ICD-10-CM 2027 diagnosis code
S42.152PDisplaced fracture of neck of scapula, left shoulder, subsequent encounter for fracture with malunion
S42.152P is a valid, billable ICD-10-CM code for displaced fracture of neck of scapula, left shoulder, subsequent encounter for fracture with malunion. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Disp fx of neck of scapula, l shldr, subs for fx w malunion
Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data
About S42.152P
S42.152P is the ICD-10-CM diagnosis code for displaced fracture of neck of scapula, left shoulder, subsequent encounter for fracture with malunion. It belongs to category S42 (fracture of shoulder and upper arm), block S40-S49 (injuries to the shoulder and upper arm) and chapter 19 (injury, poisoning and certain other consequences of external causes). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.
The 7th character "P" means subsequent encounter for fracture with malunion: use it for encounters after active treatment, while the patient is healing or recovering.
As a secondary diagnosis it is a CC (complication or comorbidity), which can move an inpatient stay into the "with CC" MS-DRG of its family, unless the principal diagnosis excludes it.
In MS-DRG v44.0, it is part of the grouping logic for DRG 564 (Other Musculoskeletal System and Connective Tissue Diagnoses with MCC, relative weight 1.4908), DRG 565 (Other Musculoskeletal System and Connective Tissue Diagnoses with CC, relative weight 0.9783) and DRG 566 (Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCC, relative weight 0.7378), in MDC 08 (Diseases and Disorders of the Musculoskeletal System and Connective Tissue), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.
It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.
It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.
Before ICD-10, this condition was coded in ICD-9-CM as 733.81 (malunion of fracture).
7th character
Psubsequent encounter for fracture with malunion
CC/MCC status for this injury by encounter: Neither CC nor MCC for A, D, G, S; CC for B, K, P.
Other encounter types for S42.152:
Notes that apply from higher levels
Instructions written at a parent level also apply to S42.152P.
Broader instructions also apply from S40-S49 Injuries to the shoulder and upper arm and Chapter 19: Injury, poisoning and certain other consequences of external causes.
MS-DRG v44.0 grouping
All DRGs →Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.
MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue
ICD-9-CM equivalent
Converter →- 733.81Malunion of fractureapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about S42.152P
Is S42.152P billable?
- Yes. S42.152P is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
What does the "P" at the end of S42.152P mean?
- It is the 7th character for subsequent encounter for fracture with malunion. Per the official guidelines, use it for encounters after active treatment, while the patient is healing or recovering.
Can S42.152P be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict S42.152P as a principal diagnosis.
Is S42.152P a CC or MCC?
- S42.152P is a CC (complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.
What DRG does S42.152P group to?
- S42.152P is used in the MS-DRG v44.0 logic for MS-DRG 564 (Other Musculoskeletal System and Connective Tissue Diagnoses with MCC), MS-DRG 565 (Other Musculoskeletal System and Connective Tissue Diagnoses with CC) and MS-DRG 566 (Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.
What is the ICD-9 code for S42.152P?
- The CMS General Equivalence Mappings map S42.152P to ICD-9-CM 733.81.