S42.462D

✓ Billable

Displaced fracture of medial condyle of left humerus, subsequent encounter for fracture with routine healing

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.

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

⚠️ Excludes2

inherited

Rules inherited from parent codes.

  • fracture of shaft of humerus (S42.3-)
  • physeal fracture of lower end of humerus (S49.1-)
  • periprosthetic fracture around internal prosthetic shoulder joint (M97.3)

Clinical Description

ICD-10-CM code S42.462D represents displaced fracture of medial condyle of left humerus, subsequent encounter for fracture with routine healing. 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 S42.462D has 1 Excludes1 restriction(s) — codes that cannot be reported together on the same claim.

Frequently Asked Questions

What is ICD-10 code S42.462D?

ICD-10-CM code S42.462D is "Displaced fracture of medial condyle of left humerus, subsequent encounter for fracture with routine healing". It belongs to the category: Injury, poisoning and certain other consequences of external causes (S00-T88).

Is S42.462D a billable ICD-10 code?

Yes, S42.462D is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What codes are excluded with S42.462D?

S42.462D has 1 Excludes1 rule(s). These codes are mutually exclusive and cannot be coded together on the same claim.

Can S42.462D be coded with other codes?

S42.462D has 3 Excludes2 note(s). These conditions can be coded together if both are documented in the patient record.

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Code Information

CodeS42.462D
BillableYes
ParentS42.462
CategoryInjury, poisoning and certain other consequences of external causes (S00-T88)
Excludes11 rule(s)
Excludes23 note(s)

Data Source

CMS ICD-10-CM 2026 Tabular List

Updated October 1, 2025 (FY2026)