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:

S42.264S Quick jump to specific ICD-10 (CM) Code: S42.265B


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

See Header: Nondisplaced fracture of lesser tuberosity of left humerus

ICD-10 (CM) Code and Descriptor

S42.265A Nondisplaced fracture of lesser tuberosity of left humerus, initial encounter for closed fracture

S42265A utilizaton on OPPS claims.*

Primary
ICD10 Code
ICD10
Position 2
ICD10
Position 3
ICD10
Position 5
ICD10
Position 6
37.14% 34.29% 22.86% 2.86% 2.86%

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

Commonly Associated Procedure Codes for S42.265A*:

CPT
Description Number of Claims Sum Performed
73030
X-RAY EXAM OF SHOULDER 12 12
99283
EMERGENCY DEPT VISIT LOW MDM 6 6
99284
EMERGENCY DEPT VISIT MOD MDM 5 5
A9270
NON-COVERED ITEM OR SERVICE 4 5
70450
CT HEAD/BRAIN W/O DYE 4 4
73200
CT UPPER EXTREMITY W/O DYE 4 4
96372
THER/PROPH/DIAG INJ SC/IM 4 7
86850
RBC ANTIBODY SCREEN 3 3
73060
X-RAY EXAM OF HUMERUS 3 3
J2405
ONDANSETRON HCL INJECTION 3 12
85610
PROTHROMBIN TIME 3 3
G1004
CDSM NDSC 3 3
J2270
MORPHINE SULFATE INJECTION 3 4
86900
BLOOD TYPING SEROLOGIC ABO 3 3
36415
COLL VENOUS BLD VENIPUNCTURE 3 3
86901
BLOOD TYPING SEROLOGIC RH(D) 3 3
85025
COMPLETE CBC W/AUTO DIFF WBC 3 3
81001
URINALYSIS AUTO W/SCOPE 3 3
G0463
HOSPITAL OUTPT CLINIC VISIT 2 2
82565
ASSAY OF CREATININE 2 2

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



S42.265A related to the following DRG Codes:

562-563
963-965






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