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:

S42.242G Quick jump to specific ICD-10 (CM) Code: S42.242P


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

See Header: 4-part fracture of surgical neck of left humerus

ICD-10 (CM) Code and Descriptor

S42.242K 4-part fracture of surgical neck of left humerus, subsequent encounter for fracture with nonunion

S42242K utilizaton on OPPS claims.*

Primary
ICD10 Code
ICD10
Position 2
ICD10
Position 4
80.00% 13.33% 6.67%

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

Commonly Associated Procedure Codes for S42.242K*:

CPT
Description Number of Claims Sum Performed
J0690
CEFAZOLIN SODIUM INJECTION 16 64
J3490
DRUGS UNCLASSIFIED INJECTION 13 27
J1885
KETOROLAC TROMETHAMINE INJ 8 9
C1776
JOINT DEVICE (IMPLANTABLE) 7 25
J1100
DEXAMETHASONE SODIUM PHOS 7 51
36415
COLL VENOUS BLD VENIPUNCTURE 7 7
23472
RECONSTRUCT SHOULDER JOINT 6 6
J2710
NEOSTIGMINE METHYLSLFTE INJ 6 38
J2405
ONDANSETRON HCL INJECTION 6 24
97530
THERAPEUTIC ACTIVITIES 5 7
J2250
INJ MIDAZOLAM HYDROCHLORIDE 5 10
J2370
PHENYLEPHRINE HCL INJECTION 5 5
J2704
INJ, PROPOFOL, 10 MG 5 177
Q3014
TELEHEALTH FACILITY FEE 4 4
C1713
ANCHOR/SCREW BN/BN,TIS/BN 4 12
85025
COMPLETE CBC W/AUTO DIFF WBC 4 4
J3010
FENTANYL CITRATE INJECTION 4 6
73020
X-RAY EXAM OF SHOULDER 3 3
88305
TISSUE EXAM BY PATHOLOGIST 3 3
88311
DECALCIFY TISSUE 3 3

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



S42.242K related to the following DRG Codes:

564-566






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