S42.191P

✓ Billable

Fracture of other part of scapula, right shoulder, subsequent encounter for fracture with malunion

Injury, poisoning and certain other consequences of external causes (S00-T88)

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❌ Excludes1

inherited

Rules inherited from parent codes in the hierarchy.

S42

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

⚠️ Excludes2

inherited

Rules inherited from parent codes.

S42

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

Clinical Description

ICD-10-CM code S42.191P represents fracture of other part of scapula, right shoulder, subsequent encounter for fracture with malunion. This code falls under the Injury, poisoning and certain other consequences of external causes (S00-T88) classification. It is a billable/specific code valid for HIPAA-covered transactions as of October 1, 2025 (FY2026). This code can be used to indicate a diagnosis for reimbursement purposes on insurance claims.

This is a 8-character code at the 7th level of specificity. This is the most specific code available in this subcategory. Coders should note that S42.191P has 1 Excludes1 restriction(s) — codes that cannot be reported together on the same claim.

Frequently Asked Questions

What is ICD-10 code S42.191P?

ICD-10-CM code S42.191P is "Fracture of other part of scapula, right shoulder, subsequent encounter for fracture with malunion". It belongs to the category: Injury, poisoning and certain other consequences of external causes (S00-T88).

Is S42.191P a billable ICD-10 code?

Yes, S42.191P is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What codes are excluded with S42.191P?

S42.191P has 1 Excludes1 rule(s). These codes are mutually exclusive and cannot be coded together on the same claim.

Can S42.191P be coded with other codes?

S42.191P has 1 Excludes2 note(s). These conditions can be coded together if both are documented in the patient record.

Related Codes in S42.191

Other codes in the same category that may be relevant for differential coding:

S42.191AFracture of other part of scapula, right shoulder, initial encounter for closed fracture S42.191BFracture of other part of scapula, right shoulder, initial encounter for open fracture S42.191DFracture of other part of scapula, right shoulder, subsequent encounter for fracture with routine healing S42.191GFracture of other part of scapula, right shoulder, subsequent encounter for fracture with delayed healing S42.191KFracture of other part of scapula, right shoulder, subsequent encounter for fracture with nonunion S42.191SFracture of other part of scapula, right shoulder, sequela

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Code Information

CodeS42.191P

BillableYes

ParentS42.191

CategoryInjury, poisoning and certain other consequences of external causes (S00-T88)

Excludes11 rule(s)

Excludes21 note(s)

Data Source

CMS ICD-10-CM 2026 Tabular List

Updated October 1, 2025 (FY2026)