S42.223

⚠ Non-billable (Header)

2-part displaced fracture of surgical neck of unspecified 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.

Check This Code

❌ 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.

S42.2

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

S42

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

Child Codes (7)

S42.223A2-part displaced fracture of surgical neck of unspecified humerus, initial encounter for closed fracture✓ Billable S42.223B2-part displaced fracture of surgical neck of unspecified humerus, initial encounter for open fracture✓ Billable S42.223D2-part displaced fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with routine healing✓ Billable S42.223G2-part displaced fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with delayed healing✓ Billable S42.223K2-part displaced fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with nonunion✓ Billable S42.223P2-part displaced fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with malunion✓ Billable S42.223S2-part displaced fracture of surgical neck of unspecified humerus, sequela✓ Billable

Clinical Description

ICD-10-CM code S42.223 represents 2-part displaced fracture of surgical neck of unspecified humerus. This code falls under the Injury, poisoning and certain other consequences of external causes (S00-T88) classification. It is a non-billable category header code. A more specific child code from the list below must be used for billing and reimbursement purposes.

This is a 7-character code at the 6th level of specificity. There are 7 more specific child codes under S42.223. Coders should note that S42.223 has 1 Excludes1 restriction(s) — codes that cannot be reported together on the same claim.

Frequently Asked Questions

What is ICD-10 code S42.223?

ICD-10-CM code S42.223 is "2-part displaced fracture of surgical neck of unspecified humerus". It belongs to the category: Injury, poisoning and certain other consequences of external causes (S00-T88).

Is S42.223 a billable ICD-10 code?

No, S42.223 is a non-billable header code. A more specific child code must be used for billing.

What codes are excluded with S42.223?

S42.223 has 1 Excludes1 rule(s). These codes are mutually exclusive and cannot be coded together on the same claim.

Can S42.223 be coded with other codes?

S42.223 has 3 Excludes2 note(s). These conditions can be coded together if both are documented in the patient record.

Related Codes in S42.22

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

S42.2212-part displaced fracture of surgical neck of right humerus S42.2222-part displaced fracture of surgical neck of left humerus S42.2242-part nondisplaced fracture of surgical neck of right humerus S42.2252-part nondisplaced fracture of surgical neck of left humerus S42.2262-part nondisplaced fracture of surgical neck of unspecified humerus

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Code Information

CodeS42.223

BillableNo — Header code

ParentS42.22

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

Excludes11 rule(s)

Excludes23 note(s)

Child codes7

Data Source

CMS ICD-10-CM 2026 Tabular List

Updated October 1, 2025 (FY2026)