Billable / Specific Code
ICD-10-CM S42.191 is the diagnosis code for Fracture of other part of scapula, right shoulder. This code falls under the section "Injuries to the shoulder and upper arm" within Chapter 19 — Injury, poisoning and certain other consequences of external causes (S00-T88). It is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.
Always refer to the official ICD-10-CM Tabular List for complete coding guidelines. Ensure documentation supports the specificity of the code selected. When in doubt, consult a certified medical coder or the latest CMS guidelines.
Understanding where S42.191 sits in the ICD-10-CM classification helps ensure proper coding:
Yes, S42.191 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
S42.191 is the ICD-10-CM diagnosis code for "Fracture of other part of scapula, right shoulder". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
The parent code of S42.191 is S42.19 ("Fracture of other part of scapula"). S42.191 provides a more specific classification within this category.
S42.191 is located in Section S40-S49 — "Injuries to the shoulder and upper arm" within Chapter 19 of the ICD-10-CM Tabular List.
Use S42.191 when the patients documented diagnosis matches "Fracture of other part of scapula, right shoulder" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.
The ICD-10-CM code for Fracture of other part of scapula, right shoulder is S42.191.
Yes, S42.191 can be used as a primary diagnosis code since it is billable and specific.
S42.191 is in Chapter 19 of the ICD-10-CM Tabular List.
Yes, S42.191 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.