CodeMap® 
150 North Wacker Drive
Suite 2360
Chicago, IL 60606
847-381-5465 Phone
847-381-4606 Fax
customerservice@codemap.com
      


User Information

Create New Account

Lost Password

Username:
Password:


Quick Links

LCDs and LCAs
by Contractor

PLA Codes

Laboratory Fee Schedule

2025
2024
QW Tests

Physician Fee Schedule

2025
2024

OPPS Fee Schedule

2025-April
2025-January

ASC Fee Schedule

2025-April
2025-January

APC Codes

2025-April
2025-January

DRG Codes

2025
2024

ASP Drug Pricing Files

2025-April
2025-January


CMS Transmittals



.

ICD-10 Code or Description Search:

S42.216B Quick jump to specific ICD-10 (CM) Code: S42.216G


See Category: Injury, poisoning and certain other consequences of external causes

See Header: Unsp nondisp fx of surgical neck of unspecified humerus

ICD-10 (CM) Code and Descriptor

S42.216D Unspecified nondisplaced fracture of surgical neck of unspecified humerus, subsequent encounter for fracture with routine healing

S42216D utilizaton on OPPS claims.*

Primary
ICD10 Code
ICD10
Position 2
ICD10
Position 3
ICD10
Position 4
ICD10
Position 5
ICD10
Position 6
ICD10
Position 7
ICD10
Position 8
ICD10
Position 9
51.61% 12.90% 9.68% 9.68% 3.23% 3.23% 3.23% 3.23% 3.23%

* Medicare Part A utilization data is derived from the 100% 2023 Outpatient (Fee-for-Service) Standard Analytical File.

Commonly Associated Procedure Codes for S42.216D*:

CPT
Description Number of Claims Sum Performed
97530
THERAPEUTIC ACTIVITIES 132 191
97110
THERAPEUTIC EXERCISES 120 143
97116
GAIT TRAINING THERAPY 73 92
97535
SELF CARE MNGMENT TRAINING 57 96
97112
NEUROMUSCULAR REEDUCATION 35 35
97140
MANUAL THERAPY 1/> REGIONS 27 37
92507
TX SP LANG VOICE COMM INDIV 13 13
92526
ORAL FUNCTION THERAPY 12 12
G0283
ELEC STIM OTHER THAN WOUND 11 11
97542
WHEELCHAIR MNGMENT TRAINING 8 8
97150
GROUP THERAPEUTIC PROCEDURES 7 7
97035
APP MDLTY 1+ULTRASOUND EA 15 4 4
G0463
HOSPITAL OUTPT CLINIC VISIT 2 2
97166
OT EVAL MOD COMPLEX 45 MIN 2 2
97760
ORTHOTIC MGMT&TRAING 1ST ENC 1 1
L3763
EWHO RIGID W/O JNTS CF 1 1
71046
X-RAY EXAM CHEST 2 VIEWS 1 1
73060
X-RAY EXAM OF HUMERUS 1 1
97161
PT EVAL LOW COMPLEX 20 MIN 1 1
97165
OT EVAL LOW COMPLEX 30 MIN 1 1

* Derived from 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.



S42.216D related to the following DRG Codes:

559-561






CodeMap¨ is a Registered Trademark of Wheaton Partners, LLC.