S42.1
Header — not billableFracture of scapula
The ICD-10 code for fracture of scapula is S42.1.
S42.1 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 7 more specific codes below.
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •This is a non-billable header code. Documentation must support a more specific child code before this diagnosis can be reported on a claim.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Child codes under S42.1
- S42.10Fracture of unspecified part of scapulanon-billable header
- S42.11Fracture of body of scapulanon-billable header
- S42.12Fracture of acromial processnon-billable header
- S42.13Fracture of coracoid processnon-billable header
- S42.14Fracture of glenoid cavity of scapulanon-billable header
- S42.15Fracture of neck of scapulanon-billable header
- S42.19Fracture of other part of scapulanon-billable header
Related codes in this category
- S42.0Fracture of claviclenon-billable header
- S42.2Fracture of upper end of humerusnon-billable header
- S42.3Fracture of shaft of humerusnon-billable header
- S42.4Fracture of lower end of humerusnon-billable header
- S42.9Fracture of shoulder girdle, part unspecifiednon-billable header
- S42.1Fracture of scapulanon-billable header