Kodex

Code

S42.401B

initial encounter for open fracture

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Hierarchy

S00-T88 Injury, poisoning and certain other consequences of external causes (S00-T88)
- S40-S49 Injuries to the shoulder and upper arm (S40-S49)
  - S42 Fracture of shoulder and upper arm
    - S42.4 Fracture of lower end of humerus
      - S42.40 Unspecified fracture of lower end of humerus
        
        S42.401 Unspecified fracture of lower end of right humerus
        
        S42.401A initial encounter for closed fracture
        
        S42.401B initial encounter for open fracture
        
        S42.401D subsequent encounter for fracture with routine healing
        
        S42.401G subsequent encounter for fracture with delayed healing
        
        S42.401K subsequent encounter for fracture with nonunion
        
        S42.401P subsequent encounter for fracture with malunion
        
        S42.401S sequela

Long Title

S42.401B

Unspecified fracture of lower end of right humerus initial encounter for open fracture

Notes

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

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.

Inclusion Terms

Fracture of elbow NOS

Fracture of distal end of humerus

Use Additional

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

Includes

injuries of axilla
injuries of scapular region

Excludes 1

S48 Traumatic amputation of shoulder and upper arm

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

Excludes 2

S42.3 Fracture of shaft of humerus
S49.1 Physeal fracture of lower end of humerus

M97.3 Periprosthetic fracture around internal prosthetic shoulder joint

T20-T32 Burns and corrosions (T20-T32)
T33-T34 Frostbite (T33-T34)
injuries of elbow (S50-S59)
- S50-S59 Injuries to the elbow and forearm (S50-S59)
insect bite or sting, venomous (T63.4)
- T63.4 Toxic effect of venom of other arthropods