S42.36
Non-Billable

Is S42.36 Billable?

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

Segmental fracture of shaft of humerus

Billable Alternatives 6 found
S42.361
Displaced segmental fracture of shaft of humerus, right arm
Billable
S42.362
Displaced segmental fracture of shaft of humerus, left arm
Billable
S42.363
Displaced segmental fracture of shaft of humerus, unspecified arm
Billable
S42.364
Nondisplaced segmental fracture of shaft of humerus, right arm
Billable
S42.365
Nondisplaced segmental fracture of shaft of humerus, left arm
Billable
S42.366
Nondisplaced segmental fracture of shaft of humerus, unspecified arm
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.