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S42.336 ICD-10-CM Code: Nondisplaced oblique fracture of shaft of humerus, unspecified arm

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FY 2026 Apr update / Injury, poisoning and certain other consequences of external causes (S00-T88) / Injuries to the shoulder and upper arm (S40-S49)

S42.336

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Nondisplaced oblique fracture of shaft of humerus, unspecified arm

Nondisplaced oblique fracture of shaft of humerus, unspecified arm

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
S42.3Fracture of shaft of humerus
S42.33Oblique fracture of shaft of humerus
S42.336Nondisplaced oblique fracture of shaft of humerus, unspecified arm

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for S42.336 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for S42.336 in this effective period.

Related Child Codes

Official
S42.336ANondisplaced oblique fracture of shaft of humerus, unspecified arm, initial encounter for closed fracture
S42.336BNondisplaced oblique fracture of shaft of humerus, unspecified arm, initial encounter for open fracture
S42.336DNondisplaced oblique fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with routine healing
S42.336GNondisplaced oblique fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with delayed healing
S42.336KNondisplaced oblique fracture of shaft of humerus, unspecified arm, subsequent encounter for fracture with nonunion

Includes

Official

ICD-10-CM does not list Includes notes for S42.336 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for S42.336 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for S42.336 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for S42.336 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for S42.336 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

S42.336 is the ICD-10-CM diagnosis code for nondisplaced oblique fracture of shaft of humerus, unspecified arm. S42.336 sits in the ICD-10-CM chapter for injury, poisoning and certain other consequences of external causes (s00-t88), within the section covering injuries to the shoulder and upper arm (s40-s49).

Header codes like S42.336 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at S42.336's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for S42.336 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

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