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:

S42.294S Quick jump to specific ICD-10 (CM) Code: S42.295B


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

See Header: Other nondisplaced fracture of upper end of left humerus

ICD-10 (CM) Code and Descriptor

S42.295A Other nondisplaced fracture of upper end of left humerus, initial encounter for closed fracture

S42295A 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
ICD10
Position 10
72.22% 15.61% 5.86% 2.82% 1.13% 0.74% 0.43% 0.46% 0.21% 0.06%

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

Commonly Associated Procedure Codes for S42.295A*:

CPT
Description Number of Claims Sum Performed
73030
X-RAY EXAM OF SHOULDER 1,359 1,365
97110
THERAPEUTIC EXERCISES 971 1,867
73060
X-RAY EXAM OF HUMERUS 563 563
A9270
NON-COVERED ITEM OR SERVICE 552 1,316
99284
EMERGENCY DEPT VISIT MOD MDM 547 547
97140
MANUAL THERAPY 1/> REGIONS 503 610
99283
EMERGENCY DEPT VISIT LOW MDM 420 420
G0463
HOSPITAL OUTPT CLINIC VISIT 347 348
70450
CT HEAD/BRAIN W/O DYE 331 331
96374
THER/PROPH/DIAG INJ IV PUSH 281 282
85025
COMPLETE CBC W/AUTO DIFF WBC 279 279
J2270
MORPHINE SULFATE INJECTION 252 312
99285
EMERGENCY DEPT VISIT HI MDM 231 231
97530
THERAPEUTIC ACTIVITIES 231 313
72125
CT NECK SPINE W/O DYE 220 220
36415
COLL VENOUS BLD VENIPUNCTURE 212 218
96372
THER/PROPH/DIAG INJ SC/IM 199 235
71045
X-RAY EXAM CHEST 1 VIEW 190 190
93005
ELECTROCARDIOGRAM TRACING 184 187
80053
COMPREHEN METABOLIC PANEL 180 180

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



S42.295A related to the following DRG Codes:

562-563
963-965






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