{"code":"S42.131D","type":"code","title":"Displaced fracture of coracoid process, right shoulder, subsequent encounter for fracture with routine healing","codeAlso":[],"includes":["injuries of axilla","injuries of scapular region"],"modern_v":"official26","codeFirst":[],"excludes1":["traumatic amputation of shoulder and upper arm (S48.-)"],"excludes2":["periprosthetic fracture around internal prosthetic shoulder joint (M97.3)","burns and corrosions (T20-T32)","frostbite (T33-T34)","injuries of elbow (S50-S59)","insect bite or sting, venomous (T63.4)"],"isBillable":true,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":true,"billableFy2027":true},"sibling_codes":["S42","S42.0","S42.001","S42.001A","S42.001B","S42.001D","S42.001G","S42.001K","S42.001P","S42.001S","S42.002","S42.002A","S42.002B","S42.002D","S42.002G","S42.002K","S42.002P","S42.002S","S42.009","S42.009A","S42.009B","S42.009D","S42.009G","S42.009K","S42.009P","S42.009S","S42.011","S42.011A","S42.011B","S42.011D","S42.011G","S42.011K","S42.011P","S42.011S","S42.012","S42.012A","S42.012B","S42.012D","S42.012G","S42.012K","S42.012P","S42.012S","S42.013","S42.013A","S42.013B","S42.013D","S42.013G","S42.013K","S42.013P","S42.013S","S42.014","S42.014A","S42.014B","S42.014D","S42.014G","S42.014K","S42.014P","S42.014S","S42.015","S42.015A","S42.015B","S42.015D","S42.015G","S42.015K","S42.015P","S42.015S","S42.016","S42.016A","S42.016B","S42.016D","S42.016G","S42.016K","S42.016P","S42.016S","S42.017","S42.017A","S42.017B","S42.017D","S42.017G","S42.017K","S42.017P","S42.017S","S42.018","S42.018A","S42.018B","S42.018D","S42.018G","S42.018K","S42.018P","S42.018S","S42.019","S42.019A","S42.019B","S42.019D","S42.019G","S42.019K","S42.019P","S42.019S"],"inclusionTerms":[],"sibling_titles":{"code":"S42.019S","title":"Nondisplaced fracture of sternal end of unspecified clavicle, sequela","isBillable":true},"useAdditionalCode":[],"clinicalDefinition":"Displaced fracture of coracoid process, right shoulder, subsequent encounter for fracture with routine healing is a billable ICD-10-CM diagnosis code (S42.131D). Includes: injuries of axilla; injuries of scapular region. Excludes1 (not coded here): traumatic amputation of shoulder and upper arm (S48.-). Excludes2 (not included here): periprosthetic fracture around internal prosthetic shoulder joint (M97.","officialDefinition":"Displaced fracture of coracoid process, right shoulder, subsequent encounter for fracture with routine healing is a billable ICD-10-CM diagnosis code (S42.131D). Includes: injuries of axilla; injuries of scapular region. Excludes1 (not coded here): traumatic amputation of shoulder and upper arm (S48.-). Excludes2 (not included here): periprosthetic fracture around internal prosthetic shoulder joint (M97.3); burns and corrosions (T20-T32); frostbite (T33-T34); injuries of elbow (S50-S59); insect bite or sting, venomous (T63.4). 7th character: The appropriate 7th character is to be added to all codes from category S42.","seventhCharacterInstructions":["The appropriate 7th character is to be added to all codes from category S42"],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":"","hcc":{"mapped":false,"model":"CMS-HCC V28","paymentYear":"2026","categories":[],"otherModels":[]}}