S42.24 vs S42.241B
S42.24 (4-part fracture of surgical neck of humerus) compared with S42.241B (4-part fracture of surgical neck of right humerus, initial encounter for open fracture), from the official CMS tabular data.
Summary
These codes represent different levels of the same hierarchy: S42.24 is the non-billable header that contains S42.241B, so only S42.241B (or a sibling) is reported.
Registry fact- What is different?
Title wording and billing status.The titles share “4-part fracture of surgical neck of”; S42.24 says “humerus” where S42.241B says “right humerus, initial encounter for open fracture”. S42.24 is a non-billable header; S42.241B is billable.
Registry fact
- Can these codes be reported together?
Not as a pair.S42.24 is the non-billable header that contains S42.241B. A header is not reported on a claim, so the choice is S42.241B or a sibling that matches the documentation.
Registry fact
- Is there an Excludes1 relationship?
None.Neither entry carries an Excludes1 note that names the other code. S42.24 carries 1 Excludes1 note and S42.241B carries 1 Excludes1 note covering other codes; the side-by-side table quotes them.
Official rule
- Is there an Excludes2 relationship?
None.Neither entry carries an Excludes2 note that names the other code. S42.24 carries 7 Excludes2 notes and S42.241B carries 7 Excludes2 notes covering other codes; the side-by-side table quotes them.
Official rule
- Is one more specific?
Yes.S42.241B is a subdivision of S42.24 in the tabular hierarchy, so it is the more specific of the two.
Registry fact
- Is one a parent or header code?
Yes.S42.24 is the non-billable header that contains S42.241B. A header stands for the whole family beneath it and is not reported on a claim.
Registry fact
- Are there sequencing instructions?
None.Neither entry carries a Code First or Use Additional Code note that names the other.
Official rule
- Are there other coding relationships?
None found.No laterality, encounter-phase, Table of Neoplasms, Table of Drugs and Chemicals, or history-versus-active-disease relationship links these codes.
MedCoder-derived
Official rule: a tabular instructional note or a section of the ICD-10-CM Official Guidelines, quoted as published. Registry fact: the codes’ own published attributes (titles, billable status, position in the hierarchy, code set). MedCoder-derived: a reading MedCoder computes from those facts; it is not itself a rule. How to read the labels
Can these codes be reported together?
Not as a pair — S42.24 is not reportable. S42.24 is the non-billable category that contains S42.241B.
A header stands for the whole family of codes beneath it and is not reported on a claim, so the choice is S42.241B or a sibling that matches the documentation. No Excludes1/Excludes2 relationship exists between these codes in the official tabular list.
Official guidance behind these answers
Section I.B.2 — Level of Detail in Coding · applies to: S42.24 and S42.241B
Diagnosis codes are to be used and reported at their highest number of characters available and to the highest level of specificity documented in the medical record. ICD-10-CM diagnosis codes are composed of codes with 3, 4, 5, 6 or 7 characters. Codes with three characters are included in ICD-10-CM as the heading of a category of codes that may be further subdivided by the use of fourth and/or fifth characters and/or sixth characters, which provide greater detail. A three-character code is to be used only if it is not further subdivided. A code is invalid if it has not been coded to the full number of characters required for that code, including the 7th character, if applicable.
ICD-10-CM Official Guidelines FY2026
Quoted from the ICD-10-CM Official Guidelines for Coding and Reporting in effect for the release shown. The tabular notes above are the code-level instruction; these sections are the convention that says how such a note is applied. Source document (CMS PDF) · Release and checksum
Side by side
| S42.244-part fracture of surgical neck of humerus | S42.241B4-part fracture of surgical neck of right humerus, initial encounter for open fracture | |
|---|---|---|
| Billing status | Non-billable header Report instead: S42.241A, S42.241B, S42.241D, S42.241G, S42.241K | Billable |
| Classification | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) | S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) |
| Definition | 4-part fracture of surgical neck of humerus is a non-billable ICD-10-CM category code (S42.24). | 4-part fracture of surgical neck of right humerus, initial encounter for open fracture is a billable ICD-10-CM diagnosis code (S42.241B). |
| 7th character | The appropriate 7th character is to be added to all codes from category S42 | The appropriate 7th character is to be added to all codes from category S42 |
| Includes | injuries of axilla injuries of scapular region | injuries of axilla injuries of scapular region |
| Excludes1 | traumatic amputation of shoulder and upper arm (S48.-) | 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) | 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) |
Notes are the code’s own tabular entry, quoted as published. A note that names the other code is the one the verdict above rests on.
Derived from the official CMS ICD-10-CM tabular data (FY2026). A coding-rule comparison, not billing advice: payer-specific edits and medical-necessity policy are outside its scope. All data sources