Question 1

Is S42.0 a billable ICD-10 code?

Accepted Answer

No, S42.0 is not a billable code. It is a category code that requires additional specificity. You must select a more specific code from the subcategories for billing purposes.

Question 2

What does ICD-10 code S42.0 mean?

Accepted Answer

ICD-10-CM code S42.0 represents Fracture of clavicle. This code is part of the International Classification of Diseases, 10th Revision, Clinical Modification used for medical coding and billing in the United States.

Question 3

When was ICD-10 code S42.0 introduced?

Accepted Answer

Code S42.0 has been part of ICD-10-CM since 2016, when the coding system was mandated for use in the United States. This code was included in the original US implementation.

Question 4

What is the parent category for ICD-10 code S42.0?

Accepted Answer

The parent category for S42.0 is S42 (Fracture of shoulder and upper arm). This hierarchical classification helps organize related diagnoses for more accurate coding.

Question 5

Does S42.0 require a 7th character extension?

Accepted Answer

Yes, S42.0 requires a 7th character to specify the encounter type. Available extensions include: A (initial encounter for closed fracture), B (initial encounter for open fracture), D (subsequent encounter for fracture with routine healing) and 4 more options. Use "X" as a placeholder to fill empty positions before the 7th character (e.g., S42.0XXA for initial encounter). The extension indicates whether this is an initial visit, follow-up, or treatment for a late effect.

S42.02026

Excludes11Not coded together

Excludes27Not included here

Use Additional Code1Add code for detail

Notes4Additional information

Includes2Included conditions

7th Character Extensions7Fracture encounter types

Excluded By1Codes that exclude this one

Is S42.0 a billable ICD-10 code?

What does ICD-10 code S42.0 mean?

When was ICD-10 code S42.0 introduced?

What is the parent category for ICD-10 code S42.0?

Does S42.0 require a 7th character extension?