{"code":"S42.4","type":"code","title":"Fracture of lower end of 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 lower end of humerus (S49.1-)","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":["S42.401","S42.401A","S42.401B","S42.401D","S42.401G","S42.401K","S42.401P","S42.401S","S42.402","S42.402A","S42.402B","S42.402D","S42.402G","S42.402K","S42.402P","S42.402S","S42.409","S42.409A","S42.409B","S42.409D","S42.409G","S42.409K","S42.409P","S42.409S","S42.411","S42.411A","S42.411B","S42.411D","S42.411G","S42.411K","S42.411P","S42.411S","S42.412","S42.412A","S42.412B","S42.412D","S42.412G","S42.412K","S42.412P","S42.412S","S42.413","S42.413A","S42.413B","S42.413D","S42.413G","S42.413K","S42.413P","S42.413S","S42.414","S42.414A","S42.414B","S42.414D","S42.414G","S42.414K","S42.414P","S42.414S","S42.415","S42.415A","S42.415B","S42.415D","S42.415G","S42.415K","S42.415P","S42.415S","S42.416","S42.416A","S42.416B","S42.416D","S42.416G","S42.416K","S42.416P","S42.416S","S42.421","S42.421A","S42.421B","S42.421D","S42.421G","S42.421K","S42.421P","S42.421S","S42.422","S42.422A","S42.422B","S42.422D","S42.422G","S42.422K","S42.422P","S42.422S","S42.423","S42.423A","S42.423B","S42.423D","S42.423G","S42.423K","S42.423P","S42.423S","S42.424"],"inclusionTerms":["Fracture of distal end of humerus"],"sibling_titles":{"code":"S42.424","title":"Nondisplaced comminuted supracondylar fracture without intercondylar fracture of right humerus","isBillable":false},"useAdditionalCode":[],"clinicalDefinition":"Fracture of lower end of humerus is a non-billable ICD-10-CM category code (S42.4). A more specific billable subcode must be selected for claims submission. Includes: injuries of axilla; injuries of scapular region. Inclusion terms: Fracture of distal end of humerus. 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 lower end of humerus (S49.","officialDefinition":"Fracture of lower end of humerus is a non-billable ICD-10-CM category code (S42.4). A more specific billable subcode must be selected for claims submission. Includes: injuries of axilla; injuries of scapular region. Inclusion terms: Fracture of distal end of humerus. 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 lower end of humerus (S49.1-); 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":""}