | Can lead a claim | E | None |
| S42.322P | Displaced transverse fracture of shaft of humerus, left arm, subsequent encounter for fracture with malunionCMS: Displ transverse fx shaft of humer, l arm, 7thP | Can lead a claim | E | None |
| S42.322S | Displaced transverse fracture of shaft of humerus, left arm, sequelaCMS: Displaced transverse fx shaft of humerus, left arm, sequela | Can lead a claim | E | None |
| S42.323 Displaced transverse fracture of shaft of humerus, unspecified arm | ||||
| S42.323A | Displaced transverse fracture of shaft of humerus, unspecified arm, initial encounter for closed fractureCMS: Displaced transverse fx shaft of humerus, unsp arm, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.323B | Displaced transverse fracture of shaft of humerus, unspecified arm, initial encounter for open fractureCMS: Displ transverse fx shaft of humer, unsp arm, 7thB | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.323D | Displaced transverse fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with routine healingCMS: Displ transverse fx shaft of humer, unsp arm, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.323G | Displaced transverse fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with delayed healingCMS: Displ transverse fx shaft of humer, unsp arm, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.323K | Displaced transverse fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with nonunionCMS: Displ transverse fx shaft of humer, unsp arm, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.323P | Displaced transverse fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with malunionCMS: Displ transverse fx shaft of humer, unsp arm, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.323S | Displaced transverse fracture of shaft of humerus, unspecified arm, sequelaCMS: Displaced transverse fx shaft of humerus, unsp arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.324 Nondisplaced transverse fracture of shaft of humerus, right arm | ||||
| S42.324A | Nondisplaced transverse fracture of shaft of humerus, right arm, initial encounter for closed fractureCMS: Nondisp transverse fx shaft of humerus, right arm, init | Can lead a claim | E | None |
| S42.324B | Nondisplaced transverse fracture of shaft of humerus, right arm, initial encounter for open fractureCMS: Nondisp transverse fx shaft of humer, r arm, init for opn fx | Can lead a claim | E | None |
| S42.324D | Nondisplaced transverse fracture of shaft of humerus, right arm, subsequent encounter for fracture with routine healingCMS: Nondisp transverse fx shaft of humer, r arm, 7thD | Can lead a claim | E | None |
| S42.324G | Nondisplaced transverse fracture of shaft of humerus, right arm, subsequent encounter for fracture with delayed healingCMS: Nondisp transverse fx shaft of humer, r arm, 7thG | Can lead a claim | E | None |
| S42.324K | Nondisplaced transverse fracture of shaft of humerus, right arm, subsequent encounter for fracture with nonunionCMS: Nondisp transverse fx shaft of humer, r arm, 7thK | Can lead a claim | E | None |
| S42.324P | Nondisplaced transverse fracture of shaft of humerus, right arm, subsequent encounter for fracture with malunionCMS: Nondisp transverse fx shaft of humer, r arm, 7thP | Can lead a claim | E | None |
| S42.324S | Nondisplaced transverse fracture of shaft of humerus, right arm, sequelaCMS: Nondisp transverse fx shaft of humerus, right arm, sequela | Can lead a claim | E | None |
| S42.325 Nondisplaced transverse fracture of shaft of humerus, left arm | ||||
| S42.325A | Nondisplaced transverse fracture of shaft of humerus, left arm, initial encounter for closed fractureCMS: Nondisp transverse fx shaft of humerus, left arm, init | Can lead a claim | E | None |
| S42.325B | Nondisplaced transverse fracture of shaft of humerus, left arm, initial encounter for open fractureCMS: Nondisp transverse fx shaft of humer, l arm, init for opn fx | Can lead a claim | E | None |
| S42.325D | Nondisplaced transverse fracture of shaft of humerus, left arm, subsequent encounter for fracture with routine healingCMS: Nondisp transverse fx shaft of humer, l arm, 7thD | Can lead a claim | E | None |
| S42.325G | Nondisplaced transverse fracture of shaft of humerus, left arm, subsequent encounter for fracture with delayed healingCMS: Nondisp transverse fx shaft of humer, l arm, 7thG | Can lead a claim | E | None |
| S42.325K | Nondisplaced transverse fracture of shaft of humerus, left arm, subsequent encounter for fracture with nonunionCMS: Nondisp transverse fx shaft of humer, l arm, 7thK | Can lead a claim | E | None |
| S42.325P | Nondisplaced transverse fracture of shaft of humerus, left arm, subsequent encounter for fracture with malunionCMS: Nondisp transverse fx shaft of humer, l arm, 7thP | Can lead a claim | E | None |
| S42.325S | Nondisplaced transverse fracture of shaft of humerus, left arm, sequelaCMS: Nondisp transverse fx shaft of humerus, left arm, sequela | Can lead a claim | E | None |
| S42.326 Nondisplaced transverse fracture of shaft of humerus, unspecified arm | ||||
| S42.326A | Nondisplaced transverse fracture of shaft of humerus, unspecified arm, initial encounter for closed fractureCMS: Nondisp transverse fx shaft of humerus, unsp arm, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.326B | Nondisplaced transverse fracture of shaft of humerus, unspecified arm, initial encounter for open fractureCMS: Nondisp transverse fx shaft of humer, unsp arm, 7thB | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.326D | Nondisplaced transverse fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with routine healingCMS: Nondisp transverse fx shaft of humer, unsp arm, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.326G | Nondisplaced transverse fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with delayed healingCMS: Nondisp transverse fx shaft of humer, unsp arm, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.326K | Nondisplaced transverse fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with nonunionCMS: Nondisp transverse fx shaft of humer, unsp arm, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.326P | Nondisplaced transverse fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with malunionCMS: Nondisp transverse fx shaft of humer, unsp arm, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.326S | Nondisplaced transverse fracture of shaft of humerus, unspecified arm, sequelaCMS: Nondisp transverse fx shaft of humerus, unsp arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.33 Oblique fracture of shaft of humerus | ||||
| S42.331 Displaced oblique fracture of shaft of humerus, right arm | ||||
| S42.331A | Displaced oblique fracture of shaft of humerus, right arm, initial encounter for closed fractureCMS: Displaced oblique fx shaft of humerus, right arm, init | Can lead a claim | E | None |
| S42.331B | Displaced oblique fracture of shaft of humerus, right arm, initial encounter for open fractureCMS: Displ oblique fx shaft of humer, right arm, init for opn fx | Can lead a claim | E | None |
| S42.331D | Displaced oblique fracture of shaft of humerus, right arm, subsequent encounter for fracture with routine healingCMS: Displ oblique fx shaft of humer, r arm, 7thD | Can lead a claim | E | None |
| S42.331G | Displaced oblique fracture of shaft of humerus, right arm, subsequent encounter for fracture with delayed healingCMS: Displ oblique fx shaft of humer, r arm, 7thG | Can lead a claim | E | None |
| S42.331K | Displaced oblique fracture of shaft of humerus, right arm, subsequent encounter for fracture with nonunionCMS: Displ oblique fx shaft of humer, r arm, 7thK | Can lead a claim | E | None |
| S42.331P | Displaced oblique fracture of shaft of humerus, right arm, subsequent encounter for fracture with malunionCMS: Displ oblique fx shaft of humer, r arm, 7thP | Can lead a claim | E | None |
| S42.331S | Displaced oblique fracture of shaft of humerus, right arm, sequelaCMS: Displaced oblique fx shaft of humerus, right arm, sequela | Can lead a claim | E | None |
| S42.332 Displaced oblique fracture of shaft of humerus, left arm | ||||
| S42.332A | Displaced oblique fracture of shaft of humerus, left arm, initial encounter for closed fractureCMS: Displaced oblique fx shaft of humerus, left arm, init | Can lead a claim | E | None |
| S42.332B | Displaced oblique fracture of shaft of humerus, left arm, initial encounter for open fractureCMS: Displ oblique fx shaft of humerus, left arm, init for opn fx | Can lead a claim | E | None |
| S42.332D | Displaced oblique fracture of shaft of humerus, left arm, subsequent encounter for fracture with routine healingCMS: Displ oblique fx shaft of humer, l arm, 7thD | Can lead a claim | E | None |
| S42.332G | Displaced oblique fracture of shaft of humerus, left arm, subsequent encounter for fracture with delayed healingCMS: Displ oblique fx shaft of humer, l arm, 7thG | Can lead a claim | E | None |
| S42.332K | Displaced oblique fracture of shaft of humerus, left arm, subsequent encounter for fracture with nonunionCMS: Displ oblique fx shaft of humer, l arm, 7thK | Can lead a claim | E | None |
| S42.332P | Displaced oblique fracture of shaft of humerus, left arm, subsequent encounter for fracture with malunionCMS: Displ oblique fx shaft of humer, l arm, 7thP | Can lead a claim | E | None |
| S42.332S | Displaced oblique fracture of shaft of humerus, left arm, sequelaCMS: Displaced oblique fx shaft of humerus, left arm, sequela | Can lead a claim | E | None |
| S42.333 Displaced oblique fracture of shaft of humerus, unspecified arm | ||||
| S42.333A | Displaced oblique fracture of shaft of humerus, unspecified arm, initial encounter for closed fractureCMS: Displaced oblique fx shaft of humerus, unsp arm, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.333B | Displaced oblique fracture of shaft of humerus, unspecified arm, initial encounter for open fractureCMS: Displ oblique fx shaft of humerus, unsp arm, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.333D | Displaced oblique fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with routine healingCMS: Displ oblique fx shaft of humer, unsp arm, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.333G | Displaced oblique fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with delayed healingCMS: Displ oblique fx shaft of humer, unsp arm, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.333K | Displaced oblique fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with nonunionCMS: Displ oblique fx shaft of humer, unsp arm, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.333P | Displaced oblique fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with malunionCMS: Displ oblique fx shaft of humer, unsp arm, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.333S | Displaced oblique fracture of shaft of humerus, unspecified arm, sequelaCMS: Displaced oblique fx shaft of humerus, unsp arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.334 Nondisplaced oblique fracture of shaft of humerus, right arm | ||||
| S42.334A | Nondisplaced oblique fracture of shaft of humerus, right arm, initial encounter for closed fractureCMS: Nondisp oblique fx shaft of humerus, right arm, init | Can lead a claim | E | None |
| S42.334B | Nondisplaced oblique fracture of shaft of humerus, right arm, initial encounter for open fractureCMS: Nondisp oblique fx shaft of humer, r arm, init for opn fx | Can lead a claim | E | None |
| S42.334D | Nondisplaced oblique fracture of shaft of humerus, right arm, subsequent encounter for fracture with routine healingCMS: Nondisp oblique fx shaft of humer, r arm, 7thD | Can lead a claim | E | None |
| S42.334G | Nondisplaced oblique fracture of shaft of humerus, right arm, subsequent encounter for fracture with delayed healingCMS: Nondisp oblique fx shaft of humer, r arm, 7thG | Can lead a claim | E | None |
| S42.334K | Nondisplaced oblique fracture of shaft of humerus, right arm, subsequent encounter for fracture with nonunionCMS: Nondisp oblique fx shaft of humer, r arm, 7thK | Can lead a claim | E | None |
| S42.334P | Nondisplaced oblique fracture of shaft of humerus, right arm, subsequent encounter for fracture with malunionCMS: Nondisp oblique fx shaft of humer, r arm, 7thP | Can lead a claim | E | None |
| S42.334S | Nondisplaced oblique fracture of shaft of humerus, right arm, sequelaCMS: Nondisp oblique fx shaft of humerus, right arm, sequela | Can lead a claim | E | None |
| S42.335 Nondisplaced oblique fracture of shaft of humerus, left arm | ||||
| S42.335A | Nondisplaced oblique fracture of shaft of humerus, left arm, initial encounter for closed fractureCMS: Nondisp oblique fracture of shaft of humerus, left arm, init | Can lead a claim | E | None |
| S42.335B | Nondisplaced oblique fracture of shaft of humerus, left arm, initial encounter for open fractureCMS: Nondisp oblique fx shaft of humer, left arm, init for opn fx | Can lead a claim | E | None |
| S42.335D | Nondisplaced oblique fracture of shaft of humerus, left arm, subsequent encounter for fracture with routine healingCMS: Nondisp oblique fx shaft of humer, l arm, 7thD | Can lead a claim | E | None |
| S42.335G | Nondisplaced oblique fracture of shaft of humerus, left arm, subsequent encounter for fracture with delayed healingCMS: Nondisp oblique fx shaft of humer, l arm, 7thG | Can lead a claim | E | None |
| S42.335K | Nondisplaced oblique fracture of shaft of humerus, left arm, subsequent encounter for fracture with nonunionCMS: Nondisp oblique fx shaft of humer, l arm, 7thK | Can lead a claim | E | None |
| S42.335P | Nondisplaced oblique fracture of shaft of humerus, left arm, subsequent encounter for fracture with malunionCMS: Nondisp oblique fx shaft of humer, l arm, 7thP | Can lead a claim | E | None |
| S42.335S | Nondisplaced oblique fracture of shaft of humerus, left arm, sequelaCMS: Nondisp oblique fx shaft of humerus, left arm, sequela | Can lead a claim | E | None |
| S42.336 Nondisplaced oblique fracture of shaft of humerus, unspecified arm | ||||
| S42.336A | Nondisplaced oblique fracture of shaft of humerus, unspecified arm, initial encounter for closed fractureCMS: Nondisp oblique fracture of shaft of humerus, unsp arm, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.336B | Nondisplaced oblique fracture of shaft of humerus, unspecified arm, initial encounter for open fractureCMS: Nondisp oblique fx shaft of humer, unsp arm, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.336D | Nondisplaced oblique fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with routine healingCMS: Nondisp oblique fx shaft of humer, unsp arm, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.336G | Nondisplaced oblique fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with delayed healingCMS: Nondisp oblique fx shaft of humer, unsp arm, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.336K | Nondisplaced oblique fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with nonunionCMS: Nondisp oblique fx shaft of humer, unsp arm, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.336P | Nondisplaced oblique fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with malunionCMS: Nondisp oblique fx shaft of humer, unsp arm, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.336S | Nondisplaced oblique fracture of shaft of humerus, unspecified arm, sequelaCMS: Nondisp oblique fx shaft of humerus, unsp arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.34 Spiral fracture of shaft of humerus | ||||
| S42.341 Displaced spiral fracture of shaft of humerus, right arm | ||||
| S42.341A | Displaced spiral fracture of shaft of humerus, right arm, initial encounter for closed fractureCMS: Displaced spiral fx shaft of humerus, right arm, init | Can lead a claim | E | None |
| S42.341B | Displaced spiral fracture of shaft of humerus, right arm, initial encounter for open fractureCMS: Displ spiral fx shaft of humerus, right arm, init for opn fx | Can lead a claim | E | None |
| S42.341D | Displaced spiral fracture of shaft of humerus, right arm, subsequent encounter for fracture with routine healingCMS: Displ spiral fx shaft of humer, r arm, 7thD | Can lead a claim | E | None |
| S42.341G | Displaced spiral fracture of shaft of humerus, right arm, subsequent encounter for fracture with delayed healingCMS: Displ spiral fx shaft of humer, r arm, 7thG | Can lead a claim | E | None |
| S42.341K | Displaced spiral fracture of shaft of humerus, right arm, subsequent encounter for fracture with nonunionCMS: Displ spiral fx shaft of humer, r arm, 7thK | Can lead a claim | E | None |
| S42.341P | Displaced spiral fracture of shaft of humerus, right arm, subsequent encounter for fracture with malunionCMS: Displ spiral fx shaft of humer, r arm, 7thP | Can lead a claim | E | None |
| S42.341S | Displaced spiral fracture of shaft of humerus, right arm, sequelaCMS: Displaced spiral fx shaft of humerus, right arm, sequela | Can lead a claim | E | None |
| S42.342 Displaced spiral fracture of shaft of humerus, left arm | ||||
| S42.342A | Displaced spiral fracture of shaft of humerus, left arm, initial encounter for closed fractureCMS: Displaced spiral fx shaft of humerus, left arm, init | Can lead a claim | E | None |
| S42.342B | Displaced spiral fracture of shaft of humerus, left arm, initial encounter for open fractureCMS: Displ spiral fx shaft of humerus, left arm, init for opn fx | Can lead a claim | E | None |
| S42.342D | Displaced spiral fracture of shaft of humerus, left arm, subsequent encounter for fracture with routine healingCMS: Displ spiral fx shaft of humer, l arm, 7thD | Can lead a claim | E | None |
| S42.342G | Displaced spiral fracture of shaft of humerus, left arm, subsequent encounter for fracture with delayed healingCMS: Displ spiral fx shaft of humer, l arm, 7thG | Can lead a claim | E | None |
| S42.342K | Displaced spiral fracture of shaft of humerus, left arm, subsequent encounter for fracture with nonunionCMS: Displ spiral fx shaft of humer, l arm, 7thK | Can lead a claim | E | None |
| S42.342P | Displaced spiral fracture of shaft of humerus, left arm, subsequent encounter for fracture with malunionCMS: Displ spiral fx shaft of humer, l arm, 7thP | Can lead a claim | E | None |
| S42.342S | Displaced spiral fracture of shaft of humerus, left arm, sequelaCMS: Displaced spiral fx shaft of humerus, left arm, sequela | Can lead a claim | E | None |
| S42.343 Displaced spiral fracture of shaft of humerus, unspecified arm | ||||
| S42.343A | Displaced spiral fracture of shaft of humerus, unspecified arm, initial encounter for closed fractureCMS: Displaced spiral fx shaft of humerus, unsp arm, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.343B | Displaced spiral fracture of shaft of humerus, unspecified arm, initial encounter for open fractureCMS: Displ spiral fx shaft of humerus, unsp arm, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.343D | Displaced spiral fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with routine healingCMS: Displ spiral fx shaft of humer, unsp arm, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.343G | Displaced spiral fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with delayed healingCMS: Displ spiral fx shaft of humer, unsp arm, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.343K | Displaced spiral fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with nonunionCMS: Displ spiral fx shaft of humer, unsp arm, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.343P | Displaced spiral fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with malunionCMS: Displ spiral fx shaft of humer, unsp arm, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.343S | Displaced spiral fracture of shaft of humerus, unspecified arm, sequelaCMS: Displaced spiral fx shaft of humerus, unsp arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.344 Nondisplaced spiral fracture of shaft of humerus, right arm | ||||
| S42.344A | Nondisplaced spiral fracture of shaft of humerus, right arm, initial encounter for closed fractureCMS: Nondisp spiral fracture of shaft of humerus, right arm, init | Can lead a claim | E | None |
| S42.344B | Nondisplaced spiral fracture of shaft of humerus, right arm, initial encounter for open fractureCMS: Nondisp spiral fx shaft of humer, right arm, init for opn fx | Can lead a claim | E | None |
| S42.344D | Nondisplaced spiral fracture of shaft of humerus, right arm, subsequent encounter for fracture with routine healingCMS: Nondisp spiral fx shaft of humer, r arm, 7thD | Can lead a claim | E | None |
| S42.344G | Nondisplaced spiral fracture of shaft of humerus, right arm, subsequent encounter for fracture with delayed healingCMS: Nondisp spiral fx shaft of humer, r arm, 7thG | Can lead a claim | E | None |
| S42.344K | Nondisplaced spiral fracture of shaft of humerus, right arm, subsequent encounter for fracture with nonunionCMS: Nondisp spiral fx shaft of humer, r arm, 7thK | Can lead a claim | E | None |
| S42.344P | Nondisplaced spiral fracture of shaft of humerus, right arm, subsequent encounter for fracture with malunionCMS: Nondisp spiral fx shaft of humer, r arm, 7thP | Can lead a claim | E | None |
| S42.344S | Nondisplaced spiral fracture of shaft of humerus, right arm, sequelaCMS: Nondisp spiral fx shaft of humerus, right arm, sequela | Can lead a claim | E | None |
| S42.345 Nondisplaced spiral fracture of shaft of humerus, left arm | ||||
| S42.345A | Nondisplaced spiral fracture of shaft of humerus, left arm, initial encounter for closed fractureCMS: Nondisp spiral fracture of shaft of humerus, left arm, init | Can lead a claim | E | None |
| S42.345B | Nondisplaced spiral fracture of shaft of humerus, left arm, initial encounter for open fractureCMS: Nondisp spiral fx shaft of humer, left arm, init for opn fx | Can lead a claim | E | None |
| S42.345D | Nondisplaced spiral fracture of shaft of humerus, left arm, subsequent encounter for fracture with routine healingCMS: Nondisp spiral fx shaft of humer, l arm, 7thD | Can lead a claim | E | None |
| S42.345G | Nondisplaced spiral fracture of shaft of humerus, left arm, subsequent encounter for fracture with delayed healingCMS: Nondisp spiral fx shaft of humer, l arm, 7thG | Can lead a claim | E | None |
| S42.345K | Nondisplaced spiral fracture of shaft of humerus, left arm, subsequent encounter for fracture with nonunionCMS: Nondisp spiral fx shaft of humer, l arm, 7thK | Can lead a claim | E | None |
| S42.345P | Nondisplaced spiral fracture of shaft of humerus, left arm, subsequent encounter for fracture with malunionCMS: Nondisp spiral fx shaft of humer, l arm, 7thP | Can lead a claim | E | None |
| S42.345S | Nondisplaced spiral fracture of shaft of humerus, left arm, sequelaCMS: Nondisp spiral fx shaft of humerus, left arm, sequela | Can lead a claim | E | None |
| S42.346 Nondisplaced spiral fracture of shaft of humerus, unspecified arm | ||||
| S42.346A | Nondisplaced spiral fracture of shaft of humerus, unspecified arm, initial encounter for closed fractureCMS: Nondisp spiral fracture of shaft of humerus, unsp arm, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.346B | Nondisplaced spiral fracture of shaft of humerus, unspecified arm, initial encounter for open fractureCMS: Nondisp spiral fx shaft of humer, unsp arm, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.346D | Nondisplaced spiral fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with routine healingCMS: Nondisp spiral fx shaft of humer, unsp arm, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.346G | Nondisplaced spiral fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with delayed healingCMS: Nondisp spiral fx shaft of humer, unsp arm, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.346K | Nondisplaced spiral fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with nonunionCMS: Nondisp spiral fx shaft of humer, unsp arm, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.346P | Nondisplaced spiral fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with malunionCMS: Nondisp spiral fx shaft of humer, unsp arm, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.346S | Nondisplaced spiral fracture of shaft of humerus, unspecified arm, sequelaCMS: Nondisp spiral fx shaft of humerus, unsp arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.35 Comminuted fracture of shaft of humerus | ||||
| S42.351 Displaced comminuted fracture of shaft of humerus, right arm | ||||
| S42.351A | Displaced comminuted fracture of shaft of humerus, right arm, initial encounter for closed fractureCMS: Displaced comminuted fx shaft of humerus, right arm, init | Can lead a claim | E | None |
| S42.351B | Displaced comminuted fracture of shaft of humerus, right arm, initial encounter for open fractureCMS: Displ commnt fx shaft of humerus, right arm, init for opn fx | Can lead a claim | E | None |
| S42.351D | Displaced comminuted fracture of shaft of humerus, right arm, subsequent encounter for fracture with routine healingCMS: Displ commnt fx shaft of humer, r arm, 7thD | Can lead a claim | E | None |
| S42.351G | Displaced comminuted fracture of shaft of humerus, right arm, subsequent encounter for fracture with delayed healingCMS: Displ commnt fx shaft of humer, r arm, 7thG | Can lead a claim | E | None |
| S42.351K | Displaced comminuted fracture of shaft of humerus, right arm, subsequent encounter for fracture with nonunionCMS: Displ commnt fx shaft of humer, r arm, 7thK | Can lead a claim | E | None |
| S42.351P | Displaced comminuted fracture of shaft of humerus, right arm, subsequent encounter for fracture with malunionCMS: Displ commnt fx shaft of humer, r arm, 7thP | Can lead a claim | E | None |
| S42.351S | Displaced comminuted fracture of shaft of humerus, right arm, sequelaCMS: Displaced comminuted fx shaft of humerus, right arm, sequela | Can lead a claim | E | None |
| S42.352 Displaced comminuted fracture of shaft of humerus, left arm | ||||
| S42.352A | Displaced comminuted fracture of shaft of humerus, left arm, initial encounter for closed fractureCMS: Displaced comminuted fx shaft of humerus, left arm, init | Can lead a claim | E | None |
| S42.352B | Displaced comminuted fracture of shaft of humerus, left arm, initial encounter for open fractureCMS: Displ commnt fx shaft of humerus, left arm, init for opn fx | Can lead a claim | E | None |
| S42.352D | Displaced comminuted fracture of shaft of humerus, left arm, subsequent encounter for fracture with routine healingCMS: Displ commnt fx shaft of humer, l arm, 7thD | Can lead a claim | E | None |
| S42.352G | Displaced comminuted fracture of shaft of humerus, left arm, subsequent encounter for fracture with delayed healingCMS: Displ commnt fx shaft of humer, l arm, 7thG | Can lead a claim | E | None |
| S42.352K | Displaced comminuted fracture of shaft of humerus, left arm, subsequent encounter for fracture with nonunionCMS: Displ commnt fx shaft of humer, l arm, 7thK | Can lead a claim | E | None |
| S42.352P | Displaced comminuted fracture of shaft of humerus, left arm, subsequent encounter for fracture with malunionCMS: Displ commnt fx shaft of humer, l arm, 7thP | Can lead a claim | E | None |
| S42.352S | Displaced comminuted fracture of shaft of humerus, left arm, sequelaCMS: Displaced comminuted fx shaft of humerus, left arm, sequela | Can lead a claim | E | None |
| S42.353 Displaced comminuted fracture of shaft of humerus, unspecified arm | ||||
| S42.353A | Displaced comminuted fracture of shaft of humerus, unspecified arm, initial encounter for closed fractureCMS: Displaced comminuted fx shaft of humerus, unsp arm, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.353B | Displaced comminuted fracture of shaft of humerus, unspecified arm, initial encounter for open fractureCMS: Displ commnt fx shaft of humerus, unsp arm, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.353D | Displaced comminuted fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with routine healingCMS: Displ commnt fx shaft of humer, unsp arm, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.353G | Displaced comminuted fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with delayed healingCMS: Displ commnt fx shaft of humer, unsp arm, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.353K | Displaced comminuted fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with nonunionCMS: Displ commnt fx shaft of humer, unsp arm, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.353P | Displaced comminuted fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with malunionCMS: Displ commnt fx shaft of humer, unsp arm, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.353S | Displaced comminuted fracture of shaft of humerus, unspecified arm, sequelaCMS: Displaced comminuted fx shaft of humerus, unsp arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.354 Nondisplaced comminuted fracture of shaft of humerus, right arm | ||||
| S42.354A | Nondisplaced comminuted fracture of shaft of humerus, right arm, initial encounter for closed fractureCMS: Nondisp comminuted fx shaft of humerus, right arm, init | Can lead a claim | E | None |
| S42.354B | Nondisplaced comminuted fracture of shaft of humerus, right arm, initial encounter for open fractureCMS: Nondisp commnt fx shaft of humer, right arm, init for opn fx | Can lead a claim | E | None |
| S42.354D | Nondisplaced comminuted fracture of shaft of humerus, right arm, subsequent encounter for fracture with routine healingCMS: Nondisp commnt fx shaft of humer, r arm, 7thD | Can lead a claim | E | None |
| S42.354G | Nondisplaced comminuted fracture of shaft of humerus, right arm, subsequent encounter for fracture with delayed healingCMS: Nondisp commnt fx shaft of humer, r arm, 7thG | Can lead a claim | E | None |
| S42.354K | Nondisplaced comminuted fracture of shaft of humerus, right arm, subsequent encounter for fracture with nonunionCMS: Nondisp commnt fx shaft of humer, r arm, 7thK | Can lead a claim | E | None |
| S42.354P | Nondisplaced comminuted fracture of shaft of humerus, right arm, subsequent encounter for fracture with malunionCMS: Nondisp commnt fx shaft of humer, r arm, 7thP | Can lead a claim | E | None |
| S42.354S | Nondisplaced comminuted fracture of shaft of humerus, right arm, sequelaCMS: Nondisp comminuted fx shaft of humerus, right arm, sequela | Can lead a claim | E | None |
| S42.355 Nondisplaced comminuted fracture of shaft of humerus, left arm | ||||
| S42.355A | Nondisplaced comminuted fracture of shaft of humerus, left arm, initial encounter for closed fractureCMS: Nondisp comminuted fx shaft of humerus, left arm, init | Can lead a claim | E | None |
| S42.355B | Nondisplaced comminuted fracture of shaft of humerus, left arm, initial encounter for open fractureCMS: Nondisp commnt fx shaft of humer, left arm, init for opn fx | Can lead a claim | E | None |
| S42.355D | Nondisplaced comminuted fracture of shaft of humerus, left arm, subsequent encounter for fracture with routine healingCMS: Nondisp commnt fx shaft of humer, l arm, 7thD | Can lead a claim | E | None |
| S42.355G | Nondisplaced comminuted fracture of shaft of humerus, left arm, subsequent encounter for fracture with delayed healingCMS: Nondisp commnt fx shaft of humer, l arm, 7thG | Can lead a claim | E | None |
| S42.355K | Nondisplaced comminuted fracture of shaft of humerus, left arm, subsequent encounter for fracture with nonunionCMS: Nondisp commnt fx shaft of humer, l arm, 7thK | Can lead a claim | E | None |
| S42.355P | Nondisplaced comminuted fracture of shaft of humerus, left arm, subsequent encounter for fracture with malunionCMS: Nondisp commnt fx shaft of humer, l arm, 7thP | Can lead a claim | E | None |
| S42.355S | Nondisplaced comminuted fracture of shaft of humerus, left arm, sequelaCMS: Nondisp comminuted fx shaft of humerus, left arm, sequela | Can lead a claim | E | None |
| S42.356 Nondisplaced comminuted fracture of shaft of humerus, unspecified arm | ||||
| S42.356A | Nondisplaced comminuted fracture of shaft of humerus, unspecified arm, initial encounter for closed fractureCMS: Nondisp comminuted fx shaft of humerus, unsp arm, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.356B | Nondisplaced comminuted fracture of shaft of humerus, unspecified arm, initial encounter for open fractureCMS: Nondisp commnt fx shaft of humer, unsp arm, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.356D | Nondisplaced comminuted fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with routine healingCMS: Nondisp commnt fx shaft of humer, unsp arm, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.356G | Nondisplaced comminuted fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with delayed healingCMS: Nondisp commnt fx shaft of humer, unsp arm, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.356K | Nondisplaced comminuted fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with nonunionCMS: Nondisp commnt fx shaft of humer, unsp arm, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.356P | Nondisplaced comminuted fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with malunionCMS: Nondisp commnt fx shaft of humer, unsp arm, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.356S | Nondisplaced comminuted fracture of shaft of humerus, unspecified arm, sequelaCMS: Nondisp comminuted fx shaft of humerus, unsp arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.36 Segmental fracture of shaft of humerus | ||||
| S42.361 Displaced segmental fracture of shaft of humerus, right arm | ||||
| S42.361A | Displaced segmental fracture of shaft of humerus, right arm, initial encounter for closed fractureCMS: Displaced segmental fx shaft of humerus, right arm, init | Can lead a claim | E | None |
| S42.361B | Displaced segmental fracture of shaft of humerus, right arm, initial encounter for open fractureCMS: Displ seg fx shaft of humerus, right arm, init for opn fx | Can lead a claim | E | None |
| S42.361D | Displaced segmental fracture of shaft of humerus, right arm, subsequent encounter for fracture with routine healingCMS: Displ seg fx shaft of humer, r arm, subs for fx w routn heal | Can lead a claim | E | None |
| S42.361G | Displaced segmental fracture of shaft of humerus, right arm, subsequent encounter for fracture with delayed healingCMS: Displ seg fx shaft of humer, r arm, subs for fx w delay heal | Can lead a claim | E | None |
| S42.361K | Displaced segmental fracture of shaft of humerus, right arm, subsequent encounter for fracture with nonunionCMS: Displ seg fx shaft of humer, r arm, subs for fx w nonunion | Can lead a claim | E | None |
| S42.361P | Displaced segmental fracture of shaft of humerus, right arm, subsequent encounter for fracture with malunionCMS: Displ seg fx shaft of humer, r arm, subs for fx w malunion | Can lead a claim | E | None |
| S42.361S | Displaced segmental fracture of shaft of humerus, right arm, sequelaCMS: Displaced segmental fx shaft of humerus, right arm, sequela | Can lead a claim | E | None |
| S42.362 Displaced segmental fracture of shaft of humerus, left arm | ||||
| S42.362A | Displaced segmental fracture of shaft of humerus, left arm, initial encounter for closed fractureCMS: Displaced segmental fx shaft of humerus, left arm, init | Can lead a claim | E | None |
| S42.362B | Displaced segmental fracture of shaft of humerus, left arm, initial encounter for open fractureCMS: Displ seg fx shaft of humerus, left arm, init for opn fx | Can lead a claim | E | None |
| S42.362D | Displaced segmental fracture of shaft of humerus, left arm, subsequent encounter for fracture with routine healingCMS: Displ seg fx shaft of humer, l arm, subs for fx w routn heal | Can lead a claim | E | None |
| S42.362G | Displaced segmental fracture of shaft of humerus, left arm, subsequent encounter for fracture with delayed healingCMS: Displ seg fx shaft of humer, l arm, subs for fx w delay heal | Can lead a claim | E | None |
| S42.362K | Displaced segmental fracture of shaft of humerus, left arm, subsequent encounter for fracture with nonunionCMS: Displ seg fx shaft of humer, l arm, subs for fx w nonunion | Can lead a claim | E | None |
| S42.362P | Displaced segmental fracture of shaft of humerus, left arm, subsequent encounter for fracture with malunionCMS: Displ seg fx shaft of humer, l arm, subs for fx w malunion | Can lead a claim | E | None |
| S42.362S | Displaced segmental fracture of shaft of humerus, left arm, sequelaCMS: Displaced segmental fx shaft of humerus, left arm, sequela | Can lead a claim | E | None |
| S42.363 Displaced segmental fracture of shaft of humerus, unspecified arm | ||||
| S42.363A | Displaced segmental fracture of shaft of humerus, unspecified arm, initial encounter for closed fractureCMS: Displaced segmental fx shaft of humerus, unsp arm, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.363B | Displaced segmental fracture of shaft of humerus, unspecified arm, initial encounter for open fractureCMS: Displ seg fx shaft of humerus, unsp arm, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.363D | Displaced segmental fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with routine healingCMS: Displ seg fx shaft of humer, unsp arm, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.363G | Displaced segmental fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with delayed healingCMS: Displ seg fx shaft of humer, unsp arm, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.363K | Displaced segmental fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with nonunionCMS: Displ seg fx shaft of humer, unsp arm, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.363P | Displaced segmental fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with malunionCMS: Displ seg fx shaft of humer, unsp arm, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.363S | Displaced segmental fracture of shaft of humerus, unspecified arm, sequelaCMS: Displaced segmental fx shaft of humerus, unsp arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.364 Nondisplaced segmental fracture of shaft of humerus, right arm | ||||
| S42.364A | Nondisplaced segmental fracture of shaft of humerus, right arm, initial encounter for closed fractureCMS: Nondisp segmental fx shaft of humerus, right arm, init | Can lead a claim | E | None |
| S42.364B | Nondisplaced segmental fracture of shaft of humerus, right arm, initial encounter for open fractureCMS: Nondisp seg fx shaft of humerus, right arm, init for opn fx | Can lead a claim | E | None |
| S42.364D | Nondisplaced segmental fracture of shaft of humerus, right arm, subsequent encounter for fracture with routine healingCMS: Nondisp seg fx shaft of humer, r arm, 7thD | Can lead a claim | E | None |
| S42.364G | Nondisplaced segmental fracture of shaft of humerus, right arm, subsequent encounter for fracture with delayed healingCMS: Nondisp seg fx shaft of humer, r arm, 7thG | Can lead a claim | E | None |
| S42.364K | Nondisplaced segmental fracture of shaft of humerus, right arm, subsequent encounter for fracture with nonunionCMS: Nondisp seg fx shaft of humer, r arm, subs for fx w nonunion | Can lead a claim | E | None |
| S42.364P | Nondisplaced segmental fracture of shaft of humerus, right arm, subsequent encounter for fracture with malunionCMS: Nondisp seg fx shaft of humer, r arm, subs for fx w malunion | Can lead a claim | E | None |
| S42.364S | Nondisplaced segmental fracture of shaft of humerus, right arm, sequelaCMS: Nondisp segmental fx shaft of humerus, right arm, sequela | Can lead a claim | E | None |
| S42.365 Nondisplaced segmental fracture of shaft of humerus, left arm | ||||
| S42.365A | Nondisplaced segmental fracture of shaft of humerus, left arm, initial encounter for closed fractureCMS: Nondisp segmental fx shaft of humerus, left arm, init | Can lead a claim | E | None |
| S42.365B | Nondisplaced segmental fracture of shaft of humerus, left arm, initial encounter for open fractureCMS: Nondisp seg fx shaft of humerus, left arm, init for opn fx | Can lead a claim | E | None |
| S42.365D | Nondisplaced segmental fracture of shaft of humerus, left arm, subsequent encounter for fracture with routine healingCMS: Nondisp seg fx shaft of humer, l arm, 7thD | Can lead a claim | E | None |
| S42.365G | Nondisplaced segmental fracture of shaft of humerus, left arm, subsequent encounter for fracture with delayed healingCMS: Nondisp seg fx shaft of humer, l arm, 7thG | Can lead a claim | E | None |
| S42.365K | Nondisplaced segmental fracture of shaft of humerus, left arm, subsequent encounter for fracture with nonunionCMS: Nondisp seg fx shaft of humer, l arm, subs for fx w nonunion | Can lead a claim | E | None |
| S42.365P | Nondisplaced segmental fracture of shaft of humerus, left arm, subsequent encounter for fracture with malunionCMS: Nondisp seg fx shaft of humer, l arm, subs for fx w malunion | Can lead a claim | E | None |
| S42.365S | Nondisplaced segmental fracture of shaft of humerus, left arm, sequelaCMS: Nondisp segmental fx shaft of humerus, left arm, sequela | Can lead a claim | E | None |
| S42.366 Nondisplaced segmental fracture of shaft of humerus, unspecified arm | ||||
| S42.366A | Nondisplaced segmental fracture of shaft of humerus, unspecified arm, initial encounter for closed fractureCMS: Nondisp segmental fx shaft of humerus, unsp arm, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.366B | Nondisplaced segmental fracture of shaft of humerus, unspecified arm, initial encounter for open fractureCMS: Nondisp seg fx shaft of humerus, unsp arm, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.366D | Nondisplaced segmental fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with routine healingCMS: Nondisp seg fx shaft of humer, unsp arm, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.366G | Nondisplaced segmental fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with delayed healingCMS: Nondisp seg fx shaft of humer, unsp arm, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.366K | Nondisplaced segmental fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with nonunionCMS: Nondisp seg fx shaft of humer, unsp arm, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.366P | Nondisplaced segmental fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with malunionCMS: Nondisp seg fx shaft of humer, unsp arm, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.366S | Nondisplaced segmental fracture of shaft of humerus, unspecified arm, sequelaCMS: Nondisp segmental fx shaft of humerus, unsp arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.39 Other fracture of shaft of humerus | ||||
| S42.391 Other fracture of shaft of right humerus | ||||
| S42.391A | Other fracture of shaft of right humerus, initial encounter for closed fractureCMS: Oth fracture of shaft of right humerus, init for clos fx | Can lead a claim | E | None |
| S42.391B | Other fracture of shaft of right humerus, initial encounter for open fractureCMS: Oth fracture of shaft of right humerus, init for opn fx | Can lead a claim | E | None |
| S42.391D | Other fracture of shaft of right humerus, subsequent encounter for fracture with routine healingCMS: Oth fracture of shaft of r humerus, subs for fx w routn heal | Can lead a claim | E | None |
| S42.391G | Other fracture of shaft of right humerus, subsequent encounter for fracture with delayed healingCMS: Oth fracture of shaft of r humerus, subs for fx w delay heal | Can lead a claim | E | None |
| S42.391K | Other fracture of shaft of right humerus, subsequent encounter for fracture with nonunionCMS: Oth fracture of shaft of r humerus, subs for fx w nonunion | Can lead a claim | E | None |
| S42.391P | Other fracture of shaft of right humerus, subsequent encounter for fracture with malunionCMS: Oth fracture of shaft of r humerus, subs for fx w malunion | Can lead a claim | E | None |
| S42.391S | Other fracture of shaft of right humerus, sequela | Can lead a claim | E | None |
| S42.392 Other fracture of shaft of left humerus | ||||
| S42.392A | Other fracture of shaft of left humerus, initial encounter for closed fractureCMS: Oth fracture of shaft of left humerus, init for clos fx | Can lead a claim | E | None |
| S42.392B | Other fracture of shaft of left humerus, initial encounter for open fractureCMS: Oth fracture of shaft of left humerus, init for opn fx | Can lead a claim | E | None |
| S42.392D | Other fracture of shaft of left humerus, subsequent encounter for fracture with routine healingCMS: Oth fracture of shaft of l humerus, subs for fx w routn heal | Can lead a claim | E | None |
| S42.392G | Other fracture of shaft of left humerus, subsequent encounter for fracture with delayed healingCMS: Oth fracture of shaft of l humerus, subs for fx w delay heal | Can lead a claim | E | None |
| S42.392K | Other fracture of shaft of left humerus, subsequent encounter for fracture with nonunionCMS: Oth fracture of shaft of l humerus, subs for fx w nonunion | Can lead a claim | E | None |
| S42.392P | Other fracture of shaft of left humerus, subsequent encounter for fracture with malunionCMS: Oth fracture of shaft of l humerus, subs for fx w malunion | Can lead a claim | E | None |
| S42.392S | Other fracture of shaft of left humerus, sequela | Can lead a claim | E | None |
| S42.399 Other fracture of shaft of unspecified humerus | ||||
| S42.399A | Other fracture of shaft of unspecified humerus, initial encounter for closed fractureCMS: Oth fracture of shaft of unsp humerus, init for clos fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.399B | Other fracture of shaft of unspecified humerus, initial encounter for open fractureCMS: Oth fracture of shaft of unsp humerus, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.399D | Other fracture of shaft of unspecified humerus, subsequent encounter for fracture with routine healingCMS: Oth fx shaft of unsp humerus, subs for fx w routn heal | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.399G | Other fracture of shaft of unspecified humerus, subsequent encounter for fracture with delayed healingCMS: Oth fx shaft of unsp humerus, subs for fx w delay heal | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.399K | Other fracture of shaft of unspecified humerus, subsequent encounter for fracture with nonunionCMS: Oth fx shaft of unsp humerus, subs for fx w nonunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.399P | Other fracture of shaft of unspecified humerus, subsequent encounter for fracture with malunionCMS: Oth fx shaft of unsp humerus, subs for fx w malunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.399S | Other fracture of shaft of unspecified humerus, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.4 Fracture of lower end of humerus | ||||
| S42.40 Unspecified fracture of lower end of humerus | ||||
| S42.401 Unspecified fracture of lower end of right humerus | ||||
| S42.401A | Unspecified fracture of lower end of right humerus, initial encounter for closed fractureCMS: Unsp fracture of lower end of right humerus, init | Can lead a claim | E | None |
| S42.401B | Unspecified fracture of lower end of right humerus, initial encounter for open fractureCMS: Unsp fracture of lower end of right humerus, init for opn fx | Can lead a claim | E | None |
| S42.401D | Unspecified fracture of lower end of right humerus, subsequent encounter for fracture with routine healingCMS: Unsp fx lower end of r humerus, subs for fx w routn heal | Can lead a claim | E | None |
| S42.401G | Unspecified fracture of lower end of right humerus, subsequent encounter for fracture with delayed healingCMS: Unsp fx lower end of r humerus, subs for fx w delay heal | Can lead a claim | E | None |
| S42.401K | Unspecified fracture of lower end of right humerus, subsequent encounter for fracture with nonunionCMS: Unsp fx lower end of r humerus, subs for fx w nonunion | Can lead a claim | E | None |
| S42.401P | Unspecified fracture of lower end of right humerus, subsequent encounter for fracture with malunionCMS: Unsp fx lower end of r humerus, subs for fx w malunion | Can lead a claim | E | None |
| S42.401S | Unspecified fracture of lower end of right humerus, sequela | Can lead a claim | E | None |
| S42.402 Unspecified fracture of lower end of left humerus | ||||
| S42.402A | Unspecified fracture of lower end of left humerus, initial encounter for closed fractureCMS: Unsp fracture of lower end of left humerus, init for clos fx | Can lead a claim | E | None |
| S42.402B | Unspecified fracture of lower end of left humerus, initial encounter for open fractureCMS: Unsp fracture of lower end of left humerus, init for opn fx | Can lead a claim | E | None |
| S42.402D | Unspecified fracture of lower end of left humerus, subsequent encounter for fracture with routine healingCMS: Unsp fx lower end of l humerus, subs for fx w routn heal | Can lead a claim | E | None |
| S42.402G | Unspecified fracture of lower end of left humerus, subsequent encounter for fracture with delayed healingCMS: Unsp fx lower end of l humerus, subs for fx w delay heal | Can lead a claim | E | None |
| S42.402K | Unspecified fracture of lower end of left humerus, subsequent encounter for fracture with nonunionCMS: Unsp fx lower end of l humerus, subs for fx w nonunion | Can lead a claim | E | None |
| S42.402P | Unspecified fracture of lower end of left humerus, subsequent encounter for fracture with malunionCMS: Unsp fx lower end of l humerus, subs for fx w malunion | Can lead a claim | E | None |
| S42.402S | Unspecified fracture of lower end of left humerus, sequela | Can lead a claim | E | None |
| S42.409 Unspecified fracture of lower end of unspecified humerus | ||||
| S42.409A | Unspecified fracture of lower end of unspecified humerus, initial encounter for closed fractureCMS: Unsp fracture of lower end of unsp humerus, init for clos fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.409B | Unspecified fracture of lower end of unspecified humerus, initial encounter for open fractureCMS: Unsp fracture of lower end of unsp humerus, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.409D | Unspecified fracture of lower end of unspecified humerus, subsequent encounter for fracture with routine healingCMS: Unsp fx lower end of unsp humerus, subs for fx w routn heal | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.409G | Unspecified fracture of lower end of unspecified humerus, subsequent encounter for fracture with delayed healingCMS: Unsp fx lower end of unsp humerus, subs for fx w delay heal | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.409K | Unspecified fracture of lower end of unspecified humerus, subsequent encounter for fracture with nonunionCMS: Unsp fx lower end of unsp humerus, subs for fx w nonunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.409P | Unspecified fracture of lower end of unspecified humerus, subsequent encounter for fracture with malunionCMS: Unsp fx lower end of unsp humerus, subs for fx w malunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.409S | Unspecified fracture of lower end of unspecified humerus, sequelaCMS: Unsp fracture of lower end of unspecified humerus, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.41 Simple supracondylar fracture without intercondylar fracture of humerus | ||||
| S42.411 Displaced simple supracondylar fracture without intercondylar fracture of right humerus | ||||
| S42.411A | Displaced simple supracondylar fracture without intercondylar fracture of right humerus, initial encounter for closed fractureCMS: Displ simple suprcndl fx w/o intrcndl fx r humerus, init | Can lead a claim | E | None |
| S42.411B | Displaced simple supracondylar fracture without intercondylar fracture of right humerus, initial encounter for open fractureCMS: Displ simp suprcndl fx w/o intrcndl fx r humer, 7thB | Can lead a claim | E | None |
| S42.411D | Displaced simple supracondylar fracture without intercondylar fracture of right humerus, subsequent encounter for fracture with routine healingCMS: Displ simp suprcndl fx w/o intrcndl fx r humer, 7thD | Can lead a claim | E | None |
| S42.411G | Displaced simple supracondylar fracture without intercondylar fracture of right humerus, subsequent encounter for fracture with delayed healingCMS: Displ simp suprcndl fx w/o intrcndl fx r humer, 7thG | Can lead a claim | E | None |
| S42.411K | Displaced simple supracondylar fracture without intercondylar fracture of right humerus, subsequent encounter for fracture with nonunionCMS: Displ simp suprcndl fx w/o intrcndl fx r humer, 7thK | Can lead a claim | E | None |
| S42.411P | Displaced simple supracondylar fracture without intercondylar fracture of right humerus, subsequent encounter for fracture with malunionCMS: Displ simp suprcndl fx w/o intrcndl fx r humer, 7thP | Can lead a claim | E | None |
| S42.411S | Displaced simple supracondylar fracture without intercondylar fracture of right humerus, sequelaCMS: Displ simple suprcndl fx w/o intrcndl fx r humerus, sequela | Can lead a claim | E | None |
| S42.412 Displaced simple supracondylar fracture without intercondylar fracture of left humerus | ||||
| S42.412A | Displaced simple supracondylar fracture without intercondylar fracture of left humerus, initial encounter for closed fractureCMS: Displ simple suprcndl fx w/o intrcndl fx l humerus, init | Can lead a claim | E | None |
| S42.412B | Displaced simple supracondylar fracture without intercondylar fracture of left humerus, initial encounter for open fractureCMS: Displ simp suprcndl fx w/o intrcndl fx l humer, 7thB | Can lead a claim | E | None |
| S42.412D | Displaced simple supracondylar fracture without intercondylar fracture of left humerus, subsequent encounter for fracture with routine healingCMS: Displ simp suprcndl fx w/o intrcndl fx l humer, 7thD | Can lead a claim | E | None |
| S42.412G | Displaced simple supracondylar fracture without intercondylar fracture of left humerus, subsequent encounter for fracture with delayed healingCMS: Displ simp suprcndl fx w/o intrcndl fx l humer, 7thG | Can lead a claim | E | None |
| S42.412K | Displaced simple supracondylar fracture without intercondylar fracture of left humerus, subsequent encounter for fracture with nonunionCMS: Displ simp suprcndl fx w/o intrcndl fx l humer, 7thK | Can lead a claim | E | None |
| S42.412P | Displaced simple supracondylar fracture without intercondylar fracture of left humerus, subsequent encounter for fracture with malunionCMS: Displ simp suprcndl fx w/o intrcndl fx l humer, 7thP | Can lead a claim | E | None |
| S42.412S | Displaced simple supracondylar fracture without intercondylar fracture of left humerus, sequelaCMS: Displ simple suprcndl fx w/o intrcndl fx l humerus, sequela | Can lead a claim | E | None |
| S42.413 Displaced simple supracondylar fracture without intercondylar fracture of unspecified humerus | ||||
| S42.413A | Displaced simple supracondylar fracture without intercondylar fracture of unspecified humerus, initial encounter for closed fractureCMS: Displ simple suprcndl fx w/o intrcndl fx unsp humerus, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.413B | Displaced simple supracondylar fracture without intercondylar fracture of unspecified humerus, initial encounter for open fractureCMS: Displ simp suprcndl fx w/o intrcndl fx unsp humer, 7thB | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.413D | Displaced simple supracondylar fracture without intercondylar fracture of unspecified humerus, subsequent encounter for fracture with routine healingCMS: Displ simp suprcndl fx w/o intrcndl fx unsp humer, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.413G | Displaced simple supracondylar fracture without intercondylar fracture of unspecified humerus, subsequent encounter for fracture with delayed healingCMS: Displ simp suprcndl fx w/o intrcndl fx unsp humer, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.413K | Displaced simple supracondylar fracture without intercondylar fracture of unspecified humerus, subsequent encounter for fracture with nonunionCMS: Displ simp suprcndl fx w/o intrcndl fx unsp humer, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.413P | Displaced simple supracondylar fracture without intercondylar fracture of unspecified humerus, subsequent encounter for fracture with malunionCMS: Displ simp suprcndl fx w/o intrcndl fx unsp humer, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.413S | Displaced simple supracondylar fracture without intercondylar fracture of unspecified humerus, sequelaCMS: Displ simple suprcndl fx w/o intrcndl fx unsp humer, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.414 Nondisplaced simple supracondylar fracture without intercondylar fracture of right humerus | ||||
| S42.414A | Nondisplaced simple supracondylar fracture without intercondylar fracture of right humerus, initial encounter for closed fractureCMS: Nondisp simple suprcndl fx w/o intrcndl fx r humerus, init | Can lead a claim | E | None |
| S42.414B | Nondisplaced simple supracondylar fracture without intercondylar fracture of right humerus, initial encounter for open fractureCMS: Nondisp simp suprcndl fx w/o intrcndl fx r humer, 7thB | Can lead a claim | E | None |
| S42.414D | Nondisplaced simple supracondylar fracture without intercondylar fracture of right humerus, subsequent encounter for fracture with routine healingCMS: Nondisp simp suprcndl fx w/o intrcndl fx r humer, 7thD | Can lead a claim | E | None |
| S42.414G | Nondisplaced simple supracondylar fracture without intercondylar fracture of right humerus, subsequent encounter for fracture with delayed healingCMS: Nondisp simp suprcndl fx w/o intrcndl fx r humer, 7thG | Can lead a claim | E | None |
| S42.414K | Nondisplaced simple supracondylar fracture without intercondylar fracture of right humerus, subsequent encounter for fracture with nonunionCMS: Nondisp simp suprcndl fx w/o intrcndl fx r humer, 7thK | Can lead a claim | E | None |
| S42.414P | Nondisplaced simple supracondylar fracture without intercondylar fracture of right humerus, subsequent encounter for fracture with malunionCMS: Nondisp simp suprcndl fx w/o intrcndl fx r humer, 7thP | Can lead a claim | E | None |
| S42.414S | Nondisplaced simple supracondylar fracture without intercondylar fracture of right humerus, sequelaCMS: Nondisp simple suprcndl fx w/o intrcndl fx r humer, sequela | Can lead a claim | E | None |
| S42.415 Nondisplaced simple supracondylar fracture without intercondylar fracture of left humerus | ||||
| S42.415A | Nondisplaced simple supracondylar fracture without intercondylar fracture of left humerus, initial encounter for closed fractureCMS: Nondisp simple suprcndl fx w/o intrcndl fx l humerus, init | Can lead a claim | E | None |
| S42.415B | Nondisplaced simple supracondylar fracture without intercondylar fracture of left humerus, initial encounter for open fractureCMS: Nondisp simp suprcndl fx w/o intrcndl fx l humer, 7thB | Can lead a claim | E | None |
| S42.415D | Nondisplaced simple supracondylar fracture without intercondylar fracture of left humerus, subsequent encounter for fracture with routine healingCMS: Nondisp simp suprcndl fx w/o intrcndl fx l humer, 7thD | Can lead a claim | E | None |
| S42.415G | Nondisplaced simple supracondylar fracture without intercondylar fracture of left humerus, subsequent encounter for fracture with delayed healingCMS: Nondisp simp suprcndl fx w/o intrcndl fx l humer, 7thG | Can lead a claim | E | None |
| S42.415K | Nondisplaced simple supracondylar fracture without intercondylar fracture of left humerus, subsequent encounter for fracture with nonunionCMS: Nondisp simp suprcndl fx w/o intrcndl fx l humer, 7thK | Can lead a claim | E | None |
| S42.415P | Nondisplaced simple supracondylar fracture without intercondylar fracture of left humerus, subsequent encounter for fracture with malunionCMS: Nondisp simp suprcndl fx w/o intrcndl fx l humer, 7thP | Can lead a claim | E | None |
| S42.415S | Nondisplaced simple supracondylar fracture without intercondylar fracture of left humerus, sequelaCMS: Nondisp simple suprcndl fx w/o intrcndl fx l humer, sequela | Can lead a claim | E | None |
| S42.416 Nondisplaced simple supracondylar fracture without intercondylar fracture of unspecified humerus | ||||
| S42.416A | Nondisplaced simple supracondylar fracture without intercondylar fracture of unspecified humerus, initial encounter for closed fractureCMS: Nondisp simple suprcndl fx w/o intrcndl fx unsp humer, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.416B | Nondisplaced simple supracondylar fracture without intercondylar fracture of unspecified humerus, initial encounter for open fractureCMS: Nondisp simp suprcndl fx w/o intrcndl fx unsp humer, 7thB | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.416D | Nondisplaced simple supracondylar fracture without intercondylar fracture of unspecified humerus, subsequent encounter for fracture with routine healingCMS: Nondisp simp suprcndl fx w/o intrcndl fx unsp humer, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.416G | Nondisplaced simple supracondylar fracture without intercondylar fracture of unspecified humerus, subsequent encounter for fracture with delayed healingCMS: Nondisp simp suprcndl fx w/o intrcndl fx unsp humer, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.416K | Nondisplaced simple supracondylar fracture without intercondylar fracture of unspecified humerus, subsequent encounter for fracture with nonunionCMS: Nondisp simp suprcndl fx w/o intrcndl fx unsp humer, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.416P | Nondisplaced simple supracondylar fracture without intercondylar fracture of unspecified humerus, subsequent encounter for fracture with malunionCMS: Nondisp simp suprcndl fx w/o intrcndl fx unsp humer, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.416S | Nondisplaced simple supracondylar fracture without intercondylar fracture of unspecified humerus, sequelaCMS: Nondisp simple suprcndl fx w/o intrcndl fx unsp humer, sqla | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.42 Comminuted supracondylar fracture without intercondylar fracture of humerus | ||||
| S42.421 Displaced comminuted supracondylar fracture without intercondylar fracture of right humerus | ||||
| S42.421A | Displaced comminuted supracondylar fracture without intercondylar fracture of right humerus, initial encounter for closed fractureCMS: Displ commnt suprcndl fx w/o intrcndl fx r humerus, init | Can lead a claim | E | None |
| S42.421B | Displaced comminuted supracondylar fracture without intercondylar fracture of right humerus, initial encounter for open fractureCMS: Displ commnt suprcndl fx w/o intrcndl fx r humer, 7thB | Can lead a claim | E | None |
| S42.421D | Displaced comminuted supracondylar fracture without intercondylar fracture of right humerus, subsequent encounter for fracture with routine healingCMS: Displ commnt suprcndl fx w/o intrcndl fx r humer, 7thD | Can lead a claim | E | None |
| S42.421G | Displaced comminuted supracondylar fracture without intercondylar fracture of right humerus, subsequent encounter for fracture with delayed healingCMS: Displ commnt suprcndl fx w/o intrcndl fx r humer, 7thG | Can lead a claim | E | None |
| S42.421K | Displaced comminuted supracondylar fracture without intercondylar fracture of right humerus, subsequent encounter for fracture with nonunionCMS: Displ commnt suprcndl fx w/o intrcndl fx r humer, 7thK | Can lead a claim | E | None |
| S42.421P | Displaced comminuted supracondylar fracture without intercondylar fracture of right humerus, subsequent encounter for fracture with malunionCMS: Displ commnt suprcndl fx w/o intrcndl fx r humer, 7thP | Can lead a claim | E | None |
| S42.421S | Displaced comminuted supracondylar fracture without intercondylar fracture of right humerus, sequelaCMS: Displ commnt suprcndl fx w/o intrcndl fx r humerus, sequela | Can lead a claim | E | None |
| S42.422 Displaced comminuted supracondylar fracture without intercondylar fracture of left humerus | ||||
| S42.422A | Displaced comminuted supracondylar fracture without intercondylar fracture of left humerus, initial encounter for closed fractureCMS: Displ commnt suprcndl fx w/o intrcndl fx l humerus, init | Can lead a claim | E | None |
| S42.422B | Displaced comminuted supracondylar fracture without intercondylar fracture of left humerus, initial encounter for open fractureCMS: Displ commnt suprcndl fx w/o intrcndl fx l humer, 7thB | Can lead a claim | E | None |
| S42.422D | Displaced comminuted supracondylar fracture without intercondylar fracture of left humerus, subsequent encounter for fracture with routine healingCMS: Displ commnt suprcndl fx w/o intrcndl fx l humer, 7thD | Can lead a claim | E | None |
| S42.422G | Displaced comminuted supracondylar fracture without intercondylar fracture of left humerus, subsequent encounter for fracture with delayed healingCMS: Displ commnt suprcndl fx w/o intrcndl fx l humer, 7thG | Can lead a claim | E | None |
| S42.422K | Displaced comminuted supracondylar fracture without intercondylar fracture of left humerus, subsequent encounter for fracture with nonunionCMS: Displ commnt suprcndl fx w/o intrcndl fx l humer, 7thK | Can lead a claim | E | None |
| S42.422P | Displaced comminuted supracondylar fracture without intercondylar fracture of left humerus, subsequent encounter for fracture with malunionCMS: Displ commnt suprcndl fx w/o intrcndl fx l humer, 7thP | Can lead a claim | E | None |
| S42.422S | Displaced comminuted supracondylar fracture without intercondylar fracture of left humerus, sequelaCMS: Displ commnt suprcndl fx w/o intrcndl fx l humerus, sequela | Can lead a claim | E | None |
| S42.423 Displaced comminuted supracondylar fracture without intercondylar fracture of unspecified humerus | ||||
| S42.423A | Displaced comminuted supracondylar fracture without intercondylar fracture of unspecified humerus, initial encounter for closed fractureCMS: Displ commnt suprcndl fx w/o intrcndl fx unsp humerus, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.423B | Displaced comminuted supracondylar fracture without intercondylar fracture of unspecified humerus, initial encounter for open fractureCMS: Displ commnt suprcndl fx w/o intrcndl fx unsp humer, 7thB | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.423D | Displaced comminuted supracondylar fracture without intercondylar fracture of unspecified humerus, subsequent encounter for fracture with routine healingCMS: Displ commnt suprcndl fx w/o intrcndl fx unsp humer, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.423G | Displaced comminuted supracondylar fracture without intercondylar fracture of unspecified humerus, subsequent encounter for fracture with delayed healingCMS: Displ commnt suprcndl fx w/o intrcndl fx unsp humer, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.423K | Displaced comminuted supracondylar fracture without intercondylar fracture of unspecified humerus, subsequent encounter for fracture with nonunionCMS: Displ commnt suprcndl fx w/o intrcndl fx unsp humer, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.423P | Displaced comminuted supracondylar fracture without intercondylar fracture of unspecified humerus, subsequent encounter for fracture with malunionCMS: Displ commnt suprcndl fx w/o intrcndl fx unsp humer, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.423S | Displaced comminuted supracondylar fracture without intercondylar fracture of unspecified humerus, sequelaCMS: Displ commnt suprcndl fx w/o intrcndl fx unsp humer, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.424 Nondisplaced comminuted supracondylar fracture without intercondylar fracture of right humerus | ||||
| S42.424A | Nondisplaced comminuted supracondylar fracture without intercondylar fracture of right humerus, initial encounter for closed fractureCMS: Nondisp commnt suprcndl fx w/o intrcndl fx r humerus, init | Can lead a claim | E | None |
| S42.424B | Nondisplaced comminuted supracondylar fracture without intercondylar fracture of right humerus, initial encounter for open fractureCMS: Nondisp commnt suprcndl fx w/o intrcndl fx r humer, 7thB | Can lead a claim | E | None |
| S42.424D | Nondisplaced comminuted supracondylar fracture without intercondylar fracture of right humerus, subsequent encounter for fracture with routine healingCMS: Nondisp commnt suprcndl fx w/o intrcndl fx r humer, 7thD | Can lead a claim | E | None |
| S42.424G | Nondisplaced comminuted supracondylar fracture without intercondylar fracture of right humerus, subsequent encounter for fracture with delayed healingCMS: Nondisp commnt suprcndl fx w/o intrcndl fx r humer, 7thG | Can lead a claim | E | None |
| S42.424K | Nondisplaced comminuted supracondylar fracture without intercondylar fracture of right humerus, subsequent encounter for fracture with nonunionCMS: Nondisp commnt suprcndl fx w/o intrcndl fx r humer, 7thK | Can lead a claim | E | None |
| S42.424P | Nondisplaced comminuted supracondylar fracture without intercondylar fracture of right humerus, subsequent encounter for fracture with malunionCMS: Nondisp commnt suprcndl fx w/o intrcndl fx r humer, 7thP | Can lead a claim | E | None |
| S42.424S | Nondisplaced comminuted supracondylar fracture without intercondylar fracture of right humerus, sequelaCMS: Nondisp commnt suprcndl fx w/o intrcndl fx r humer, sequela | Can lead a claim | E | None |
| S42.425 Nondisplaced comminuted supracondylar fracture without intercondylar fracture of left humerus | ||||
| S42.425A | Nondisplaced comminuted supracondylar fracture without intercondylar fracture of left humerus, initial encounter for closed fractureCMS: Nondisp commnt suprcndl fx w/o intrcndl fx l humerus, init | Can lead a claim | E | None |
| S42.425B | Nondisplaced comminuted supracondylar fracture without intercondylar fracture of left humerus, initial encounter for open fractureCMS: Nondisp commnt suprcndl fx w/o intrcndl fx l humer, 7thB | Can lead a claim | E | None |
| S42.425D | Nondisplaced comminuted supracondylar fracture without intercondylar fracture of left humerus, subsequent encounter for fracture with routine healingCMS: Nondisp commnt suprcndl fx w/o intrcndl fx l humer, 7thD | Can lead a claim | E | None |
| S42.425G | Nondisplaced comminuted supracondylar fracture without intercondylar fracture of left humerus, subsequent encounter for fracture with delayed healingCMS: Nondisp commnt suprcndl fx w/o intrcndl fx l humer, 7thG | Can lead a claim | E | None |
| S42.425K | Nondisplaced comminuted supracondylar fracture without intercondylar fracture of left humerus, subsequent encounter for fracture with nonunionCMS: Nondisp commnt suprcndl fx w/o intrcndl fx l humer, 7thK | Can lead a claim | E | None |
| S42.425P | Nondisplaced comminuted supracondylar fracture without intercondylar fracture of left humerus, subsequent encounter for fracture with malunionCMS: Nondisp commnt suprcndl fx w/o intrcndl fx l humer, 7thP | Can lead a claim | E | None |
| S42.425S | Nondisplaced comminuted supracondylar fracture without intercondylar fracture of left humerus, sequelaCMS: Nondisp commnt suprcndl fx w/o intrcndl fx l humer, sequela | Can lead a claim | E | None |
| S42.426 Nondisplaced comminuted supracondylar fracture without intercondylar fracture of unspecified humerus | ||||
| S42.426A | Nondisplaced comminuted supracondylar fracture without intercondylar fracture of unspecified humerus, initial encounter for closed fractureCMS: Nondisp commnt suprcndl fx w/o intrcndl fx unsp humer, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.426B | Nondisplaced comminuted supracondylar fracture without intercondylar fracture of unspecified humerus, initial encounter for open fractureCMS: Nondisp commnt suprcndl fx w/o intrcndl fx unsp humer, 7thB | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.426D | Nondisplaced comminuted supracondylar fracture without intercondylar fracture of unspecified humerus, subsequent encounter for fracture with routine healingCMS: Nondisp commnt suprcndl fx w/o intrcndl fx unsp humer, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.426G | Nondisplaced comminuted supracondylar fracture without intercondylar fracture of unspecified humerus, subsequent encounter for fracture with delayed healingCMS: Nondisp commnt suprcndl fx w/o intrcndl fx unsp humer, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.426K | Nondisplaced comminuted supracondylar fracture without intercondylar fracture of unspecified humerus, subsequent encounter for fracture with nonunionCMS: Nondisp commnt suprcndl fx w/o intrcndl fx unsp humer, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.426P | Nondisplaced comminuted supracondylar fracture without intercondylar fracture of unspecified humerus, subsequent encounter for fracture with malunionCMS: Nondisp commnt suprcndl fx w/o intrcndl fx unsp humer, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.426S | Nondisplaced comminuted supracondylar fracture without intercondylar fracture of unspecified humerus, sequelaCMS: Nondisp commnt suprcndl fx w/o intrcndl fx unsp humer, sqla | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.43 Fracture (avulsion) of lateral epicondyle of humerus | ||||
| S42.431 Displaced fracture (avulsion) of lateral epicondyle of right humerus | ||||
| S42.431A | Displaced fracture (avulsion) of lateral epicondyle of right humerus, initial encounter for closed fractureCMS: Disp fx (avulsion) of lateral epicondyle of r humerus, init | Can lead a claim | E | None |
| S42.431B | Displaced fracture (avulsion) of lateral epicondyle of right humerus, initial encounter for open fractureCMS: Disp fx of lateral epicondyle of r humerus, init for opn fx | Can lead a claim | E | None |
| S42.431D | Displaced fracture (avulsion) of lateral epicondyle of right humerus, subsequent encounter for fracture with routine healingCMS: Disp fx of lateral epicondyl of r humer, 7thD | Can lead a claim | E | None |
| S42.431G | Displaced fracture (avulsion) of lateral epicondyle of right humerus, subsequent encounter for fracture with delayed healingCMS: Disp fx of lateral epicondyl of r humer, 7thG | Can lead a claim | E | None |
| S42.431K | Displaced fracture (avulsion) of lateral epicondyle of right humerus, subsequent encounter for fracture with nonunionCMS: Disp fx of lateral epicondyl of r humer, 7thK | Can lead a claim | E | None |
| S42.431P | Displaced fracture (avulsion) of lateral epicondyle of right humerus, subsequent encounter for fracture with malunionCMS: Disp fx of lateral epicondyl of r humer, 7thP | Can lead a claim | E | None |
| S42.431S | Displaced fracture (avulsion) of lateral epicondyle of right humerus, sequelaCMS: Disp fx of lateral epicondyle of r humerus, sequela | Can lead a claim | E | None |
| S42.432 Displaced fracture (avulsion) of lateral epicondyle of left humerus | ||||
| S42.432A | Displaced fracture (avulsion) of lateral epicondyle of left humerus, initial encounter for closed fractureCMS: Disp fx (avulsion) of lateral epicondyle of l humerus, init | Can lead a claim | E | None |
| S42.432B | Displaced fracture (avulsion) of lateral epicondyle of left humerus, initial encounter for open fractureCMS: Disp fx of lateral epicondyle of l humerus, init for opn fx | Can lead a claim | E | None |
| S42.432D | Displaced fracture (avulsion) of lateral epicondyle of left humerus, subsequent encounter for fracture with routine healingCMS: Disp fx of lateral epicondyl of l humer, 7thD | Can lead a claim | E | None |
| S42.432G | Displaced fracture (avulsion) of lateral epicondyle of left humerus, subsequent encounter for fracture with delayed healingCMS: Disp fx of lateral epicondyl of l humer, 7thG | Can lead a claim | E | None |
| S42.432K | Displaced fracture (avulsion) of lateral epicondyle of left humerus, subsequent encounter for fracture with nonunionCMS: Disp fx of lateral epicondyl of l humer, 7thK | Can lead a claim | E | None |
| S42.432P | Displaced fracture (avulsion) of lateral epicondyle of left humerus, subsequent encounter for fracture with malunionCMS: Disp fx of lateral epicondyl of l humer, 7thP | Can lead a claim | E | None |
| S42.432S | Displaced fracture (avulsion) of lateral epicondyle of left humerus, sequelaCMS: Disp fx of lateral epicondyle of l humerus, sequela | Can lead a claim | E | None |
| S42.433 Displaced fracture (avulsion) of lateral epicondyle of unspecified humerus | ||||
| S42.433A | Displaced fracture (avulsion) of lateral epicondyle of unspecified humerus, initial encounter for closed fractureCMS: Disp fx of lateral epicondyle of unsp humerus, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.433B | Displaced fracture (avulsion) of lateral epicondyle of unspecified humerus, initial encounter for open fractureCMS: Disp fx of lateral epicondyl of unsp humer, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.433D | Displaced fracture (avulsion) of lateral epicondyle of unspecified humerus, subsequent encounter for fracture with routine healingCMS: Disp fx of lateral epicondyl of unsp humer, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.433G | Displaced fracture (avulsion) of lateral epicondyle of unspecified humerus, subsequent encounter for fracture with delayed healingCMS: Disp fx of lateral epicondyl of unsp humer, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.433K | Displaced fracture (avulsion) of lateral epicondyle of unspecified humerus, subsequent encounter for fracture with nonunionCMS: Disp fx of lateral epicondyl of unsp humer, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.433P | Displaced fracture (avulsion) of lateral epicondyle of unspecified humerus, subsequent encounter for fracture with malunionCMS: Disp fx of lateral epicondyl of unsp humer, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.433S | Displaced fracture (avulsion) of lateral epicondyle of unspecified humerus, sequelaCMS: Disp fx of lateral epicondyle of unsp humerus, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.434 Nondisplaced fracture (avulsion) of lateral epicondyle of right humerus | ||||
| S42.434A | Nondisplaced fracture (avulsion) of lateral epicondyle of right humerus, initial encounter for closed fractureCMS: Nondisp fx of lateral epicondyle of r humerus, init | Can lead a claim | E | None |
| S42.434B | Nondisplaced fracture (avulsion) of lateral epicondyle of right humerus, initial encounter for open fractureCMS: Nondisp fx of lateral epicondyl of r humer, init for opn fx | Can lead a claim | E | None |
| S42.434D | Nondisplaced fracture (avulsion) of lateral epicondyle of right humerus, subsequent encounter for fracture with routine healingCMS: Nondisp fx of lateral epicondyl of r humer, 7thD | Can lead a claim | E | None |
| S42.434G | Nondisplaced fracture (avulsion) of lateral epicondyle of right humerus, subsequent encounter for fracture with delayed healingCMS: Nondisp fx of lateral epicondyl of r humer, 7thG | Can lead a claim | E | None |
| S42.434K | Nondisplaced fracture (avulsion) of lateral epicondyle of right humerus, subsequent encounter for fracture with nonunionCMS: Nondisp fx of lateral epicondyl of r humer, 7thK | Can lead a claim | E | None |
| S42.434P | Nondisplaced fracture (avulsion) of lateral epicondyle of right humerus, subsequent encounter for fracture with malunionCMS: Nondisp fx of lateral epicondyl of r humer, 7thP | Can lead a claim | E | None |
| S42.434S | Nondisplaced fracture (avulsion) of lateral epicondyle of right humerus, sequelaCMS: Nondisp fx of lateral epicondyle of r humerus, sequela | Can lead a claim | E | None |
| S42.435 Nondisplaced fracture (avulsion) of lateral epicondyle of left humerus | ||||
| S42.435A | Nondisplaced fracture (avulsion) of lateral epicondyle of left humerus, initial encounter for closed fractureCMS: Nondisp fx of lateral epicondyle of l humerus, init | Can lead a claim | E | None |
| S42.435B | Nondisplaced fracture (avulsion) of lateral epicondyle of left humerus, initial encounter for open fractureCMS: Nondisp fx of lateral epicondyl of l humer, init for opn fx | Can lead a claim | E | None |
| S42.435D | Nondisplaced fracture (avulsion) of lateral epicondyle of left humerus, subsequent encounter for fracture with routine healingCMS: Nondisp fx of lateral epicondyl of l humer, 7thD | Can lead a claim | E | None |
| S42.435G | Nondisplaced fracture (avulsion) of lateral epicondyle of left humerus, subsequent encounter for fracture with delayed healingCMS: Nondisp fx of lateral epicondyl of l humer, 7thG | Can lead a claim | E | None |
| S42.435K | Nondisplaced fracture (avulsion) of lateral epicondyle of left humerus, subsequent encounter for fracture with nonunionCMS: Nondisp fx of lateral epicondyl of l humer, 7thK | Can lead a claim | E | None |
| S42.435P | Nondisplaced fracture (avulsion) of lateral epicondyle of left humerus, subsequent encounter for fracture with malunionCMS: Nondisp fx of lateral epicondyl of l humer, 7thP | Can lead a claim | E | None |
| S42.435S | Nondisplaced fracture (avulsion) of lateral epicondyle of left humerus, sequelaCMS: Nondisp fx of lateral epicondyle of l humerus, sequela | Can lead a claim | E | None |
| S42.436 Nondisplaced fracture (avulsion) of lateral epicondyle of unspecified humerus | ||||
| S42.436A | Nondisplaced fracture (avulsion) of lateral epicondyle of unspecified humerus, initial encounter for closed fractureCMS: Nondisp fx of lateral epicondyle of unsp humerus, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.436B | Nondisplaced fracture (avulsion) of lateral epicondyle of unspecified humerus, initial encounter for open fractureCMS: Nondisp fx of lateral epicondyl of unsp humer, 7thB | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.436D | Nondisplaced fracture (avulsion) of lateral epicondyle of unspecified humerus, subsequent encounter for fracture with routine healingCMS: Nondisp fx of lateral epicondyl of unsp humer, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.436G | Nondisplaced fracture (avulsion) of lateral epicondyle of unspecified humerus, subsequent encounter for fracture with delayed healingCMS: Nondisp fx of lateral epicondyl of unsp humer, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.436K | Nondisplaced fracture (avulsion) of lateral epicondyle of unspecified humerus, subsequent encounter for fracture with nonunionCMS: Nondisp fx of lateral epicondyl of unsp humer, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.436P | Nondisplaced fracture (avulsion) of lateral epicondyle of unspecified humerus, subsequent encounter for fracture with malunionCMS: Nondisp fx of lateral epicondyl of unsp humer, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.436S | Nondisplaced fracture (avulsion) of lateral epicondyle of unspecified humerus, sequelaCMS: Nondisp fx of lateral epicondyle of unsp humerus, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.44 Fracture (avulsion) of medial epicondyle of humerus | ||||
| S42.441 Displaced fracture (avulsion) of medial epicondyle of right humerus | ||||
| S42.441A | Displaced fracture (avulsion) of medial epicondyle of right humerus, initial encounter for closed fractureCMS: Disp fx (avulsion) of medial epicondyle of r humerus, init | Can lead a claim | E | None |
| S42.441B | Displaced fracture (avulsion) of medial epicondyle of right humerus, initial encounter for open fractureCMS: Disp fx of medial epicondyle of r humerus, init for opn fx | Can lead a claim | E | None |
| S42.441D | Displaced fracture (avulsion) of medial epicondyle of right humerus, subsequent encounter for fracture with routine healingCMS: Disp fx of med epicondyl of r humer, 7thD | Can lead a claim | E | None |
| S42.441G | Displaced fracture (avulsion) of medial epicondyle of right humerus, subsequent encounter for fracture with delayed healingCMS: Disp fx of med epicondyl of r humer, 7thG | Can lead a claim | E | None |
| S42.441K | Displaced fracture (avulsion) of medial epicondyle of right humerus, subsequent encounter for fracture with nonunionCMS: Disp fx of med epicondyl of r humer, subs for fx w nonunion | Can lead a claim | E | None |
| S42.441P | Displaced fracture (avulsion) of medial epicondyle of right humerus, subsequent encounter for fracture with malunionCMS: Disp fx of med epicondyl of r humer, subs for fx w malunion | Can lead a claim | E | None |
| S42.441S | Displaced fracture (avulsion) of medial epicondyle of right humerus, sequelaCMS: Disp fx of medial epicondyle of r humerus, sequela | Can lead a claim | E | None |
| S42.442 Displaced fracture (avulsion) of medial epicondyle of left humerus | ||||
| S42.442A | Displaced fracture (avulsion) of medial epicondyle of left humerus, initial encounter for closed fractureCMS: Disp fx (avulsion) of medial epicondyle of l humerus, init | Can lead a claim | E | None |
| S42.442B | Displaced fracture (avulsion) of medial epicondyle of left humerus, initial encounter for open fractureCMS: Disp fx of medial epicondyle of l humerus, init for opn fx | Can lead a claim | E | None |
| S42.442D | Displaced fracture (avulsion) of medial epicondyle of left humerus, subsequent encounter for fracture with routine healingCMS: Disp fx of med epicondyl of l humer, 7thD | Can lead a claim | E | None |
| S42.442G | Displaced fracture (avulsion) of medial epicondyle of left humerus, subsequent encounter for fracture with delayed healingCMS: Disp fx of med epicondyl of l humer, 7thG | Can lead a claim | E | None |
| S42.442K | Displaced fracture (avulsion) of medial epicondyle of left humerus, subsequent encounter for fracture with nonunionCMS: Disp fx of med epicondyl of l humer, subs for fx w nonunion | Can lead a claim | E | None |
| S42.442P | Displaced fracture (avulsion) of medial epicondyle of left humerus, subsequent encounter for fracture with malunionCMS: Disp fx of med epicondyl of l humer, subs for fx w malunion | Can lead a claim | E | None |
| S42.442S | Displaced fracture (avulsion) of medial epicondyle of left humerus, sequelaCMS: Disp fx of medial epicondyle of l humerus, sequela | Can lead a claim | E | None |
| S42.443 Displaced fracture (avulsion) of medial epicondyle of unspecified humerus | ||||
| S42.443A | Displaced fracture (avulsion) of medial epicondyle of unspecified humerus, initial encounter for closed fractureCMS: Disp fx of medial epicondyle of unsp humerus, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.443B | Displaced fracture (avulsion) of medial epicondyle of unspecified humerus, initial encounter for open fractureCMS: Disp fx of medial epicondyl of unsp humerus, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.443D | Displaced fracture (avulsion) of medial epicondyle of unspecified humerus, subsequent encounter for fracture with routine healingCMS: Disp fx of med epicondyl of unsp humer, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.443G | Displaced fracture (avulsion) of medial epicondyle of unspecified humerus, subsequent encounter for fracture with delayed healingCMS: Disp fx of med epicondyl of unsp humer, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.443K | Displaced fracture (avulsion) of medial epicondyle of unspecified humerus, subsequent encounter for fracture with nonunionCMS: Disp fx of med epicondyl of unsp humer, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.443P | Displaced fracture (avulsion) of medial epicondyle of unspecified humerus, subsequent encounter for fracture with malunionCMS: Disp fx of med epicondyl of unsp humer, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.443S | Displaced fracture (avulsion) of medial epicondyle of unspecified humerus, sequelaCMS: Disp fx of medial epicondyle of unsp humerus, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.444 Nondisplaced fracture (avulsion) of medial epicondyle of right humerus | ||||
| S42.444A | Nondisplaced fracture (avulsion) of medial epicondyle of right humerus, initial encounter for closed fractureCMS: Nondisp fx of medial epicondyle of r humerus, init | Can lead a claim | E | None |
| S42.444B | Nondisplaced fracture (avulsion) of medial epicondyle of right humerus, initial encounter for open fractureCMS: Nondisp fx of medial epicondyl of r humerus, init for opn fx | Can lead a claim | E | None |
| S42.444D | Nondisplaced fracture (avulsion) of medial epicondyle of right humerus, subsequent encounter for fracture with routine healingCMS: Nondisp fx of med epicondyl of r humer, 7thD | Can lead a claim | E | None |
| S42.444G | Nondisplaced fracture (avulsion) of medial epicondyle of right humerus, subsequent encounter for fracture with delayed healingCMS: Nondisp fx of med epicondyl of r humer, 7thG | Can lead a claim | E | None |
| S42.444K | Nondisplaced fracture (avulsion) of medial epicondyle of right humerus, subsequent encounter for fracture with nonunionCMS: Nondisp fx of med epicondyl of r humer, 7thK | Can lead a claim | E | None |
| S42.444P | Nondisplaced fracture (avulsion) of medial epicondyle of right humerus, subsequent encounter for fracture with malunionCMS: Nondisp fx of med epicondyl of r humer, 7thP | Can lead a claim | E | None |
| S42.444S | Nondisplaced fracture (avulsion) of medial epicondyle of right humerus, sequelaCMS: Nondisp fx of medial epicondyle of r humerus, sequela | Can lead a claim | E | None |
| S42.445 Nondisplaced fracture (avulsion) of medial epicondyle of left humerus | ||||
| S42.445A | Nondisplaced fracture (avulsion) of medial epicondyle of left humerus, initial encounter for closed fractureCMS: Nondisp fx of medial epicondyle of l humerus, init | Can lead a claim | E | None |
| S42.445B | Nondisplaced fracture (avulsion) of medial epicondyle of left humerus, initial encounter for open fractureCMS: Nondisp fx of medial epicondyl of l humerus, init for opn fx | Can lead a claim | E | None |
| S42.445D | Nondisplaced fracture (avulsion) of medial epicondyle of left humerus, subsequent encounter for fracture with routine healingCMS: Nondisp fx of med epicondyl of l humer, 7thD | Can lead a claim | E | None |
| S42.445G | Nondisplaced fracture (avulsion) of medial epicondyle of left humerus, subsequent encounter for fracture with delayed healingCMS: Nondisp fx of med epicondyl of l humer, 7thG | Can lead a claim | E | None |
| S42.445K | Nondisplaced fracture (avulsion) of medial epicondyle of left humerus, subsequent encounter for fracture with nonunionCMS: Nondisp fx of med epicondyl of l humer, 7thK | Can lead a claim | E | None |
| S42.445P | Nondisplaced fracture (avulsion) of medial epicondyle of left humerus, subsequent encounter for fracture with malunionCMS: Nondisp fx of med epicondyl of l humer, 7thP | Can lead a claim | E | None |
| S42.445S | Nondisplaced fracture (avulsion) of medial epicondyle of left humerus, sequelaCMS: Nondisp fx of medial epicondyle of l humerus, sequela | Can lead a claim | E | None |
| S42.446 Nondisplaced fracture (avulsion) of medial epicondyle of unspecified humerus | ||||
| S42.446A | Nondisplaced fracture (avulsion) of medial epicondyle of unspecified humerus, initial encounter for closed fractureCMS: Nondisp fx of medial epicondyle of unsp humerus, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.446B | Nondisplaced fracture (avulsion) of medial epicondyle of unspecified humerus, initial encounter for open fractureCMS: Nondisp fx of med epicondyl of unsp humer, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.446D | Nondisplaced fracture (avulsion) of medial epicondyle of unspecified humerus, subsequent encounter for fracture with routine healingCMS: Nondisp fx of med epicondyl of unsp humer, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.446G | Nondisplaced fracture (avulsion) of medial epicondyle of unspecified humerus, subsequent encounter for fracture with delayed healingCMS: Nondisp fx of med epicondyl of unsp humer, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.446K | Nondisplaced fracture (avulsion) of medial epicondyle of unspecified humerus, subsequent encounter for fracture with nonunionCMS: Nondisp fx of med epicondyl of unsp humer, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.446P | Nondisplaced fracture (avulsion) of medial epicondyle of unspecified humerus, subsequent encounter for fracture with malunionCMS: Nondisp fx of med epicondyl of unsp humer, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.446S | Nondisplaced fracture (avulsion) of medial epicondyle of unspecified humerus, sequelaCMS: Nondisp fx of medial epicondyle of unsp humerus, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.447 Incarcerated fracture (avulsion) of medial epicondyle of right humerus | ||||
| S42.447A | Incarcerated fracture (avulsion) of medial epicondyle of right humerus, initial encounter for closed fractureCMS: Incarcerated fracture of medial epicondyl of r humerus, init | Can lead a claim | E | None |
| S42.447B | Incarcerated fracture (avulsion) of medial epicondyle of right humerus, initial encounter for open fractureCMS: Incarcerated fx of med epicondyl of r humer, init for opn fx | Can lead a claim | E | None |
| S42.447D | Incarcerated fracture (avulsion) of medial epicondyle of right humerus, subsequent encounter for fracture with routine healingCMS: Incarcerated fx of med epicondyl of r humer, 7thD | Can lead a claim | E | None |
| S42.447G | Incarcerated fracture (avulsion) of medial epicondyle of right humerus, subsequent encounter for fracture with delayed healingCMS: Incarcerated fx of med epicondyl of r humer, 7thG | Can lead a claim | E | None |
| S42.447K | Incarcerated fracture (avulsion) of medial epicondyle of right humerus, subsequent encounter for fracture with nonunionCMS: Incarcerated fx of med epicondyl of r humer, 7thK | Can lead a claim | E | None |
| S42.447P | Incarcerated fracture (avulsion) of medial epicondyle of right humerus, subsequent encounter for fracture with malunionCMS: Incarcerated fx of med epicondyl of r humer, 7thP | Can lead a claim | E | None |
| S42.447S | Incarcerated fracture (avulsion) of medial epicondyle of right humerus, sequelaCMS: Incarcerated fx of medial epicondyl of r humerus, sequela | Can lead a claim | E | None |
| S42.448 Incarcerated fracture (avulsion) of medial epicondyle of left humerus | ||||
| S42.448A | Incarcerated fracture (avulsion) of medial epicondyle of left humerus, initial encounter for closed fractureCMS: Incarcerated fracture of medial epicondyl of l humerus, init | Can lead a claim | E | None |
| S42.448B | Incarcerated fracture (avulsion) of medial epicondyle of left humerus, initial encounter for open fractureCMS: Incarcerated fx of med epicondyl of l humer, init for opn fx | Can lead a claim | E | None |
| S42.448D | Incarcerated fracture (avulsion) of medial epicondyle of left humerus, subsequent encounter for fracture with routine healingCMS: Incarcerated fx of med epicondyl of l humer, 7thD | Can lead a claim | E | None |
| S42.448G | Incarcerated fracture (avulsion) of medial epicondyle of left humerus, subsequent encounter for fracture with delayed healingCMS: Incarcerated fx of med epicondyl of l humer, 7thG | Can lead a claim | E | None |
| S42.448K | Incarcerated fracture (avulsion) of medial epicondyle of left humerus, subsequent encounter for fracture with nonunionCMS: Incarcerated fx of med epicondyl of l humer, 7thK | Can lead a claim | E | None |
| S42.448P | Incarcerated fracture (avulsion) of medial epicondyle of left humerus, subsequent encounter for fracture with malunionCMS: Incarcerated fx of med epicondyl of l humer, 7thP | Can lead a claim | E | None |
| S42.448S | Incarcerated fracture (avulsion) of medial epicondyle of left humerus, sequelaCMS: Incarcerated fx of medial epicondyl of l humerus, sequela | Can lead a claim | E | None |
| S42.449 Incarcerated fracture (avulsion) of medial epicondyle of unspecified humerus | ||||
| S42.449A | Incarcerated fracture (avulsion) of medial epicondyle of unspecified humerus, initial encounter for closed fractureCMS: Incarcerated fx of medial epicondyl of unsp humerus, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.449B | Incarcerated fracture (avulsion) of medial epicondyle of unspecified humerus, initial encounter for open fractureCMS: Incarcerated fx of med epicondyl of unsp humer, 7thB | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.449D | Incarcerated fracture (avulsion) of medial epicondyle of unspecified humerus, subsequent encounter for fracture with routine healingCMS: Incarcerated fx of med epicondyl of unsp humer, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.449G | Incarcerated fracture (avulsion) of medial epicondyle of unspecified humerus, subsequent encounter for fracture with delayed healingCMS: Incarcerated fx of med epicondyl of unsp humer, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.449K | Incarcerated fracture (avulsion) of medial epicondyle of unspecified humerus, subsequent encounter for fracture with nonunionCMS: Incarcerated fx of med epicondyl of unsp humer, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.449P | Incarcerated fracture (avulsion) of medial epicondyle of unspecified humerus, subsequent encounter for fracture with malunionCMS: Incarcerated fx of med epicondyl of unsp humer, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.449S | Incarcerated fracture (avulsion) of medial epicondyle of unspecified humerus, sequelaCMS: Incarcerated fx of medial epicondyl of unsp humerus, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.45 Fracture of lateral condyle of humerus | ||||
| S42.451 Displaced fracture of lateral condyle of right humerus | ||||
| S42.451A | Displaced fracture of lateral condyle of right humerus, initial encounter for closed fractureCMS: Disp fx of lateral condyle of right humerus, init | Can lead a claim | E | None |
| S42.451B | Displaced fracture of lateral condyle of right humerus, initial encounter for open fractureCMS: Disp fx of lateral condyle of right humerus, init for opn fx | Can lead a claim | E | None |
| S42.451D | Displaced fracture of lateral condyle of right humerus, subsequent encounter for fracture with routine healingCMS: Disp fx of lateral condyle of r humer, 7thD | Can lead a claim | E | None |
| S42.451G | Displaced fracture of lateral condyle of right humerus, subsequent encounter for fracture with delayed healingCMS: Disp fx of lateral condyle of r humer, 7thG | Can lead a claim | E | None |
| S42.451K | Displaced fracture of lateral condyle of right humerus, subsequent encounter for fracture with nonunionCMS: Disp fx of lateral condyle of r humer, 7thK | Can lead a claim | E | None |
| S42.451P | Displaced fracture of lateral condyle of right humerus, subsequent encounter for fracture with malunionCMS: Disp fx of lateral condyle of r humer, 7thP | Can lead a claim | E | None |
| S42.451S | Displaced fracture of lateral condyle of right humerus, sequelaCMS: Disp fx of lateral condyle of right humerus, sequela | Can lead a claim | E | None |
| S42.452 Displaced fracture of lateral condyle of left humerus | ||||
| S42.452A | Displaced fracture of lateral condyle of left humerus, initial encounter for closed fractureCMS: Disp fx of lateral condyle of left humerus, init for clos fx | Can lead a claim | E | None |
| S42.452B | Displaced fracture of lateral condyle of left humerus, initial encounter for open fractureCMS: Disp fx of lateral condyle of left humerus, init for opn fx | Can lead a claim | E | None |
| S42.452D | Displaced fracture of lateral condyle of left humerus, subsequent encounter for fracture with routine healingCMS: Disp fx of lateral condyle of l humer, 7thD | Can lead a claim | E | None |
| S42.452G | Displaced fracture of lateral condyle of left humerus, subsequent encounter for fracture with delayed healingCMS: Disp fx of lateral condyle of l humer, 7thG | Can lead a claim | E | None |
| S42.452K | Displaced fracture of lateral condyle of left humerus, subsequent encounter for fracture with nonunionCMS: Disp fx of lateral condyle of l humer, 7thK | Can lead a claim | E | None |
| S42.452P | Displaced fracture of lateral condyle of left humerus, subsequent encounter for fracture with malunionCMS: Disp fx of lateral condyle of l humer, 7thP | Can lead a claim | E | None |
| S42.452S | Displaced fracture of lateral condyle of left humerus, sequelaCMS: Disp fx of lateral condyle of left humerus, sequela | Can lead a claim | E | None |
| S42.453 Displaced fracture of lateral condyle of unspecified humerus | ||||
| S42.453A | Displaced fracture of lateral condyle of unspecified humerus, initial encounter for closed fractureCMS: Disp fx of lateral condyle of unsp humerus, init for clos fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.453B | Displaced fracture of lateral condyle of unspecified humerus, initial encounter for open fractureCMS: Disp fx of lateral condyle of unsp humerus, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.453D | Displaced fracture of lateral condyle of unspecified humerus, subsequent encounter for fracture with routine healingCMS: Disp fx of lateral condyle of unsp humer, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.453G | Displaced fracture of lateral condyle of unspecified humerus, subsequent encounter for fracture with delayed healingCMS: Disp fx of lateral condyle of unsp humer, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.453K | Displaced fracture of lateral condyle of unspecified humerus, subsequent encounter for fracture with nonunionCMS: Disp fx of lateral condyle of unsp humer, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.453P | Displaced fracture of lateral condyle of unspecified humerus, subsequent encounter for fracture with malunionCMS: Disp fx of lateral condyle of unsp humer, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.453S | Displaced fracture of lateral condyle of unspecified humerus, sequelaCMS: Disp fx of lateral condyle of unspecified humerus, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.454 Nondisplaced fracture of lateral condyle of right humerus | ||||
| S42.454A | Nondisplaced fracture of lateral condyle of right humerus, initial encounter for closed fractureCMS: Nondisp fx of lateral condyle of right humerus, init | Can lead a claim | E | None |
| S42.454B | Nondisplaced fracture of lateral condyle of right humerus, initial encounter for open fractureCMS: Nondisp fx of lateral condyle of r humerus, init for opn fx | Can lead a claim | E | None |
| S42.454D | Nondisplaced fracture of lateral condyle of right humerus, subsequent encounter for fracture with routine healingCMS: Nondisp fx of lateral condyle of r humer, 7thD | Can lead a claim | E | None |
| S42.454G | Nondisplaced fracture of lateral condyle of right humerus, subsequent encounter for fracture with delayed healingCMS: Nondisp fx of lateral condyle of r humer, 7thG | Can lead a claim | E | None |
| S42.454K | Nondisplaced fracture of lateral condyle of right humerus, subsequent encounter for fracture with nonunionCMS: Nondisp fx of lateral condyle of r humer, 7thK | Can lead a claim | E | None |
| S42.454P | Nondisplaced fracture of lateral condyle of right humerus, subsequent encounter for fracture with malunionCMS: Nondisp fx of lateral condyle of r humer, 7thP | Can lead a claim | E | None |
| S42.454S | Nondisplaced fracture of lateral condyle of right humerus, sequelaCMS: Nondisp fx of lateral condyle of right humerus, sequela | Can lead a claim | E | None |
| S42.455 Nondisplaced fracture of lateral condyle of left humerus | ||||
| S42.455A | Nondisplaced fracture of lateral condyle of left humerus, initial encounter for closed fractureCMS: Nondisp fx of lateral condyle of left humerus, init | Can lead a claim | E | None |
| S42.455B | Nondisplaced fracture of lateral condyle of left humerus, initial encounter for open fractureCMS: Nondisp fx of lateral condyle of l humerus, init for opn fx | Can lead a claim | E | None |
| S42.455D | Nondisplaced fracture of lateral condyle of left humerus, subsequent encounter for fracture with routine healingCMS: Nondisp fx of lateral condyle of l humer, 7thD | Can lead a claim | E | None |
| S42.455G | Nondisplaced fracture of lateral condyle of left humerus, subsequent encounter for fracture with delayed healingCMS: Nondisp fx of lateral condyle of l humer, 7thG | Can lead a claim | E | None |
| S42.455K | Nondisplaced fracture of lateral condyle of left humerus, subsequent encounter for fracture with nonunionCMS: Nondisp fx of lateral condyle of l humer, 7thK | Can lead a claim | E | None |
| S42.455P | Nondisplaced fracture of lateral condyle of left humerus, subsequent encounter for fracture with malunionCMS: Nondisp fx of lateral condyle of l humer, 7thP | Can lead a claim | E | None |
| S42.455S | Nondisplaced fracture of lateral condyle of left humerus, sequelaCMS: Nondisp fx of lateral condyle of left humerus, sequela | Can lead a claim | E | None |
| S42.456 Nondisplaced fracture of lateral condyle of unspecified humerus | ||||
| S42.456A | Nondisplaced fracture of lateral condyle of unspecified humerus, initial encounter for closed fractureCMS: Nondisp fx of lateral condyle of unsp humerus, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.456B | Nondisplaced fracture of lateral condyle of unspecified humerus, initial encounter for open fractureCMS: Nondisp fx of lateral condyle of unsp humer, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.456D | Nondisplaced fracture of lateral condyle of unspecified humerus, subsequent encounter for fracture with routine healingCMS: Nondisp fx of lateral condyle of unsp humer, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.456G | Nondisplaced fracture of lateral condyle of unspecified humerus, subsequent encounter for fracture with delayed healingCMS: Nondisp fx of lateral condyle of unsp humer, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.456K | Nondisplaced fracture of lateral condyle of unspecified humerus, subsequent encounter for fracture with nonunionCMS: Nondisp fx of lateral condyle of unsp humer, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.456P | Nondisplaced fracture of lateral condyle of unspecified humerus, subsequent encounter for fracture with malunionCMS: Nondisp fx of lateral condyle of unsp humer, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.456S | Nondisplaced fracture of lateral condyle of unspecified humerus, sequelaCMS: Nondisp fx of lateral condyle of unsp humerus, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.46 Fracture of medial condyle of humerus | ||||
| S42.461 Displaced fracture of medial condyle of right humerus | ||||
| S42.461A | Displaced fracture of medial condyle of right humerus, initial encounter for closed fractureCMS: Disp fx of medial condyle of right humerus, init for clos fx | Can lead a claim | E | None |
| S42.461B | Displaced fracture of medial condyle of right humerus, initial encounter for open fractureCMS: Disp fx of medial condyle of right humerus, init for opn fx | Can lead a claim | E | None |
| S42.461D | Displaced fracture of medial condyle of right humerus, subsequent encounter for fracture with routine healingCMS: Disp fx of med condyle of r humer, subs for fx w routn heal | Can lead a claim | E | None |
| S42.461G | Displaced fracture of medial condyle of right humerus, subsequent encounter for fracture with delayed healingCMS: Disp fx of med condyle of r humer, subs for fx w delay heal | Can lead a claim | E | None |
| S42.461K | Displaced fracture of medial condyle of right humerus, subsequent encounter for fracture with nonunionCMS: Disp fx of medial condyle of r humer, subs for fx w nonunion | Can lead a claim | E | None |
| S42.461P | Displaced fracture of medial condyle of right humerus, subsequent encounter for fracture with malunionCMS: Disp fx of medial condyle of r humer, subs for fx w malunion | Can lead a claim | E | None |
| S42.461S | Displaced fracture of medial condyle of right humerus, sequelaCMS: Disp fx of medial condyle of right humerus, sequela | Can lead a claim | E | None |
| S42.462 Displaced fracture of medial condyle of left humerus | ||||
| S42.462A | Displaced fracture of medial condyle of left humerus, initial encounter for closed fractureCMS: Disp fx of medial condyle of left humerus, init for clos fx | Can lead a claim | E | None |
| S42.462B | Displaced fracture of medial condyle of left humerus, initial encounter for open fractureCMS: Disp fx of medial condyle of left humerus, init for opn fx | Can lead a claim | E | None |
| S42.462D | Displaced fracture of medial condyle of left humerus, subsequent encounter for fracture with routine healingCMS: Disp fx of med condyle of l humer, subs for fx w routn heal | Can lead a claim | E | None |
| S42.462G | Displaced fracture of medial condyle of left humerus, subsequent encounter for fracture with delayed healingCMS: Disp fx of med condyle of l humer, subs for fx w delay heal | Can lead a claim | E | None |
| S42.462K | Displaced fracture of medial condyle of left humerus, subsequent encounter for fracture with nonunionCMS: Disp fx of medial condyle of l humer, subs for fx w nonunion | Can lead a claim | E | None |
| S42.462P | Displaced fracture of medial condyle of left humerus, subsequent encounter for fracture with malunionCMS: Disp fx of medial condyle of l humer, subs for fx w malunion | Can lead a claim | E | None |
| S42.462S | Displaced fracture of medial condyle of left humerus, sequelaCMS: Disp fx of medial condyle of left humerus, sequela | Can lead a claim | E | None |
| S42.463 Displaced fracture of medial condyle of unspecified humerus | ||||
| S42.463A | Displaced fracture of medial condyle of unspecified humerus, initial encounter for closed fractureCMS: Disp fx of medial condyle of unsp humerus, init for clos fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.463B | Displaced fracture of medial condyle of unspecified humerus, initial encounter for open fractureCMS: Disp fx of medial condyle of unsp humerus, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.463D | Displaced fracture of medial condyle of unspecified humerus, subsequent encounter for fracture with routine healingCMS: Disp fx of med condyle of unsp humer, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.463G | Displaced fracture of medial condyle of unspecified humerus, subsequent encounter for fracture with delayed healingCMS: Disp fx of med condyle of unsp humer, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.463K | Displaced fracture of medial condyle of unspecified humerus, subsequent encounter for fracture with nonunionCMS: Disp fx of med condyle of unsp humer, subs for fx w nonunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.463P | Displaced fracture of medial condyle of unspecified humerus, subsequent encounter for fracture with malunionCMS: Disp fx of med condyle of unsp humer, subs for fx w malunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.463S | Displaced fracture of medial condyle of unspecified humerus, sequelaCMS: Disp fx of medial condyle of unspecified humerus, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.464 Nondisplaced fracture of medial condyle of right humerus | ||||
| S42.464A | Nondisplaced fracture of medial condyle of right humerus, initial encounter for closed fractureCMS: Nondisp fx of medial condyle of right humerus, init | Can lead a claim | E | None |
| S42.464B | Nondisplaced fracture of medial condyle of right humerus, initial encounter for open fractureCMS: Nondisp fx of medial condyle of r humerus, init for opn fx | Can lead a claim | E | None |
| S42.464D | Nondisplaced fracture of medial condyle of right humerus, subsequent encounter for fracture with routine healingCMS: Nondisp fx of med condyle of r humer, 7thD | Can lead a claim | E | None |
| S42.464G | Nondisplaced fracture of medial condyle of right humerus, subsequent encounter for fracture with delayed healingCMS: Nondisp fx of med condyle of r humer, 7thG | Can lead a claim | E | None |
| S42.464K | Nondisplaced fracture of medial condyle of right humerus, subsequent encounter for fracture with nonunionCMS: Nondisp fx of med condyle of r humer, subs for fx w nonunion | Can lead a claim | E | None |
| S42.464P | Nondisplaced fracture of medial condyle of right humerus, subsequent encounter for fracture with malunionCMS: Nondisp fx of med condyle of r humer, subs for fx w malunion | Can lead a claim | E | None |
| S42.464S | Nondisplaced fracture of medial condyle of right humerus, sequelaCMS: Nondisp fx of medial condyle of right humerus, sequela | Can lead a claim | E | None |
| S42.465 Nondisplaced fracture of medial condyle of left humerus | ||||
| S42.465A | Nondisplaced fracture of medial condyle of left humerus, initial encounter for closed fractureCMS: Nondisp fx of medial condyle of left humerus, init | Can lead a claim | E | None |
| S42.465B | Nondisplaced fracture of medial condyle of left humerus, initial encounter for open fractureCMS: Nondisp fx of medial condyle of l humerus, init for opn fx | Can lead a claim | E | None |
| S42.465D | Nondisplaced fracture of medial condyle of left humerus, subsequent encounter for fracture with routine healingCMS: Nondisp fx of med condyle of l humer, 7thD | Can lead a claim | E | None |
| S42.465G | Nondisplaced fracture of medial condyle of left humerus, subsequent encounter for fracture with delayed healingCMS: Nondisp fx of med condyle of l humer, 7thG | Can lead a claim | E | None |
| S42.465K | Nondisplaced fracture of medial condyle of left humerus, subsequent encounter for fracture with nonunionCMS: Nondisp fx of med condyle of l humer, subs for fx w nonunion | Can lead a claim | E | None |
| S42.465P | Nondisplaced fracture of medial condyle of left humerus, subsequent encounter for fracture with malunionCMS: Nondisp fx of med condyle of l humer, subs for fx w malunion | Can lead a claim | E | None |
| S42.465S | Nondisplaced fracture of medial condyle of left humerus, sequelaCMS: Nondisp fx of medial condyle of left humerus, sequela | Can lead a claim | E | None |
| S42.466 Nondisplaced fracture of medial condyle of unspecified humerus | ||||
| S42.466A | Nondisplaced fracture of medial condyle of unspecified humerus, initial encounter for closed fractureCMS: Nondisp fx of medial condyle of unsp humerus, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.466B | Nondisplaced fracture of medial condyle of unspecified humerus, initial encounter for open fractureCMS: Nondisp fx of medial condyle of unsp humer, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.466D | Nondisplaced fracture of medial condyle of unspecified humerus, subsequent encounter for fracture with routine healingCMS: Nondisp fx of med condyle of unsp humer, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.466G | Nondisplaced fracture of medial condyle of unspecified humerus, subsequent encounter for fracture with delayed healingCMS: Nondisp fx of med condyle of unsp humer, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.466K | Nondisplaced fracture of medial condyle of unspecified humerus, subsequent encounter for fracture with nonunionCMS: Nondisp fx of med condyle of unsp humer, 7thK | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.466P | Nondisplaced fracture of medial condyle of unspecified humerus, subsequent encounter for fracture with malunionCMS: Nondisp fx of med condyle of unsp humer, 7thP | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.466S | Nondisplaced fracture of medial condyle of unspecified humerus, sequelaCMS: Nondisp fx of medial condyle of unspecified humerus, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.47 Transcondylar fracture of humerus | ||||
| S42.471 Displaced transcondylar fracture of right humerus | ||||
| S42.471A | Displaced transcondylar fracture of right humerus, initial encounter for closed fractureCMS: Displaced transcondylar fracture of right humerus, init | Can lead a claim | E | None |
| S42.471B | Displaced transcondylar fracture of right humerus, initial encounter for open fractureCMS: Displaced transcondy fracture of r humerus, init for opn fx | Can lead a claim | E | None |
| S42.471D | Displaced transcondylar fracture of right humerus, subsequent encounter for fracture with routine healingCMS: Displaced transcondy fx r humerus, subs for fx w routn heal | Can lead a claim | E | None |
| S42.471G | Displaced transcondylar fracture of right humerus, subsequent encounter for fracture with delayed healingCMS: Displaced transcondy fx r humerus, subs for fx w delay heal | Can lead a claim | E | None |
| S42.471K | Displaced transcondylar fracture of right humerus, subsequent encounter for fracture with nonunionCMS: Displaced transcondy fx r humerus, subs for fx w nonunion | Can lead a claim | E | None |
| S42.471P | Displaced transcondylar fracture of right humerus, subsequent encounter for fracture with malunionCMS: Displaced transcondy fx r humerus, subs for fx w malunion | Can lead a claim | E | None |
| S42.471S | Displaced transcondylar fracture of right humerus, sequela | Can lead a claim | E | None |
| S42.472 Displaced transcondylar fracture of left humerus | ||||
| S42.472A | Displaced transcondylar fracture of left humerus, initial encounter for closed fractureCMS: Displaced transcondylar fracture of left humerus, init | Can lead a claim | E | None |
| S42.472B | Displaced transcondylar fracture of left humerus, initial encounter for open fractureCMS: Displaced transcondy fracture of l humerus, init for opn fx | Can lead a claim | E | None |
| S42.472D | Displaced transcondylar fracture of left humerus, subsequent encounter for fracture with routine healingCMS: Displaced transcondy fx l humerus, subs for fx w routn heal | Can lead a claim | E | None |
| S42.472G | Displaced transcondylar fracture of left humerus, subsequent encounter for fracture with delayed healingCMS: Displaced transcondy fx l humerus, subs for fx w delay heal | Can lead a claim | E | None |
| S42.472K | Displaced transcondylar fracture of left humerus, subsequent encounter for fracture with nonunionCMS: Displaced transcondy fx l humerus, subs for fx w nonunion | Can lead a claim | E | None |
| S42.472P | Displaced transcondylar fracture of left humerus, subsequent encounter for fracture with malunionCMS: Displaced transcondy fx l humerus, subs for fx w malunion | Can lead a claim | E | None |
| S42.472S | Displaced transcondylar fracture of left humerus, sequela | Can lead a claim | E | None |
| S42.473 Displaced transcondylar fracture of unspecified humerus | ||||
| S42.473A | Displaced transcondylar fracture of unspecified humerus, initial encounter for closed fractureCMS: Displaced transcondylar fracture of unsp humerus, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.473B | Displaced transcondylar fracture of unspecified humerus, initial encounter for open fractureCMS: Displaced transcondy fx unsp humerus, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.473D | Displaced transcondylar fracture of unspecified humerus, subsequent encounter for fracture with routine healingCMS: Displ transcondy fx unsp humerus, subs for fx w routn heal | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.473G | Displaced transcondylar fracture of unspecified humerus, subsequent encounter for fracture with delayed healingCMS: Displ transcondy fx unsp humerus, subs for fx w delay heal | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.473K | Displaced transcondylar fracture of unspecified humerus, subsequent encounter for fracture with nonunionCMS: Displaced transcondy fx unsp humerus, subs for fx w nonunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.473P | Displaced transcondylar fracture of unspecified humerus, subsequent encounter for fracture with malunionCMS: Displaced transcondy fx unsp humerus, subs for fx w malunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.473S | Displaced transcondylar fracture of unspecified humerus, sequelaCMS: Displaced transcondylar fracture of unsp humerus, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.474 Nondisplaced transcondylar fracture of right humerus | ||||
| S42.474A | Nondisplaced transcondylar fracture of right humerus, initial encounter for closed fractureCMS: Nondisplaced transcondylar fracture of right humerus, init | Can lead a claim | E | None |
| S42.474B | Nondisplaced transcondylar fracture of right humerus, initial encounter for open fractureCMS: Nondisp transcondy fracture of r humerus, init for opn fx | Can lead a claim | E | None |
| S42.474D | Nondisplaced transcondylar fracture of right humerus, subsequent encounter for fracture with routine healingCMS: Nondisp transcondy fx r humerus, subs for fx w routn heal | Can lead a claim | E | None |
| S42.474G | Nondisplaced transcondylar fracture of right humerus, subsequent encounter for fracture with delayed healingCMS: Nondisp transcondy fx r humerus, subs for fx w delay heal | Can lead a claim | E | None |
| S42.474K | Nondisplaced transcondylar fracture of right humerus, subsequent encounter for fracture with nonunionCMS: Nondisp transcondy fx r humerus, subs for fx w nonunion | Can lead a claim | E | None |
| S42.474P | Nondisplaced transcondylar fracture of right humerus, subsequent encounter for fracture with malunionCMS: Nondisp transcondy fx r humerus, subs for fx w malunion | Can lead a claim | E | None |
| S42.474S | Nondisplaced transcondylar fracture of right humerus, sequelaCMS: Nondisplaced transcondylar fracture of r humerus, sequela | Can lead a claim | E | None |
| S42.475 Nondisplaced transcondylar fracture of left humerus | ||||
| S42.475A | Nondisplaced transcondylar fracture of left humerus, initial encounter for closed fractureCMS: Nondisplaced transcondylar fracture of left humerus, init | Can lead a claim | E | None |
| S42.475B | Nondisplaced transcondylar fracture of left humerus, initial encounter for open fractureCMS: Nondisp transcondy fracture of l humerus, init for opn fx | Can lead a claim | E | None |
| S42.475D | Nondisplaced transcondylar fracture of left humerus, subsequent encounter for fracture with routine healingCMS: Nondisp transcondy fx l humerus, subs for fx w routn heal | Can lead a claim | E | None |
| S42.475G | Nondisplaced transcondylar fracture of left humerus, subsequent encounter for fracture with delayed healingCMS: Nondisp transcondy fx l humerus, subs for fx w delay heal | Can lead a claim | E | None |
| S42.475K | Nondisplaced transcondylar fracture of left humerus, subsequent encounter for fracture with nonunionCMS: Nondisp transcondy fx l humerus, subs for fx w nonunion | Can lead a claim | E | None |
| S42.475P | Nondisplaced transcondylar fracture of left humerus, subsequent encounter for fracture with malunionCMS: Nondisp transcondy fx l humerus, subs for fx w malunion | Can lead a claim | E | None |
| S42.475S | Nondisplaced transcondylar fracture of left humerus, sequela | Can lead a claim | E | None |
| S42.476 Nondisplaced transcondylar fracture of unspecified humerus | ||||
| S42.476A | Nondisplaced transcondylar fracture of unspecified humerus, initial encounter for closed fractureCMS: Nondisplaced transcondylar fracture of unsp humerus, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.476B | Nondisplaced transcondylar fracture of unspecified humerus, initial encounter for open fractureCMS: Nondisp transcondy fracture of unsp humerus, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.476D | Nondisplaced transcondylar fracture of unspecified humerus, subsequent encounter for fracture with routine healingCMS: Nondisp transcondy fx unsp humerus, subs for fx w routn heal | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.476G | Nondisplaced transcondylar fracture of unspecified humerus, subsequent encounter for fracture with delayed healingCMS: Nondisp transcondy fx unsp humerus, subs for fx w delay heal | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.476K | Nondisplaced transcondylar fracture of unspecified humerus, subsequent encounter for fracture with nonunionCMS: Nondisp transcondy fx unsp humerus, subs for fx w nonunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.476P | Nondisplaced transcondylar fracture of unspecified humerus, subsequent encounter for fracture with malunionCMS: Nondisp transcondy fx unsp humerus, subs for fx w malunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.476S | Nondisplaced transcondylar fracture of unspecified humerus, sequelaCMS: Nondisplaced transcondylar fracture of unsp humerus, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.48 Torus fracture of lower end of humerus | ||||
| S42.481 Torus fracture of lower end of right humerus | ||||
| S42.481A | Torus fracture of lower end of right humerus, initial encounter for closed fractureCMS: Torus fracture of lower end of right humerus, init | Can lead a claim | E | None |
| S42.481D | Torus fracture of lower end of right humerus, subsequent encounter for fracture with routine healingCMS: Torus fx lower end of r humerus, subs for fx w routn heal | Can lead a claim | E | None |
| S42.481G | Torus fracture of lower end of right humerus, subsequent encounter for fracture with delayed healingCMS: Torus fx lower end of r humerus, subs for fx w delay heal | Can lead a claim | E | None |
| S42.481K | Torus fracture of lower end of right humerus, subsequent encounter for fracture with nonunionCMS: Torus fx lower end of r humerus, subs for fx w nonunion | Can lead a claim | E | None |
| S42.481P | Torus fracture of lower end of right humerus, subsequent encounter for fracture with malunionCMS: Torus fx lower end of r humerus, subs for fx w malunion | Can lead a claim | E | None |
| S42.481S | Torus fracture of lower end of right humerus, sequela | Can lead a claim | E | None |
| S42.482 Torus fracture of lower end of left humerus | ||||
| S42.482A | Torus fracture of lower end of left humerus, initial encounter for closed fractureCMS: Torus fracture of lower end of left humerus, init | Can lead a claim | E | None |
| S42.482D | Torus fracture of lower end of left humerus, subsequent encounter for fracture with routine healingCMS: Torus fx lower end of l humerus, subs for fx w routn heal | Can lead a claim | E | None |
| S42.482G | Torus fracture of lower end of left humerus, subsequent encounter for fracture with delayed healingCMS: Torus fx lower end of l humerus, subs for fx w delay heal | Can lead a claim | E | None |
| S42.482K | Torus fracture of lower end of left humerus, subsequent encounter for fracture with nonunionCMS: Torus fx lower end of l humerus, subs for fx w nonunion | Can lead a claim | E | None |
| S42.482P | Torus fracture of lower end of left humerus, subsequent encounter for fracture with malunionCMS: Torus fx lower end of l humerus, subs for fx w malunion | Can lead a claim | E | None |
| S42.482S | Torus fracture of lower end of left humerus, sequela | Can lead a claim | E | None |
| S42.489 Torus fracture of lower end of unspecified humerus | ||||
| S42.489A | Torus fracture of lower end of unspecified humerus, initial encounter for closed fractureCMS: Torus fracture of lower end of unsp humerus, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.489D | Torus fracture of lower end of unspecified humerus, subsequent encounter for fracture with routine healingCMS: Torus fx lower end of unsp humerus, subs for fx w routn heal | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.489G | Torus fracture of lower end of unspecified humerus, subsequent encounter for fracture with delayed healingCMS: Torus fx lower end of unsp humerus, subs for fx w delay heal | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.489K | Torus fracture of lower end of unspecified humerus, subsequent encounter for fracture with nonunionCMS: Torus fx lower end of unsp humerus, subs for fx w nonunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.489P | Torus fracture of lower end of unspecified humerus, subsequent encounter for fracture with malunionCMS: Torus fx lower end of unsp humerus, subs for fx w malunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.489S | Torus fracture of lower end of unspecified humerus, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.49 Other fracture of lower end of humerus | ||||
| S42.491 Other displaced fracture of lower end of right humerus | ||||
| S42.491A | Other displaced fracture of lower end of right humerus, initial encounter for closed fractureCMS: Oth disp fx of lower end of right humerus, init for clos fx | Can lead a claim | E | None |
| S42.491B | Other displaced fracture of lower end of right humerus, initial encounter for open fractureCMS: Oth disp fx of lower end of right humerus, init for opn fx | Can lead a claim | E | None |
| S42.491D | Other displaced fracture of lower end of right humerus, subsequent encounter for fracture with routine healingCMS: Oth disp fx of lower end r humer, subs for fx w routn heal | Can lead a claim | E | None |
| S42.491G | Other displaced fracture of lower end of right humerus, subsequent encounter for fracture with delayed healingCMS: Oth disp fx of lower end r humer, subs for fx w delay heal | Can lead a claim | E | None |
| S42.491K | Other displaced fracture of lower end of right humerus, subsequent encounter for fracture with nonunionCMS: Oth disp fx of lower end of r humer, subs for fx w nonunion | Can lead a claim | E | None |
| S42.491P | Other displaced fracture of lower end of right humerus, subsequent encounter for fracture with malunionCMS: Oth disp fx of lower end of r humer, subs for fx w malunion | Can lead a claim | E | None |
| S42.491S | Other displaced fracture of lower end of right humerus, sequelaCMS: Other disp fx of lower end of right humerus, sequela | Can lead a claim | E | None |
| S42.492 Other displaced fracture of lower end of left humerus | ||||
| S42.492A | Other displaced fracture of lower end of left humerus, initial encounter for closed fractureCMS: Oth disp fx of lower end of left humerus, init for clos fx | Can lead a claim | E | None |
| S42.492B | Other displaced fracture of lower end of left humerus, initial encounter for open fractureCMS: Oth disp fx of lower end of left humerus, init for opn fx | Can lead a claim | E | None |
| S42.492D | Other displaced fracture of lower end of left humerus, subsequent encounter for fracture with routine healingCMS: Oth disp fx of lower end l humer, subs for fx w routn heal | Can lead a claim | E | None |
| S42.492G | Other displaced fracture of lower end of left humerus, subsequent encounter for fracture with delayed healingCMS: Oth disp fx of lower end l humer, subs for fx w delay heal | Can lead a claim | E | None |
| S42.492K | Other displaced fracture of lower end of left humerus, subsequent encounter for fracture with nonunionCMS: Oth disp fx of lower end of l humer, subs for fx w nonunion | Can lead a claim | E | None |
| S42.492P | Other displaced fracture of lower end of left humerus, subsequent encounter for fracture with malunionCMS: Oth disp fx of lower end of l humer, subs for fx w malunion | Can lead a claim | E | None |
| S42.492S | Other displaced fracture of lower end of left humerus, sequelaCMS: Other disp fx of lower end of left humerus, sequela | Can lead a claim | E | None |
| S42.493 Other displaced fracture of lower end of unspecified humerus | ||||
| S42.493A | Other displaced fracture of lower end of unspecified humerus, initial encounter for closed fractureCMS: Oth disp fx of lower end of unsp humerus, init for clos fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.493B | Other displaced fracture of lower end of unspecified humerus, initial encounter for open fractureCMS: Oth disp fx of lower end of unsp humerus, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.493D | Other displaced fracture of lower end of unspecified humerus, subsequent encounter for fracture with routine healingCMS: Oth disp fx of low end unsp humer, subs for fx w routn heal | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.493G | Other displaced fracture of lower end of unspecified humerus, subsequent encounter for fracture with delayed healingCMS: Oth disp fx of low end unsp humer, subs for fx w delay heal | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.493K | Other displaced fracture of lower end of unspecified humerus, subsequent encounter for fracture with nonunionCMS: Oth disp fx of lower end unsp humer, subs for fx w nonunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.493P | Other displaced fracture of lower end of unspecified humerus, subsequent encounter for fracture with malunionCMS: Oth disp fx of lower end unsp humer, subs for fx w malunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.493S | Other displaced fracture of lower end of unspecified humerus, sequelaCMS: Other disp fx of lower end of unspecified humerus, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.494 Other nondisplaced fracture of lower end of right humerus | ||||
| S42.494A | Other nondisplaced fracture of lower end of right humerus, initial encounter for closed fractureCMS: Oth nondisp fx of lower end of right humerus, init | Can lead a claim | E | None |
| S42.494B | Other nondisplaced fracture of lower end of right humerus, initial encounter for open fractureCMS: Oth nondisp fx of lower end of r humerus, init for opn fx | Can lead a claim | E | None |
| S42.494D | Other nondisplaced fracture of lower end of right humerus, subsequent encounter for fracture with routine healingCMS: Oth nondisp fx of low end r humer, subs for fx w routn heal | Can lead a claim | E | None |
| S42.494G | Other nondisplaced fracture of lower end of right humerus, subsequent encounter for fracture with delayed healingCMS: Oth nondisp fx of low end r humer, subs for fx w delay heal | Can lead a claim | E | None |
| S42.494K | Other nondisplaced fracture of lower end of right humerus, subsequent encounter for fracture with nonunionCMS: Oth nondisp fx of lower end r humer, subs for fx w nonunion | Can lead a claim | E | None |
| S42.494P | Other nondisplaced fracture of lower end of right humerus, subsequent encounter for fracture with malunionCMS: Oth nondisp fx of lower end r humer, subs for fx w malunion | Can lead a claim | E | None |
| S42.494S | Other nondisplaced fracture of lower end of right humerus, sequelaCMS: Other nondisp fx of lower end of right humerus, sequela | Can lead a claim | E | None |
| S42.495 Other nondisplaced fracture of lower end of left humerus | ||||
| S42.495A | Other nondisplaced fracture of lower end of left humerus, initial encounter for closed fractureCMS: Oth nondisp fx of lower end of left humerus, init | Can lead a claim | E | None |
| S42.495B | Other nondisplaced fracture of lower end of left humerus, initial encounter for open fractureCMS: Oth nondisp fx of lower end of left humerus, init for opn fx | Can lead a claim | E | None |
| S42.495D | Other nondisplaced fracture of lower end of left humerus, subsequent encounter for fracture with routine healingCMS: Oth nondisp fx of low end l humer, subs for fx w routn heal | Can lead a claim | E | None |
| S42.495G | Other nondisplaced fracture of lower end of left humerus, subsequent encounter for fracture with delayed healingCMS: Oth nondisp fx of low end l humer, subs for fx w delay heal | Can lead a claim | E | None |
| S42.495K | Other nondisplaced fracture of lower end of left humerus, subsequent encounter for fracture with nonunionCMS: Oth nondisp fx of lower end l humer, subs for fx w nonunion | Can lead a claim | E | None |
| S42.495P | Other nondisplaced fracture of lower end of left humerus, subsequent encounter for fracture with malunionCMS: Oth nondisp fx of lower end l humer, subs for fx w malunion | Can lead a claim | E | None |
| S42.495S | Other nondisplaced fracture of lower end of left humerus, sequelaCMS: Other nondisp fx of lower end of left humerus, sequela | Can lead a claim | E | None |
| S42.496 Other nondisplaced fracture of lower end of unspecified humerus | ||||
| S42.496A | Other nondisplaced fracture of lower end of unspecified humerus, initial encounter for closed fractureCMS: Oth nondisp fx of lower end of unsp humerus, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.496B | Other nondisplaced fracture of lower end of unspecified humerus, initial encounter for open fractureCMS: Oth nondisp fx of lower end of unsp humerus, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.496D | Other nondisplaced fracture of lower end of unspecified humerus, subsequent encounter for fracture with routine healingCMS: Oth nondisp fx of low end unsp humer, 7thD | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.496G | Other nondisplaced fracture of lower end of unspecified humerus, subsequent encounter for fracture with delayed healingCMS: Oth nondisp fx of low end unsp humer, 7thG | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.496K | Other nondisplaced fracture of lower end of unspecified humerus, subsequent encounter for fracture with nonunionCMS: Oth nondisp fx of low end unsp humer, subs for fx w nonunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.496P | Other nondisplaced fracture of lower end of unspecified humerus, subsequent encounter for fracture with malunionCMS: Oth nondisp fx of low end unsp humer, subs for fx w malunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.496S | Other nondisplaced fracture of lower end of unspecified humerus, sequelaCMS: Other nondisp fx of lower end of unsp humerus, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.9 Fracture of shoulder girdle, part unspecified | ||||
| S42.90 Fracture of unspecified shoulder girdle, part unspecified | ||||
| S42.90XA | Fracture of unspecified shoulder girdle, part unspecified, initial encounter for closed fractureCMS: Fracture of unsp shoulder girdle, part unsp, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.90XB | Fracture of unspecified shoulder girdle, part unspecified, initial encounter for open fractureCMS: Fracture of unsp shoulder girdle, part unsp, init for opn fx | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.90XD | Fracture of unspecified shoulder girdle, part unspecified, subsequent encounter for fracture with routine healingCMS: Fx unsp shoulder girdle, part unsp, subs for fx w routn heal | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.90XG | Fracture of unspecified shoulder girdle, part unspecified, subsequent encounter for fracture with delayed healingCMS: Fx unsp shoulder girdle, part unsp, subs for fx w delay heal | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.90XK | Fracture of unspecified shoulder girdle, part unspecified, subsequent encounter for fracture with nonunionCMS: Fx unsp shoulder girdle, part unsp, subs for fx w nonunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.90XP | Fracture of unspecified shoulder girdle, part unspecified, subsequent encounter for fracture with malunionCMS: Fx unsp shoulder girdle, part unsp, subs for fx w malunion | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S42.90XS | Fracture of unspecified shoulder girdle, part unspecified, sequelaCMS: Fracture of unsp shoulder girdle, part unspecified, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S42.91 Fracture of right shoulder girdle, part unspecified | ||||
| S42.91XA | Fracture of right shoulder girdle, part unspecified, initial encounter for closed fractureCMS: Fracture of right shoulder girdle, part unsp, init | Can lead a claim | E | None |
| S42.91XB | Fracture of right shoulder girdle, part unspecified, initial encounter for open fractureCMS: Fracture of r shoulder girdle, part unsp, init for opn fx | Can lead a claim | E | None |
| S42.91XD | Fracture of right shoulder girdle, part unspecified, subsequent encounter for fracture with routine healingCMS: Fx r shoulder girdle, part unsp, subs for fx w routn heal | Can lead a claim | E | None |
| S42.91XG | Fracture of right shoulder girdle, part unspecified, subsequent encounter for fracture with delayed healingCMS: Fx r shoulder girdle, part unsp, subs for fx w delay heal | Can lead a claim | E | None |
| S42.91XK | Fracture of right shoulder girdle, part unspecified, subsequent encounter for fracture with nonunionCMS: Fx r shoulder girdle, part unsp, subs for fx w nonunion | Can lead a claim | E | None |
| S42.91XP | Fracture of right shoulder girdle, part unspecified, subsequent encounter for fracture with malunionCMS: Fx r shoulder girdle, part unsp, subs for fx w malunion | Can lead a claim | E | None |
| S42.91XS | Fracture of right shoulder girdle, part unspecified, sequela | Can lead a claim | E | None |
| S42.92 Fracture of left shoulder girdle, part unspecified | ||||
| S42.92XA | Fracture of left shoulder girdle, part unspecified, initial encounter for closed fractureCMS: Fracture of left shoulder girdle, part unsp, init | Can lead a claim | E | None |
| S42.92XB | Fracture of left shoulder girdle, part unspecified, initial encounter for open fractureCMS: Fracture of left shoulder girdle, part unsp, init for opn fx | Can lead a claim | E | None |
| S42.92XD | Fracture of left shoulder girdle, part unspecified, subsequent encounter for fracture with routine healingCMS: Fx l shoulder girdle, part unsp, subs for fx w routn heal | Can lead a claim | E | None |
| S42.92XG | Fracture of left shoulder girdle, part unspecified, subsequent encounter for fracture with delayed healingCMS: Fx l shoulder girdle, part unsp, subs for fx w delay heal | Can lead a claim | E | None |
| S42.92XK | Fracture of left shoulder girdle, part unspecified, subsequent encounter for fracture with nonunionCMS: Fx l shoulder girdle, part unsp, subs for fx w nonunion | Can lead a claim | E | None |
| S42.92XP | Fracture of left shoulder girdle, part unspecified, subsequent encounter for fracture with malunionCMS: Fx l shoulder girdle, part unsp, subs for fx w malunion | Can lead a claim | E | None |
| S42.92XS | Fracture of left shoulder girdle, part unspecified, sequela | Can lead a claim | E | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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