Coding and coverage · ICD-10-CM
S42.035 Nondisplaced fracture of lateral end of left clavicle
This code needs a 7th character (use X as a placeholder for missing characters).
7th character codes
- S42.035A Nondisplaced fracture of lateral end of left clavicle, initial encounter for closed fracture
- S42.035B Nondisplaced fracture of lateral end of left clavicle, initial encounter for open fracture
- S42.035D Nondisplaced fracture of lateral end of left clavicle, subsequent encounter for fracture with routine healing
- S42.035G Nondisplaced fracture of lateral end of left clavicle, subsequent encounter for fracture with delayed healing
- S42.035K Nondisplaced fracture of lateral end of left clavicle, subsequent encounter for fracture with nonunion
- S42.035P Nondisplaced fracture of lateral end of left clavicle, subsequent encounter for fracture with malunion
- S42.035S Nondisplaced fracture of lateral end of left clavicle, sequela
Instructional notes
Chapter 19
Excludes2Not included here: the patient may have both; report both when both are present.
Use additional codeAdd a second code for the full picture.
- code to identify any retained foreign body, if applicable (Z18.-)
Notes
- 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.
Section S40-S49
Excludes2Not included here: the patient may have both; report both when both are present.
Includes
- injuries of axilla
- injuries of scapular region
S42
Excludes1Not coded here: never report with this code, except when the two conditions are unrelated.
- traumatic amputation of shoulder and upper arm (S48.-)
Excludes2Not included here: the patient may have both; report both when both are present.
- periprosthetic fracture around internal prosthetic shoulder joint (M97.3)
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
7th charactersThe appropriate 7th character is to be added to all codes from category S42
- 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
S42.03
Inclusion terms
- Fracture of acromial end of clavicle
Chapter 19: Injury, poisoning and certain other consequences of external causes · S40-S49 Injuries to the shoulder and upper arm (S40-S49)
Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.
Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.