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ICD-10/S42.01

S42.01 ICD-10-CM Code: Fracture of sternal end of clavicle

Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.

Official Registry Overview & Definition

Fracture of sternal end of clavicle is a non-billable ICD-10-CM category code (S42.01). A more specific billable subcode must be selected for claims submission.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S42.01 in the official ICD-10-CM tabular list.

Includes

Conditions the official ICD-10-CM tabular list includes under this code.

  • injuries of axilla
  • injuries of scapular region

Excludes1 — Not Coded Here

Conditions that can never be reported with this code; the two are mutually exclusive.

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

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

  • 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)

Frequently Asked Questions (FAQ) & Clinical Guidance

Can S42.01 be billed directly?

No. S42.01 (Fracture of sternal end of clavicle) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Does S42.01 require a 7th character?

Yes. The appropriate 7th character is to be added to all codes from category S42.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to S42.01 in its code family, with their registry titles.

  • S42.009D — Fracture of unspecified part of unspecified clavicle, subsequent encounter for fracture with routine healing
  • S42.009G — Fracture of unspecified part of unspecified clavicle, subsequent encounter for fracture with delayed healing
  • S42.009K — Fracture of unspecified part of unspecified clavicle, subsequent encounter for fracture with nonunion
  • S42.009P — Fracture of unspecified part of unspecified clavicle, subsequent encounter for fracture with malunion
  • S42.009S — Fracture of unspecified part of unspecified clavicle, sequela
  • S42.011 — Anterior displaced fracture of sternal end of right clavicle
  • S42.011A — Anterior displaced fracture of sternal end of right clavicle, initial encounter for closed fracture
  • S42.011B — Anterior displaced fracture of sternal end of right clavicle, initial encounter for open fracture
  • S42.011D — Anterior displaced fracture of sternal end of right clavicle, subsequent encounter for fracture with routine healing
  • S42.011G — Anterior displaced fracture of sternal end of right clavicle, subsequent encounter for fracture with delayed healing

View all codes in the S42 family