S42 ICD-10-CA category: Fracture of shoulder and upper arm
S42 isn’t a code on its own. Choose one of the 50 codes beneath it, the one the documentation supports.
Official description
S42Fracture of shoulder and upper arm
ICD-10-CA · Canada
Codes in S42
S42 isn’t a code on its own. Open the group that matches what the note documents.
S42.0Fracture of clavicle (8 codes)S42.1Fracture of scapula (10 codes)S42.2Fracture of upper end of humerus (10 codes)S42.3Fracture of shaft of humerus (4 codes)S42.4Fracture of lower end of humerus (12 codes)S42.7Multiple fractures of clavicle, scapula and humerus (2 codes)S42.8Fracture of other parts of shoulder and upper arm (2 codes)S42.9Fracture of shoulder girdle, part unspecified (2 codes)Notes for S42
As CIHI prints them, with any note S42 takes from the headings above it.
Includes
- Injuries of:• axilla• scapular regionFrom S40-S49 Injuries to the shoulder and upper arm
Excludes
Conditions classified elsewhere.
- Bilateral involvement of shoulder and upper arm (T00-T07)burns and corrosions (T20-T32)frostbite (T33-T35)injuries of:• arm, level unspecified (T10-T11)• elbow (S50-S59)insect bite or sting, venomous (T63.4)From S40-S49 Injuries to the shoulder and upper arm
- Birth trauma (P10-P15)obstetric trauma (O70-O71)From Chapter 19: Injury, poisoning and certain other consequences of external causes (S00-T98)
Note
- The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to multiple or unspecified body regions as well as poisoning and certain other consequences of external causes.Where multiple sites of injury are specified in the titles, the word "with" indicates involvement of both sites, and the word "and" indicates involvement of either or both sites.The principle of multiple coding of injuries should be followed wherever possible.Combination categories for multiple injuries is provided for use when there are insufficient detail as to the nature of the individual conditions, or for primary tabulation purposes when it is more convenient to record single code; otherwise, the component injuries should be coded separately.Reference should also be made to the coding rules and guidelines.The blocks of the S-section as well as (T00-T14 and T90-T98) contain injuries at the three-character level classified by type as follows:Superficial injury including:abrasionblister (nonthermal)contusion, including bruise and haematomainjury from superficial foreign body (splinter) without major open woundinsect bite (nonvenomous)Open wound including:animal bitecutlacerationpuncture wound:• NOS• with (penetrating) foreign bodyFracture including:Fracture:closed: comminuted, depressed, elevated, fissured, greenstick, impacted, linear, simple, slipped epiphysis, spiral — with or without delayed healingdislocateddisplacedFracture:open: compound, infected, missile, puncture, with foreign body — with or without delayed healingExcludes:malunion of fracture (M84.0)nonunion of fracture [pseudoarthrosis] (M84.1)pathological fracture (M84.4):• with osteoporosis (M80.-)stress fracture (M84.3)Dislocation, sprain and strain including:avulsion, laceration, sprain, strain, traumatic: haemarthosis, rupture, subluxation, tear of cartilage, joint (capsule), ligamentInjury to nerves and spinal cord including:complete or incomplete lesion of spinal cordlesion incontinuity of nerves and spinal cordtraumatic:• division of nerve• haematomyelia• paralysis (transient)• paraplegia• quadriplegiaInjury to blood vessels includingavulsion, cut, laceration, traumatic: aneurysm or fistula (arteriovenous), arterial haematoma, rupture of blood vesselsInjury of muscle, fascia and tendon including:avulsion, cut, laceration, strain, traumatic rupture of muscle, fascia and tendonCrushing InjuryTraumatic amputationInjury to internal organs including:blast injuries, bruise, concussion injuries, crushing, laceration, traumatic: haematoma, puncture, rupture, tear of internal organsOther and unspecified injuriesFrom Chapter 19: Injury, poisoning and certain other consequences of external causes (S00-T98)
Where S42 sits
- 1ChapterChapter 19: Injury, poisoning and certain other consequences of external causes (S00-T98)
- 2Block S40-S49Injuries to the shoulder and upper arm
- 3Category S42Fracture of shoulder and upper arm
Source and release
- Data release
- ICD-10-CA · FY 2026–2027
- Effective date
- Apr 1, 2026
- Publisher
- CIHI
This page is built from the ICD-10-CA catalog that Vero Codes reads when it suggests codes: Canadian Institute for Health Information’s FY 2026–2027 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
Is S42 a valid ICD-10-CA code?
No. S42 (Fracture of shoulder and upper arm) is a category heading in CIHI’s ICD-10-CA FY 2026–2027 release. It holds 50 codes; record the one the documentation supports.
Where is S42 in ICD-10-CA?
S42 sits under S40-S49 Injuries to the shoulder and upper arm, within Chapter 19: Injury, poisoning and certain other consequences of external causes (S00-T98).
What coding notes apply to S42?
ICD-10-CA lists Includes, Excludes, Note notes for S42, including those from the headings it sits under. They are listed on this page with where each one comes from.
Which ICD-10-CA release does this page use?
It uses CIHI’s FY 2026–2027 release, in effect from Apr 1, 2026 to Mar 31, 2027. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside S42
View S40-S49S40Superficial injury of shoulder and upper armS41Open wound of shoulder and upper armS43Dislocation, sprain and strain of joints and ligaments of shoulder girdleS44Injury of nerves at shoulder and upper arm levelS45Injury of blood vessels at shoulder and upper arm levelS46Injury of muscle and tendon at shoulder and upper arm levelS47Crushing injury of shoulder and upper armS48Traumatic amputation of shoulder and upper armS49Other and unspecified injuries of shoulder and upper arm