S42.21
Header — not billableUnspecified fracture of surgical neck of humerus
The ICD-10 code for unspecified fracture of surgical neck of humerus is S42.21.
S42.21 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 6 more specific codes below.
Clinical notes
Also known as
Alternate wording, synonyms, or specific conditions that fall under this code, listed to help confirm you've picked the right one.
- Fracture of neck of humerus NOS
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.
- •This code describes an unspecified presentation. If the medical record documents a more specific detail (e.g. laterality, type, or affected site), a more specific sibling code should be used instead — see Related codes below.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Child codes under S42.21
- S42.211Unspecified displaced fracture of surgical neck of right humerus
- S42.212Unspecified displaced fracture of surgical neck of left humerus
- S42.213Unspecified displaced fracture of surgical neck of unspecified humerus
- S42.214Unspecified nondisplaced fracture of surgical neck of right humerus
- S42.215Unspecified nondisplaced fracture of surgical neck of left humerus
- S42.216Unspecified nondisplaced fracture of surgical neck of unspecified humerus
Related codes in this category
- S42.20Unspecified fracture of upper end of humerusnon-billable header
- S42.222-part fracture of surgical neck of humerusnon-billable header
- S42.233-part fracture of surgical neck of humerusnon-billable header
- S42.244-part fracture of surgical neck of humerusnon-billable header
- S42.25Fracture of greater tuberosity of humerusnon-billable header
- S42.26Fracture of lesser tuberosity of humerusnon-billable header
- S42.27Torus fracture of upper end of humerusnon-billable header
- S42.29Other fracture of upper end of humerusnon-billable header
- S42.21Unspecified fracture of surgical neck of humerusnon-billable header