Billable / Specific Code
ICD-10-CM S42.216 is the diagnosis code for Unspecified nondisplaced fracture of surgical neck of unspecified humerus. 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 S42.216 sits in the ICD-10-CM classification helps ensure proper coding:
Yes, S42.216 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
S42.216 is the ICD-10-CM diagnosis code for "Unspecified nondisplaced fracture of surgical neck of unspecified humerus". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
The parent code of S42.216 is S42.21 ("Unspecified fracture of surgical neck of humerus"). S42.216 provides a more specific classification within this category.
S42.216 is located in Section S40-S49 — "Injuries to the shoulder and upper arm" within Chapter 19 of the ICD-10-CM Tabular List.
Use S42.216 when the patients documented diagnosis matches "Unspecified nondisplaced fracture of surgical neck of unspecified humerus" 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 Unspecified nondisplaced fracture of surgical neck of unspecified humerus is S42.216.
Yes, S42.216 can be used as a primary diagnosis code since it is billable and specific.
S42.216 is in Chapter 19 of the ICD-10-CM Tabular List.
Yes, S42.216 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.