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:

S42.91XG Quick jump to specific ICD-10 (CM) Code: S42.91XP


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

ICD-10 (CM) Code and Descriptor

S42.91XK Fracture of right shoulder girdle, part unspecified, subsequent encounter for fracture with nonunion

S4291XK utilizaton on OPPS claims.*

Primary
ICD10 Code
ICD10
Position 2
ICD10
Position 3
ICD10
Position 4
ICD10
Position 5
ICD10
Position 11
28.57% 32.65% 20.41% 6.12% 4.08% 8.16%

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

Commonly Associated Procedure Codes for S42.91XK*:

CPT
Description Number of Claims Sum Performed
97110
THERAPEUTIC EXERCISES 77 185
97140
MANUAL THERAPY 1/> REGIONS 31 32
97530
THERAPEUTIC ACTIVITIES 26 42
97116
GAIT TRAINING THERAPY 17 19
97016
VASOPNEUMATIC DEVICE THERAPY 13 13
J0690
CEFAZOLIN SODIUM INJECTION 10 41
36415
COLL VENOUS BLD VENIPUNCTURE 8 8
97535
SELF CARE MNGMENT TRAINING 8 9
97010
HOT OR COLD PACKS THERAPY 8 8
G0283
ELEC STIM OTHER THAN WOUND 8 8
73030
X-RAY EXAM OF SHOULDER 7 7
A9270
NON-COVERED ITEM OR SERVICE 7 55
92526
ORAL FUNCTION THERAPY 6 6
J2795
ROPIVACAINE HCL INJECTION 5 550
97150
GROUP THERAPEUTIC PROCEDURES 5 5
80048
METABOLIC PANEL TOTAL CA 4 4
85027
COMPLETE CBC AUTOMATED 4 4
C1713
ANCHOR/SCREW BN/BN,TIS/BN 4 38
82948
REAGENT STRIP/BLOOD GLUCOSE 4 7
J2704
INJ, PROPOFOL, 10 MG 4 60

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



S42.91XK related to the following DRG Codes:

564-566






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