S42.01
Non-Billable

Is S42.01 Billable?

No — This is a non-billable / non-specific code. Use a more specific sub-code for billing and reimbursement.

Fracture of sternal end of clavicle

Billable Alternatives 9 found
S42.011
Anterior displaced fracture of sternal end of right clavicle
Billable
S42.012
Anterior displaced fracture of sternal end of left clavicle
Billable
S42.013
Anterior displaced fracture of sternal end of unspecified clavicle
Billable
S42.014
Posterior displaced fracture of sternal end of right clavicle
Billable
S42.015
Posterior displaced fracture of sternal end of left clavicle
Billable
S42.016
Posterior displaced fracture of sternal end of unspecified clavicle
Billable
S42.017
Nondisplaced fracture of sternal end of right clavicle
Billable
S42.018
Nondisplaced fracture of sternal end of left clavicle
Billable
S42.019
Nondisplaced fracture of sternal end of unspecified clavicle
Billable

Understanding Billable vs Non-Billable Codes

ICD-10-CM codes are classified as either billable/specific or non-billable/non-specific. Billable codes can be used on insurance claims for reimbursement. Non-billable codes are typically parent or header codes that require a more specific sub-code for actual billing.

When a code is non-billable, always look for its child codes (sub-codes) which provide the necessary specificity for reimbursement. Using a non-billable code on a claim may result in denial or delayed payment.

About Billable Status

Billable status indicates whether a code can be used for reimbursement purposes. Non-billable codes are typically header or parent codes that require a more specific sub-code for actual billing and claims. Always verify with the latest payer guidelines.