ICD-10-CM 2027 diagnosis code
S42.4Fracture of lower end of humerus
S42.4 is a header code, so it can't be reported by itself. Choose one of the 10 more specific codes beneath it and add the required 7th character.
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 S42.4
S42.4 is the ICD-10-CM diagnosis code for fracture of lower end of humerus. 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 a header code, so it can't be reported by itself; one of its 10 subcodes must be used instead.
Within S42 (fracture of shoulder and upper arm), S42.4 is specifically for fracture of lower end of humerus. Related codes cover clavicle (S42.0), scapula (S42.1), upper end of humerus (S42.2), shaft of humerus (S42.3) and shoulder girdle, part unspecified (S42.9).
Codes in this range require a 7th character: A for initial encounter for closed fracture, B for initial encounter for open fracture, D for subsequent encounter for fracture with routine healing, G for subsequent encounter for fracture with delayed healing, K for subsequent encounter for fracture with nonunion, P for subsequent encounter for fracture with malunion and 1 more. Use placeholder "X" characters to fill any empty positions before the 7th character.
The conditions in its Excludes2 note aren't part of S42.4, but may be coded alongside it if the patient has both: fracture of shaft of humerus (S42.3-) and physeal fracture of lower end of humerus (S49.1-).
It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.
7th character
The appropriate 7th character is to be added to all codes from category S42
- S42.40Unspecified fracture of lower end of humerus
- S42.41Simple supracondylar fracture without intercondylar fracture of humerus
- S42.411Displaced simple supracondylar fracture without intercondylar fracture of right humerus
- S42.412Displaced simple supracondylar fracture without intercondylar fracture of left humerus
- S42.413Displaced simple supracondylar fracture without intercondylar fracture of unspecified humerus
- S42.414Nondisplaced simple supracondylar fracture without intercondylar fracture of right humerus
- S42.415Nondisplaced simple supracondylar fracture without intercondylar fracture of left humerus
- S42.416Nondisplaced simple supracondylar fracture without intercondylar fracture of unspecified humerus
- S42.42Comminuted supracondylar fracture without intercondylar fracture of humerus
- S42.421Displaced comminuted supracondylar fracture without intercondylar fracture of right humerus
- S42.422Displaced comminuted supracondylar fracture without intercondylar fracture of left humerus
- S42.423Displaced comminuted supracondylar fracture without intercondylar fracture of unspecified humerus
- S42.424Nondisplaced comminuted supracondylar fracture without intercondylar fracture of right humerus
- S42.425Nondisplaced comminuted supracondylar fracture without intercondylar fracture of left humerus
- S42.426Nondisplaced comminuted supracondylar fracture without intercondylar fracture of unspecified humerus
- S42.43Fracture (avulsion) of lateral epicondyle of humerus
- S42.431Displaced fracture (avulsion) of lateral epicondyle of right humerus
- S42.432Displaced fracture (avulsion) of lateral epicondyle of left humerus
- S42.433Displaced fracture (avulsion) of lateral epicondyle of unspecified humerus
- S42.434Nondisplaced fracture (avulsion) of lateral epicondyle of right humerus
- S42.435Nondisplaced fracture (avulsion) of lateral epicondyle of left humerus
- S42.436Nondisplaced fracture (avulsion) of lateral epicondyle of unspecified humerus
- S42.44Fracture (avulsion) of medial epicondyle of humerus
- S42.441Displaced fracture (avulsion) of medial epicondyle of right humerus
- S42.442Displaced fracture (avulsion) of medial epicondyle of left humerus
- S42.443Displaced fracture (avulsion) of medial epicondyle of unspecified humerus
- S42.444Nondisplaced fracture (avulsion) of medial epicondyle of right humerus
- S42.445Nondisplaced fracture (avulsion) of medial epicondyle of left humerus
- S42.446Nondisplaced fracture (avulsion) of medial epicondyle of unspecified humerus
- S42.447Incarcerated fracture (avulsion) of medial epicondyle of right humerus
- S42.448Incarcerated fracture (avulsion) of medial epicondyle of left humerus
- S42.449Incarcerated fracture (avulsion) of medial epicondyle of unspecified humerus
- S42.45Fracture of lateral condyle of humerus
- S42.451Displaced fracture of lateral condyle of right humerus
- S42.452Displaced fracture of lateral condyle of left humerus
- S42.453Displaced fracture of lateral condyle of unspecified humerus
- S42.454Nondisplaced fracture of lateral condyle of right humerus
- S42.455Nondisplaced fracture of lateral condyle of left humerus
- S42.456Nondisplaced fracture of lateral condyle of unspecified humerus
- S42.46Fracture of medial condyle of humerus
- S42.461Displaced fracture of medial condyle of right humerus
- S42.462Displaced fracture of medial condyle of left humerus
- S42.463Displaced fracture of medial condyle of unspecified humerus
- S42.464Nondisplaced fracture of medial condyle of right humerus
- S42.465Nondisplaced fracture of medial condyle of left humerus
- S42.466Nondisplaced fracture of medial condyle of unspecified humerus
- S42.47Transcondylar fracture of humerus
- S42.471Displaced transcondylar fracture of right humerus
- S42.472Displaced transcondylar fracture of left humerus
- S42.473Displaced transcondylar fracture of unspecified humerus
- S42.474Nondisplaced transcondylar fracture of right humerus
- S42.475Nondisplaced transcondylar fracture of left humerus
- S42.476Nondisplaced transcondylar fracture of unspecified humerus
- S42.48Torus fracture of lower end of humerus
- S42.49Other fracture of lower end of humerus
- S42.491Other displaced fracture of lower end of right humerus
- S42.492Other displaced fracture of lower end of left humerus
- S42.493Other displaced fracture of lower end of unspecified humerus
- S42.494Other nondisplaced fracture of lower end of right humerus
- S42.495Other nondisplaced fracture of lower end of left humerus
- S42.496Other nondisplaced fracture of lower end of unspecified humerus
- Ainitial encounter for closed fracture
- Binitial encounter for open fracture
- Dsubsequent encounter for fracture with routine healing
- Gsubsequent encounter for fracture with delayed healing
- Ksubsequent encounter for fracture with nonunion
- Psubsequent encounter for fracture with malunion
- Ssequela
Coding notes
Notes that apply from higher levels
Instructions written at a parent level also apply to S42.4.
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.
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 S42.4
Is S42.4 billable?
- No. S42.4 is a header code. Report one of its more specific subcodes instead.