S42.023K

Displaced fracture of shaft of unspecified clavicle, subsequent encounter for fracture with nonunion

Billable code

This code does not map to a risk-adjusting HCC in the loaded models.

Coding notes

Excludes 1 never coded together · Excludes 2 may co-exist

Inherited from S42Fracture of shoulder and upper arm
Excludes 1

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

Excludes 2

periprosthetic fracture around internal prosthetic shoulder joint (M97.3)

7th character

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

Valid 7th characters and their meanings
CharacterMeaning
Ainitial encounter for closed fracture
Binitial encounter for open fracture
Dsubsequent encounter for fracture with routine healing
Gsubsequent encounter for fracture with delayed healing
Ksubsequent encounter for fracture with nonunion
Psubsequent encounter for fracture with malunion
Ssequela
Note

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

Inherited from S40-S49Injuries to the shoulder and upper arm
Includes

injuries of axilla injuries of scapular region

Excludes 2

burns and corrosions (T20-T32) frostbite (T33-T34) injuries of elbow (S50-S59) insect bite or sting, venomous (T63.4)

Inherited from chapter 19Injury, poisoning and certain other consequences of external causes
Excludes 2

birth trauma (P10-P15) obstetric trauma (O70-O71)

Use additional

code to identify any retained foreign body, if applicable (Z18.-)

Note

Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes. (T07-T88) Injury, poisoning and certain other consequences of external causes (T07-T88) (T20-T32) Burns and corrosions (T20-T32) Includes: burns (thermal) from electrical heating appliances burns (thermal) from electricity burns (thermal) from flame burns (thermal) from friction burns (thermal) from hot air and hot gases burns (thermal) from hot objects burns (thermal) from lightning burns (thermal) from radiation chemical burn [corrosion] (external) (internal) scalds Excludes2: erythema [dermatitis] ab igne (L59.0) radiation-related disorders of the skin and subcutaneous tissue (L55-L59) sunburn (L55.-)

Official Guidelines for S42.023K

FY 2026 ›