S42.494 – Other nondisplaced fracture of lower end of right humerus
ICD-10-CM 2027 diagnosis code · Injuries to the shoulder and upper arm
- Code
S42.494(claims format:S42494)- Description
- Other nondisplaced fracture of lower end of right humerus
- Billable
- No – use a more specific code below
- Valid for
- Dates of service October 1, 2026 – September 30, 2027 (FY2027)
- Chapter
- 19. Injury, poisoning and certain other consequences of external causes (S00-T88)
- Block
- S40-S49 Injuries to the shoulder and upper arm
- Parent codes
- S42 › S42.4 › S42.49
Billable codes under S42.494
S42.494 is a header code and cannot be used on claims. Choose the most specific code:
- S42.494A – Other nondisplaced fracture of lower end of right humerus, initial encounter for closed fractureBillable
- S42.494B – Other nondisplaced fracture of lower end of right humerus, initial encounter for open fractureBillable
- S42.494D – Other nondisplaced fracture of lower end of right humerus, subsequent encounter for fracture with routine healingBillable
- S42.494G – Other nondisplaced fracture of lower end of right humerus, subsequent encounter for fracture with delayed healingBillable
- S42.494K – Other nondisplaced fracture of lower end of right humerus, subsequent encounter for fracture with nonunionBillable
- S42.494P – Other nondisplaced fracture of lower end of right humerus, subsequent encounter for fracture with malunionBillable
- S42.494S – Other nondisplaced fracture of lower end of right humerus, sequelaBillable
7th character values
Codes in this category need a 7th character to describe the encounter or episode of care.
| Character | Meaning |
|---|---|
A | initial encounter for closed fracture |
B | initial encounter for open fracture |
D | subsequent encounter for fracture with routine healing |
G | subsequent encounter for fracture with delayed healing |
K | subsequent encounter for fracture with nonunion |
P | subsequent encounter for fracture with malunion |
S | sequela |
Notes inherited from parent codes
Instructional notes at a category or block level apply to every code below it.
S42 – Fracture of shoulder and upper arm
- traumatic amputation of shoulder and upper arm (S48.-)
- periprosthetic fracture around internal prosthetic shoulder joint (M97.3)
- A fracture not indicated as displaced or nondisplaced should be coded to displaced
- A fracture not indicated as open or closed should be coded to closed
- The appropriate 7th character is to be added to all codes from category S42
S42.4 – Fracture of lower end of humerus
- Fracture of distal end of humerus
Block S40-S49
- injuries of axilla
- injuries of scapular region
Related codes in S42.49
- S42.491 – Other displaced fracture of lower end of right humerusHeader
- S42.492 – Other displaced fracture of lower end of left humerusHeader
- S42.493 – Other displaced fracture of lower end of unspecified humerusHeader
- S42.495 – Other nondisplaced fracture of lower end of left humerusHeader
- S42.496 – Other nondisplaced fracture of lower end of unspecified humerusHeader
Frequently asked questions
What is ICD-10 code S42.494?
S42.494 is the ICD-10-CM code for other nondisplaced fracture of lower end of right humerus, in the block S40-S49 (Injuries to the shoulder and upper arm).
Is S42.494 a billable code?
No. S42.494 is a header code with more specific child codes; report one of the billable codes listed above.
What category does S42.494 belong to?
It belongs to category S42 – Fracture of shoulder and upper arm.
Source: CDC/NCHS ICD-10-CM FY2027 code files, tabular list and index. Reference only – code assignment must follow the official ICD-10-CM guidelines and documentation in the medical record.