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See Category: Injury, poisoning and certain other consequences of external causes
See Header: Other nondisp fx of upper end of unspecified humerus
ICD-10 (CM) Code and Descriptor
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S42.296A |
Other nondisplaced fracture of upper end of unspecified humerus, initial encounter for closed fracture
In the inpatient setting, there should generally be very limited and rare
circumstances for which the laterality (right, left, bilateral) of a condition is unable to be
documented and reported.
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S42296A utilizaton on OPPS claims.*
Primary
ICD10 Code |
ICD10
Position 2 |
ICD10
Position 3 |
ICD10
Position 4 |
| 62.50%
|
6.25%
|
15.63%
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15.63%
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* Medicare Part A utilization data is derived from the 100% 2023 Outpatient (Fee-for-Service) Standard Analytical File.
Commonly Associated Procedure Codes for S42.296A*:
| CPT |
Description |
Number of Claims |
Sum Performed |
|
97110
|
THERAPEUTIC EXERCISES |
41
|
93
|
|
97112
|
NEUROMUSCULAR REEDUCATION |
16
|
19
|
|
73030
|
X-RAY EXAM OF SHOULDER |
11
|
11
|
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
6
|
6
|
|
85025
|
COMPLETE CBC W/AUTO DIFF WBC |
5
|
5
|
|
73060
|
X-RAY EXAM OF HUMERUS |
4
|
4
|
|
70450
|
CT HEAD/BRAIN W/O DYE |
4
|
4
|
|
72125
|
CT NECK SPINE W/O DYE |
4
|
4
|
|
80053
|
COMPREHEN METABOLIC PANEL |
3
|
3
|
|
80048
|
METABOLIC PANEL TOTAL CA |
3
|
3
|
|
96374
|
THER/PROPH/DIAG INJ IV PUSH |
3
|
3
|
|
93005
|
ELECTROCARDIOGRAM TRACING |
3
|
3
|
|
99285
|
EMERGENCY DEPT VISIT HI MDM |
3
|
3
|
|
36415
|
COLL VENOUS BLD VENIPUNCTURE |
3
|
3
|
|
84484
|
ASSAY OF TROPONIN QUANT |
3
|
3
|
|
85610
|
PROTHROMBIN TIME |
3
|
3
|
|
G0378
|
HOSPITAL OBSERVATION PER HR |
3
|
39
|
|
97530
|
THERAPEUTIC ACTIVITIES |
3
|
3
|
|
97140
|
MANUAL THERAPY 1/> REGIONS |
3
|
3
|
|
99213
|
OFFICE O/P EST LOW 20 MIN |
2
|
2
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* Derived from 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.
S42.296A related to the following DRG Codes:
562-563
963-965
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