S42.496
Billable

Other nondisplaced fracture of lower end of unspecified humerus

Billable / Specific Code

What is Other nondisplaced fracture of lower end of unspecified humerus?

ICD-10-CM S42.496 is the diagnosis code for Other nondisplaced fracture of lower end 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.

Coding Guidelines for S42.496

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.

ICD-10-CM Code Hierarchy

Understanding where S42.496 sits in the ICD-10-CM classification helps ensure proper coding:

Related Codes

Frequently Asked Questions

Is S42.496 a billable ICD-10-CM code?

Yes, S42.496 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What does S42.496 mean?

S42.496 is the ICD-10-CM diagnosis code for "Other nondisplaced fracture of lower end of unspecified humerus". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of S42.496?

The parent code of S42.496 is S42.49 ("Other fracture of lower end of humerus"). S42.496 provides a more specific classification within this category.

What section is S42.496 in?

S42.496 is located in Section S40-S49 — "Injuries to the shoulder and upper arm" within Chapter 19 of the ICD-10-CM Tabular List.

When should I use S42.496?

Use S42.496 when the patients documented diagnosis matches "Other nondisplaced fracture of lower end of unspecified humerus" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Other nondisplaced fracture of lower end of unspecified humerus?

The ICD-10-CM code for Other nondisplaced fracture of lower end of unspecified humerus is S42.496.

Can S42.496 be used for primary diagnosis?

Yes, S42.496 can be used as a primary diagnosis code since it is billable and specific.

What chapter is S42.496 in?

S42.496 is in Chapter 19 of the ICD-10-CM Tabular List.

Is S42.496 valid for 2026?

Yes, S42.496 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousS42.495Other nondisplaced fracture of lower end of left humerusNext →S42.9Fracture of shoulder girdle, part unspecified
Code Details
S42.496
Other nondisplaced fracture of lower end of unspecified humerus
Billable / Specific Code
19 — Injury, poisoning and certain other consequences of external causes (S00-T88)
S40-S49 — Injuries to the shoulder and upper arm
2026 ICD-10-CM