Includes:

  • injuries of axilla
  • injuries of scapular region

Excludes2

  1. S42 Fracture of shoulder and upper arm

    Note: A fracture not indicated as displaced or nondisplaced should be coded to displaced
    A fracture not indicated as open or closed should be coded to closed

    Excludes1

    • traumatic amputation of shoulder and upper arm (S48.-)

    Excludes2

    • periprosthetic fracture around internal prosthetic shoulder joint (M97.3)

    The appropriate 7th character is to be added to all codes from category S42

    • A - initial encounter for closed fracture
    • B - initial encounter for open fracture
    • D - subsequent encounter for fracture with routine healing
    • G - subsequent encounter for fracture with delayed healing
    • K - subsequent encounter for fracture with nonunion
    • P - subsequent encounter for fracture with malunion
    • S - sequela
    1. S42.0 Fracture of clavicle

      1. S42.00 Fracture of unspecified part of clavicle

        • S42.001 Fracture of unspecified part of right clavicle
        • S42.002 Fracture of unspecified part of left clavicle
        • S42.009 Fracture of unspecified part of unspecified clavicle
      2. S42.01 Fracture of sternal end of clavicle

        • S42.011 Anterior displaced fracture of sternal end of right clavicle
        • S42.012 Anterior displaced fracture of sternal end of left clavicle
        • S42.013 Anterior displaced fracture of sternal end of unspecified clavicle

          Inclusion term(s):

          • Displaced fracture of sternal end of clavicle NOS
        • S42.014 Posterior displaced fracture of sternal end of right clavicle
        • S42.015 Posterior displaced fracture of sternal end of left clavicle
        • S42.016 Posterior displaced fracture of sternal end of unspecified clavicle
        • S42.017 Nondisplaced fracture of sternal end of right clavicle
        • S42.018 Nondisplaced fracture of sternal end of left clavicle
        • S42.019 Nondisplaced fracture of sternal end of unspecified clavicle
      3. S42.02 Fracture of shaft of clavicle

        • S42.021 Displaced fracture of shaft of right clavicle
        • S42.022 Displaced fracture of shaft of left clavicle
        • S42.023 Displaced fracture of shaft of unspecified clavicle
        • S42.024 Nondisplaced fracture of shaft of right clavicle
        • S42.025 Nondisplaced fracture of shaft of left clavicle
        • S42.026 Nondisplaced fracture of shaft of unspecified clavicle
      4. S42.03 Fracture of lateral end of clavicle

        Inclusion term(s):

        • Fracture of acromial end of clavicle
        • S42.031 Displaced fracture of lateral end of right clavicle
        • S42.032 Displaced fracture of lateral end of left clavicle
        • S42.033 Displaced fracture of lateral end of unspecified clavicle
        • S42.034 Nondisplaced fracture of lateral end of right clavicle
        • S42.035 Nondisplaced fracture of lateral end of left clavicle
        • S42.036 Nondisplaced fracture of lateral end of unspecified clavicle
    2. S42.1 Fracture of scapula

      1. S42.10 Fracture of unspecified part of scapula

        • S42.101 Fracture of unspecified part of scapula, right shoulder
        • S42.102 Fracture of unspecified part of scapula, left shoulder
        • S42.109 Fracture of unspecified part of scapula, unspecified shoulder
      2. S42.11 Fracture of body of scapula

        • S42.111 Displaced fracture of body of scapula, right shoulder
        • S42.112 Displaced fracture of body of scapula, left shoulder
        • S42.113 Displaced fracture of body of scapula, unspecified shoulder
        • S42.114 Nondisplaced fracture of body of scapula, right shoulder
        • S42.115 Nondisplaced fracture of body of scapula, left shoulder
        • S42.116 Nondisplaced fracture of body of scapula, unspecified shoulder
      3. S42.12 Fracture of acromial process

        • S42.121 Displaced fracture of acromial process, right shoulder
        • S42.122 Displaced fracture of acromial process, left shoulder
        • S42.123 Displaced fracture of acromial process, unspecified shoulder
        • S42.124 Nondisplaced fracture of acromial process, right shoulder
        • S42.125 Nondisplaced fracture of acromial process, left shoulder
        • S42.126 Nondisplaced fracture of acromial process, unspecified shoulder
      4. S42.13 Fracture of coracoid process

        • S42.131 Displaced fracture of coracoid process, right shoulder
        • S42.132 Displaced fracture of coracoid process, left shoulder
        • S42.133 Displaced fracture of coracoid process, unspecified shoulder
        • S42.134 Nondisplaced fracture of coracoid process, right shoulder
        • S42.135 Nondisplaced fracture of coracoid process, left shoulder
        • S42.136 Nondisplaced fracture of coracoid process, unspecified shoulder
      5. S42.14 Fracture of glenoid cavity of scapula

        • S42.141 Displaced fracture of glenoid cavity of scapula, right shoulder
        • S42.142 Displaced fracture of glenoid cavity of scapula, left shoulder
        • S42.143 Displaced fracture of glenoid cavity of scapula, unspecified shoulder
        • S42.144 Nondisplaced fracture of glenoid cavity of scapula, right shoulder
        • S42.145 Nondisplaced fracture of glenoid cavity of scapula, left shoulder
        • S42.146 Nondisplaced fracture of glenoid cavity of scapula, unspecified shoulder
      6. S42.15 Fracture of neck of scapula

        • S42.151 Displaced fracture of neck of scapula, right shoulder
        • S42.152 Displaced fracture of neck of scapula, left shoulder
        • S42.153 Displaced fracture of neck of scapula, unspecified shoulder
        • S42.154 Nondisplaced fracture of neck of scapula, right shoulder
        • S42.155 Nondisplaced fracture of neck of scapula, left shoulder
        • S42.156 Nondisplaced fracture of neck of scapula, unspecified shoulder
      7. S42.19 Fracture of other part of scapula

        • S42.191 Fracture of other part of scapula, right shoulder
        • S42.192 Fracture of other part of scapula, left shoulder
        • S42.199 Fracture of other part of scapula, unspecified shoulder
    3. S42.2 Fracture of upper end of humerus

      Inclusion term(s):

      • Fracture of proximal end of humerus
      1. S42.20 Unspecified fracture of upper end of humerus

        • S42.201 Unspecified fracture of upper end of right humerus
        • S42.202 Unspecified fracture of upper end of left humerus
        • S42.209 Unspecified fracture of upper end of unspecified humerus
      2. S42.21 Unspecified fracture of surgical neck of humerus

        Inclusion term(s):

        • Fracture of neck of humerus NOS
        • S42.211 Unspecified displaced fracture of surgical neck of right humerus
        • S42.212 Unspecified displaced fracture of surgical neck of left humerus
        • S42.213 Unspecified displaced fracture of surgical neck of unspecified humerus
        • S42.214 Unspecified nondisplaced fracture of surgical neck of right humerus
        • S42.215 Unspecified nondisplaced fracture of surgical neck of left humerus
        • S42.216 Unspecified nondisplaced fracture of surgical neck of unspecified humerus
      3. S42.22 2-part fracture of surgical neck of humerus

        • S42.221 2-part displaced fracture of surgical neck of right humerus
        • S42.222 2-part displaced fracture of surgical neck of left humerus
        • S42.223 2-part displaced fracture of surgical neck of unspecified humerus
        • S42.224 2-part nondisplaced fracture of surgical neck of right humerus
        • S42.225 2-part nondisplaced fracture of surgical neck of left humerus
        • S42.226 2-part nondisplaced fracture of surgical neck of unspecified humerus
      4. S42.23 3-part fracture of surgical neck of humerus

        • S42.231 3-part fracture of surgical neck of right humerus
        • S42.232 3-part fracture of surgical neck of left humerus
        • S42.239 3-part fracture of surgical neck of unspecified humerus
      5. S42.24 4-part fracture of surgical neck of humerus

        • S42.241 4-part fracture of surgical neck of right humerus
        • S42.242 4-part fracture of surgical neck of left humerus
        • S42.249 4-part fracture of surgical neck of unspecified humerus
      6. S42.25 Fracture of greater tuberosity of humerus

        • S42.251 Displaced fracture of greater tuberosity of right humerus
        • S42.252 Displaced fracture of greater tuberosity of left humerus
        • S42.253 Displaced fracture of greater tuberosity of unspecified humerus
        • S42.254 Nondisplaced fracture of greater tuberosity of right humerus
        • S42.255 Nondisplaced fracture of greater tuberosity of left humerus
        • S42.256 Nondisplaced fracture of greater tuberosity of unspecified humerus
      7. S42.26 Fracture of lesser tuberosity of humerus

        • S42.261 Displaced fracture of lesser tuberosity of right humerus
        • S42.262 Displaced fracture of lesser tuberosity of left humerus
        • S42.263 Displaced fracture of lesser tuberosity of unspecified humerus
        • S42.264 Nondisplaced fracture of lesser tuberosity of right humerus
        • S42.265 Nondisplaced fracture of lesser tuberosity of left humerus
        • S42.266 Nondisplaced fracture of lesser tuberosity of unspecified humerus
      8. S42.27 Torus fracture of upper end of humerus

        • S42.271 Torus fracture of upper end of right humerus
        • S42.272 Torus fracture of upper end of left humerus
        • S42.279 Torus fracture of upper end of unspecified humerus
      9. S42.29 Other fracture of upper end of humerus

        Inclusion term(s):

        • Fracture of anatomical neck of humerus
        • Fracture of articular head of humerus
        • S42.291 Other displaced fracture of upper end of right humerus
        • S42.292 Other displaced fracture of upper end of left humerus
        • S42.293 Other displaced fracture of upper end of unspecified humerus
        • S42.294 Other nondisplaced fracture of upper end of right humerus
        • S42.295 Other nondisplaced fracture of upper end of left humerus
        • S42.296 Other nondisplaced fracture of upper end of unspecified humerus
    4. S42.3 Fracture of shaft of humerus

      Inclusion term(s):

      • Fracture of humerus NOS
      • Fracture of upper arm NOS
      1. S42.30 Unspecified fracture of shaft of humerus

        • S42.301 Unspecified fracture of shaft of humerus, right arm
        • S42.302 Unspecified fracture of shaft of humerus, left arm
        • S42.309 Unspecified fracture of shaft of humerus, unspecified arm
      2. S42.31 Greenstick fracture of shaft of humerus

        • S42.311 Greenstick fracture of shaft of humerus, right arm
        • S42.312 Greenstick fracture of shaft of humerus, left arm
        • S42.319 Greenstick fracture of shaft of humerus, unspecified arm
      3. S42.32 Transverse fracture of shaft of humerus

        • S42.321 Displaced transverse fracture of shaft of humerus, right arm
        • S42.322 Displaced transverse fracture of shaft of humerus, left arm
        • S42.323 Displaced transverse fracture of shaft of humerus, unspecified arm
        • S42.324 Nondisplaced transverse fracture of shaft of humerus, right arm
        • S42.325 Nondisplaced transverse fracture of shaft of humerus, left arm
        • S42.326 Nondisplaced transverse fracture of shaft of humerus, unspecified arm
      4. S42.33 Oblique fracture of shaft of humerus

        • S42.331 Displaced oblique fracture of shaft of humerus, right arm
        • S42.332 Displaced oblique fracture of shaft of humerus, left arm
        • S42.333 Displaced oblique fracture of shaft of humerus, unspecified arm
        • S42.334 Nondisplaced oblique fracture of shaft of humerus, right arm
        • S42.335 Nondisplaced oblique fracture of shaft of humerus, left arm
        • S42.336 Nondisplaced oblique fracture of shaft of humerus, unspecified arm
      5. S42.34 Spiral fracture of shaft of humerus

        • S42.341 Displaced spiral fracture of shaft of humerus, right arm
        • S42.342 Displaced spiral fracture of shaft of humerus, left arm
        • S42.343 Displaced spiral fracture of shaft of humerus, unspecified arm
        • S42.344 Nondisplaced spiral fracture of shaft of humerus, right arm
        • S42.345 Nondisplaced spiral fracture of shaft of humerus, left arm
        • S42.346 Nondisplaced spiral fracture of shaft of humerus, unspecified arm
      6. S42.35 Comminuted fracture of shaft of humerus

        • S42.351 Displaced comminuted fracture of shaft of humerus, right arm
        • S42.352 Displaced comminuted fracture of shaft of humerus, left arm
        • S42.353 Displaced comminuted fracture of shaft of humerus, unspecified arm
        • S42.354 Nondisplaced comminuted fracture of shaft of humerus, right arm
        • S42.355 Nondisplaced comminuted fracture of shaft of humerus, left arm
        • S42.356 Nondisplaced comminuted fracture of shaft of humerus, unspecified arm
      7. S42.36 Segmental fracture of shaft of humerus

        • S42.361 Displaced segmental fracture of shaft of humerus, right arm
        • S42.362 Displaced segmental fracture of shaft of humerus, left arm
        • S42.363 Displaced segmental fracture of shaft of humerus, unspecified arm
        • S42.364 Nondisplaced segmental fracture of shaft of humerus, right arm
        • S42.365 Nondisplaced segmental fracture of shaft of humerus, left arm
        • S42.366 Nondisplaced segmental fracture of shaft of humerus, unspecified arm
      8. S42.39 Other fracture of shaft of humerus

        • S42.391 Other fracture of shaft of right humerus
        • S42.392 Other fracture of shaft of left humerus
        • S42.399 Other fracture of shaft of unspecified humerus
    5. S42.4 Fracture of lower end of humerus

      Inclusion term(s):

      • Fracture of distal end of humerus
      1. S42.40 Unspecified fracture of lower end of humerus

        Inclusion term(s):

        • Fracture of elbow NOS
        • S42.401 Unspecified fracture of lower end of right humerus
        • S42.402 Unspecified fracture of lower end of left humerus
        • S42.409 Unspecified fracture of lower end of unspecified humerus
      2. S42.41 Simple supracondylar fracture without intercondylar fracture of humerus

        • S42.411 Displaced simple supracondylar fracture without intercondylar fracture of right humerus
        • S42.412 Displaced simple supracondylar fracture without intercondylar fracture of left humerus
        • S42.413 Displaced simple supracondylar fracture without intercondylar fracture of unspecified humerus
        • S42.414 Nondisplaced simple supracondylar fracture without intercondylar fracture of right humerus
        • S42.415 Nondisplaced simple supracondylar fracture without intercondylar fracture of left humerus
        • S42.416 Nondisplaced simple supracondylar fracture without intercondylar fracture of unspecified humerus
      3. S42.42 Comminuted supracondylar fracture without intercondylar fracture of humerus

        • S42.421 Displaced comminuted supracondylar fracture without intercondylar fracture of right humerus
        • S42.422 Displaced comminuted supracondylar fracture without intercondylar fracture of left humerus
        • S42.423 Displaced comminuted supracondylar fracture without intercondylar fracture of unspecified humerus
        • S42.424 Nondisplaced comminuted supracondylar fracture without intercondylar fracture of right humerus
        • S42.425 Nondisplaced comminuted supracondylar fracture without intercondylar fracture of left humerus
        • S42.426 Nondisplaced comminuted supracondylar fracture without intercondylar fracture of unspecified humerus
      4. S42.43 Fracture (avulsion) of lateral epicondyle of humerus

        • S42.431 Displaced fracture (avulsion) of lateral epicondyle of right humerus
        • S42.432 Displaced fracture (avulsion) of lateral epicondyle of left humerus
        • S42.433 Displaced fracture (avulsion) of lateral epicondyle of unspecified humerus
        • S42.434 Nondisplaced fracture (avulsion) of lateral epicondyle of right humerus
        • S42.435 Nondisplaced fracture (avulsion) of lateral epicondyle of left humerus
        • S42.436 Nondisplaced fracture (avulsion) of lateral epicondyle of unspecified humerus
      5. S42.44 Fracture (avulsion) of medial epicondyle of humerus

        • S42.441 Displaced fracture (avulsion) of medial epicondyle of right humerus
        • S42.442 Displaced fracture (avulsion) of medial epicondyle of left humerus
        • S42.443 Displaced fracture (avulsion) of medial epicondyle of unspecified humerus
        • S42.444 Nondisplaced fracture (avulsion) of medial epicondyle of right humerus
        • S42.445 Nondisplaced fracture (avulsion) of medial epicondyle of left humerus
        • S42.446 Nondisplaced fracture (avulsion) of medial epicondyle of unspecified humerus
        • S42.447 Incarcerated fracture (avulsion) of medial epicondyle of right humerus
        • S42.448 Incarcerated fracture (avulsion) of medial epicondyle of left humerus
        • S42.449 Incarcerated fracture (avulsion) of medial epicondyle of unspecified humerus
      6. S42.45 Fracture of lateral condyle of humerus

        Inclusion term(s):

        • Fracture of capitellum of humerus
        • S42.451 Displaced fracture of lateral condyle of right humerus
        • S42.452 Displaced fracture of lateral condyle of left humerus
        • S42.453 Displaced fracture of lateral condyle of unspecified humerus
        • S42.454 Nondisplaced fracture of lateral condyle of right humerus
        • S42.455 Nondisplaced fracture of lateral condyle of left humerus
        • S42.456 Nondisplaced fracture of lateral condyle of unspecified humerus
      7. S42.46 Fracture of medial condyle of humerus

        Inclusion term(s):

        • Trochlea fracture of humerus
        • S42.461 Displaced fracture of medial condyle of right humerus
        • S42.462 Displaced fracture of medial condyle of left humerus
        • S42.463 Displaced fracture of medial condyle of unspecified humerus
        • S42.464 Nondisplaced fracture of medial condyle of right humerus
        • S42.465 Nondisplaced fracture of medial condyle of left humerus
        • S42.466 Nondisplaced fracture of medial condyle of unspecified humerus
      8. S42.47 Transcondylar fracture of humerus

        • S42.471 Displaced transcondylar fracture of right humerus
        • S42.472 Displaced transcondylar fracture of left humerus
        • S42.473 Displaced transcondylar fracture of unspecified humerus
        • S42.474 Nondisplaced transcondylar fracture of right humerus
        • S42.475 Nondisplaced transcondylar fracture of left humerus
        • S42.476 Nondisplaced transcondylar fracture of unspecified humerus
      9. S42.48 Torus fracture of lower end of humerus

        • S42.481 Torus fracture of lower end of right humerus
        • S42.482 Torus fracture of lower end of left humerus
        • S42.489 Torus fracture of lower end of unspecified humerus
      10. S42.49 Other fracture of lower end of humerus

        • S42.491 Other displaced fracture of lower end of right humerus
        • S42.492 Other displaced fracture of lower end of left humerus
        • S42.493 Other displaced fracture of lower end of unspecified humerus
        • S42.494 Other nondisplaced fracture of lower end of right humerus
        • S42.495 Other nondisplaced fracture of lower end of left humerus
        • S42.496 Other nondisplaced fracture of lower end of unspecified humerus
    6. S42.9 Fracture of shoulder girdle, part unspecified

      Inclusion term(s):

      • Fracture of shoulder NOS
      1. S42.90 Fracture of unspecified shoulder girdle, part unspecified

      2. S42.91 Fracture of right shoulder girdle, part unspecified

      3. S42.92 Fracture of left shoulder girdle, part unspecified

Abbreviations used here:

NEC Not elsewhere classifiable
This abbreviation in the Tabular List represents “other specified”. When a specific code is not available for a condition, the Tabular List includes an NEC entry under a code to identify the code as the “other specified” code.

NOS Not otherwise specified
This abbreviation is the equivalent of unspecified.