S42.2

Non-billable (Header)

Fracture of upper end of humerus

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

⚠️ This is a category header code — not billable. Use a more specific child code below.

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Also Known As

Fracture of proximal end of humerus

Excludes1

inherited from S42

Rules from parent category S42: Fracture of shoulder and upper arm

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

⚠️ Excludes2

direct

May be coded together if both conditions coexist

  • fracture of shaft of humerus (S42.3-)
  • physeal fracture of upper end of humerus (S49.0-)

⚠️ Excludes2

inherited from S42

Rules from parent category S42: Fracture of shoulder and upper arm

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

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Code Information

CodeS42.2
BillableNo — Header code
ParentS42
CategoryInjury, poisoning and certain other consequences of external causes (S00-T88)
Excludes11 rule(s)
Excludes23 note(s)
Child codes9

Data Source

CMS ICD-10-CM 2026 Tabular List

Updated October 1, 2025 (FY2026)