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ICD-10-CM 2027 diagnosis code

S42.331KDisplaced oblique fracture of shaft of humerus, right arm, subsequent encounter for fracture with nonunion

✓ Billable / specificPOA exemptRequires 7th characterCC — complication/comorbidity

S42.331K is a valid, billable ICD-10-CM code for displaced oblique fracture of shaft of humerus, right arm, subsequent encounter for fracture with nonunion. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Displ oblique fx shaft of humer, r arm, 7thK

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 S42.331K

S42.331K is the ICD-10-CM diagnosis code for displaced oblique fracture of shaft of humerus, right arm, subsequent encounter for fracture with nonunion. 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 "K" means subsequent encounter for fracture with nonunion: 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 733.82 (nonunion of fracture).

7th character

Ksubsequent encounter for fracture with nonunion

CC/MCC status for this injury by encounter: CC for A, K, P; MCC for B; Neither CC nor MCC for D, G, S.

Other encounter types for S42.331:

Notes that apply from higher levels

Instructions written at a parent level also apply to S42.331K.

› From S42.3 Fracture of shaft of humerus
Excludes2
  • physeal fractures of upper end of humerus (S49.0-)
  • physeal fractures of lower end of humerus (S49.1-)
› From S42 Fracture of shoulder and upper arm
Note
  • A fracture not indicated as displaced or nondisplaced should be coded to displaced
  • A fracture not indicated as open or closed should be coded to closed
Excludes1
  • traumatic amputation of shoulder and upper arm (S48.-)
Excludes2
  • periprosthetic fracture around internal prosthetic shoulder joint (M97.3)

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.

ICD-9-CM equivalent

Converter →
  • 733.82Nonunion of fractureapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about S42.331K

Is S42.331K billable?

Yes. S42.331K is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

What does the "K" at the end of S42.331K mean?

It is the 7th character for subsequent encounter for fracture with nonunion. Per the official guidelines, use it for encounters after active treatment, while the patient is healing or recovering.

Can S42.331K be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict S42.331K as a principal diagnosis.

Is S42.331K a CC or MCC?

S42.331K is a CC (complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.

What DRG does S42.331K group to?

S42.331K 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 S42.331K?

The CMS General Equivalence Mappings map S42.331K to ICD-9-CM 733.82.