{"code":"S42.292","type":"category","title":"Other displaced fracture of upper end of left humerus","codeAlso":[],"includes":["injuries of axilla","injuries of scapular region"],"modern_v":"official26","codeFirst":[],"excludes1":["traumatic amputation of shoulder and upper arm (S48.-)"],"excludes2":["fracture of shaft of humerus (S42.3-)","physeal fracture of upper end of humerus (S49.0-)","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":false,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":false,"billableFy2027":false},"sibling_codes":["S42.292A","S42.292B","S42.292D","S42.292G","S42.292K","S42.292P","S42.292S"],"inclusionTerms":[],"sibling_titles":{"code":"S42.292S","title":"Other displaced fracture of upper end of left humerus, sequela","isBillable":true},"useAdditionalCode":[],"clinicalDefinition":"Other displaced fracture of upper end of left humerus is a non-billable ICD-10-CM category code (S42.292). A more specific billable subcode must be selected for claims submission. Includes: injuries of axilla; injuries of scapular region. Excludes1 (not coded here): traumatic amputation of shoulder and upper arm (S48.-). Excludes2 (not included here): fracture of shaft of humerus (S42.3-); physeal fracture of upper end of humerus (S49.","officialDefinition":"Other displaced fracture of upper end of left humerus is a non-billable ICD-10-CM category code (S42.292). A more specific billable subcode must be selected for claims submission. Includes: injuries of axilla; injuries of scapular region. Excludes1 (not coded here): traumatic amputation of shoulder and upper arm (S48.-). Excludes2 (not included here): fracture of shaft of humerus (S42.3-); physeal fracture of upper end of humerus (S49.0-); 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":"","noteProvenance":{"traumatic amputation of shoulder and upper arm (S48.-)":"S42","periprosthetic fracture around internal prosthetic shoulder joint (M97.3)":"S42","burns and corrosions (T20-T32)":"S42","frostbite (T33-T34)":"S42","injuries of elbow (S50-S59)":"S42","insect bite or sting, venomous (T63.4)":"S42","injuries of axilla":"S42","injuries of scapular region":"S42","fracture of shaft of humerus (S42.3-)":"S42.2","physeal fracture of upper end of humerus (S49.0-)":"S42.2","Fracture of proximal end of humerus":"S42.2","Fracture of anatomical neck of humerus":"S42.29","Fracture of articular head of humerus":"S42.29"},"hcc":{"mapped":false,"model":"CMS-HCC V28","paymentYear":"2026","categories":[],"otherModels":[]}}