Complete Guide to Fracture ICD-10 Codes
Fractures are coded using ICD-10-CM category S codes, organized by body region. All fracture codes require a 7th character extension to indicate the episode of care (initial, subsequent, or sequela) and whether the fracture is open or closed. Accurate coding requires documentation of the anatomical site, laterality, displacement, and encounter type.
1,562
Billable Codes
0
Annual Hospitalizations
S02-S92
Code Range
0
New in 2026
7th Character Extensions (Required)
All fracture codes require a 7th character. Choose based on encounter type and healing status:
AInitial encounter for closed fracture
BInitial encounter for open fracture type I or II
CInitial encounter for open fracture type IIIA, IIIB, or IIIC
DSubsequent encounter for closed fracture with routine healing
GSubsequent encounter for closed fracture with delayed healing
KSubsequent encounter for closed fracture with nonunion
PSubsequent encounter for closed fracture with malunion
SSequela
Code Categories by Body Region
S02Fracture of skull and facial bones
S12Fracture of cervical vertebra and other parts of neck
S22Fracture of rib(s), sternum and thoracic spine
S32Fracture of lumbar spine and pelvis
S42Fracture of shoulder and upper arm
S52Fracture of forearm
S62Fracture at wrist and hand level
S72Fracture of femur
S82Fracture of lower leg, including ankle
S92Fracture of foot and toe
Complete Code Listing
Codes grouped by body region. Each code page shows all 7th character options and documentation requirements.
- S02.0Fracture of vault of skull
- S02.101Fracture of base of skull, right side
- S02.102Fracture of base of skull, left side
- S02.109Fracture of base of skull, unspecified side
- S02.110Type I occipital condyle fracture, unspecified side
- S02.111Type II occipital condyle fracture, unspecified side
- S02.112Type III occipital condyle fracture, unspecified side
- S02.113Unspecified occipital condyle fracture
- S02.118Other fracture of occiput, unspecified side
- S02.119Unspecified fracture of occiput
- S02.11AType I occipital condyle fracture, right side
- S02.11BType I occipital condyle fracture, left side
- S02.11CType II occipital condyle fracture, right side
- S02.11DType II occipital condyle fracture, left side
- S02.11EType III occipital condyle fracture, right side
- S02.11FType III occipital condyle fracture, left side
- S02.11GOther fracture of occiput, right side
- S02.11HOther fracture of occiput, left side
- S02.121Fracture of orbital roof, right side
- S02.122Fracture of orbital roof, left side
- S02.129Fracture of orbital roof, unspecified side
- S02.19Other fracture of base of skull
- S02.2Fracture of nasal bones
- S02.30Fracture of orbital floor, unspecified side
- S02.31Fracture of orbital floor, right side
- S02.32Fracture of orbital floor, left side
- S02.400Malar fracture, unspecified side
- S02.401Maxillary fracture, unspecified side
- S02.402Zygomatic fracture, unspecified side
- S02.40AMalar fracture, right side
- View all 76 codes in S02
- S12.000Unspecified displaced fracture of first cervical vertebra
- S12.001Unspecified nondisplaced fracture of first cervical vertebra
- S12.01Stable burst fracture of first cervical vertebra
- S12.02Unstable burst fracture of first cervical vertebra
- S12.030Displaced posterior arch fracture of first cervical vertebra
- S12.031Nondisplaced posterior arch fracture of first cervical vertebra
- S12.040Displaced lateral mass fracture of first cervical vertebra
- S12.041Nondisplaced lateral mass fracture of first cervical vertebra
- S12.090Other displaced fracture of first cervical vertebra
- S12.091Other nondisplaced fracture of first cervical vertebra
- S12.100Unspecified displaced fracture of second cervical vertebra
- S12.101Unspecified nondisplaced fracture of second cervical vertebra
- S12.110Anterior displaced Type II dens fracture
- S12.111Posterior displaced Type II dens fracture
- S12.112Nondisplaced Type II dens fracture
- S12.120Other displaced dens fracture
- S12.121Other nondisplaced dens fracture
- S12.130Unspecified traumatic displaced spondylolisthesis of second cervical vertebra
- S12.131Unspecified traumatic nondisplaced spondylolisthesis of second cervical vertebra
- S12.14Type III traumatic spondylolisthesis of second cervical vertebra
- S12.150Other traumatic displaced spondylolisthesis of second cervical vertebra
- S12.151Other traumatic nondisplaced spondylolisthesis of second cervical vertebra
- S12.190Other displaced fracture of second cervical vertebra
- S12.191Other nondisplaced fracture of second cervical vertebra
- S12.200Unspecified displaced fracture of third cervical vertebra
- S12.201Unspecified nondisplaced fracture of third cervical vertebra
- S12.230Unspecified traumatic displaced spondylolisthesis of third cervical vertebra
- S12.231Unspecified traumatic nondisplaced spondylolisthesis of third cervical vertebra
- S12.24Type III traumatic spondylolisthesis of third cervical vertebra
- S12.250Other traumatic displaced spondylolisthesis of third cervical vertebra
- View all 71 codes in S12
- S22.000Wedge compression fracture of unspecified thoracic vertebra
- S22.001Stable burst fracture of unspecified thoracic vertebra
- S22.002Unstable burst fracture of unspecified thoracic vertebra
- S22.008Other fracture of unspecified thoracic vertebra
- S22.009Unspecified fracture of unspecified thoracic vertebra
- S22.010Wedge compression fracture of first thoracic vertebra
- S22.011Stable burst fracture of first thoracic vertebra
- S22.012Unstable burst fracture of first thoracic vertebra
- S22.018Other fracture of first thoracic vertebra
- S22.019Unspecified fracture of first thoracic vertebra
- S22.020Wedge compression fracture of second thoracic vertebra
- S22.021Stable burst fracture of second thoracic vertebra
- S22.022Unstable burst fracture of second thoracic vertebra
- S22.028Other fracture of second thoracic vertebra
- S22.029Unspecified fracture of second thoracic vertebra
- S22.030Wedge compression fracture of third thoracic vertebra
- S22.031Stable burst fracture of third thoracic vertebra
- S22.032Unstable burst fracture of third thoracic vertebra
- S22.038Other fracture of third thoracic vertebra
- S22.039Unspecified fracture of third thoracic vertebra
- S22.040Wedge compression fracture of fourth thoracic vertebra
- S22.041Stable burst fracture of fourth thoracic vertebra
- S22.042Unstable burst fracture of fourth thoracic vertebra
- S22.048Other fracture of fourth thoracic vertebra
- S22.049Unspecified fracture of fourth thoracic vertebra
- S22.050Wedge compression fracture of T5-T6 vertebra
- S22.051Stable burst fracture of T5-T6 vertebra
- S22.052Unstable burst fracture of T5-T6 vertebra
- S22.058Other fracture of T5-T6 vertebra
- S22.059Unspecified fracture of T5-T6 vertebra
- View all 59 codes in S22
- S32.000Wedge compression fracture of unspecified lumbar vertebra
- S32.001Stable burst fracture of unspecified lumbar vertebra
- S32.002Unstable burst fracture of unspecified lumbar vertebra
- S32.008Other fracture of unspecified lumbar vertebra
- S32.009Unspecified fracture of unspecified lumbar vertebra
- S32.010Wedge compression fracture of first lumbar vertebra
- S32.011Stable burst fracture of first lumbar vertebra
- S32.012Unstable burst fracture of first lumbar vertebra
- S32.018Other fracture of first lumbar vertebra
- S32.019Unspecified fracture of first lumbar vertebra
- S32.020Wedge compression fracture of second lumbar vertebra
- S32.021Stable burst fracture of second lumbar vertebra
- S32.022Unstable burst fracture of second lumbar vertebra
- S32.028Other fracture of second lumbar vertebra
- S32.029Unspecified fracture of second lumbar vertebra
- S32.030Wedge compression fracture of third lumbar vertebra
- S32.031Stable burst fracture of third lumbar vertebra
- S32.032Unstable burst fracture of third lumbar vertebra
- S32.038Other fracture of third lumbar vertebra
- S32.039Unspecified fracture of third lumbar vertebra
- S32.040Wedge compression fracture of fourth lumbar vertebra
- S32.041Stable burst fracture of fourth lumbar vertebra
- S32.042Unstable burst fracture of fourth lumbar vertebra
- S32.048Other fracture of fourth lumbar vertebra
- S32.049Unspecified fracture of fourth lumbar vertebra
- S32.050Wedge compression fracture of fifth lumbar vertebra
- S32.051Stable burst fracture of fifth lumbar vertebra
- S32.052Unstable burst fracture of fifth lumbar vertebra
- S32.058Other fracture of fifth lumbar vertebra
- S32.059Unspecified fracture of fifth lumbar vertebra
- View all 141 codes in S32
- S42.001Fracture of unspecified part of right clavicle
- S42.002Fracture of unspecified part of left clavicle
- S42.009Fracture of unspecified part of unspecified clavicle
- S42.011Anterior displaced fracture of sternal end of right clavicle
- S42.012Anterior displaced fracture of sternal end of left clavicle
- S42.013Anterior displaced fracture of sternal end of unspecified clavicle
- S42.014Posterior displaced fracture of sternal end of right clavicle
- S42.015Posterior displaced fracture of sternal end of left clavicle
- S42.016Posterior displaced fracture of sternal end of unspecified clavicle
- S42.017Nondisplaced fracture of sternal end of right clavicle
- S42.018Nondisplaced fracture of sternal end of left clavicle
- S42.019Nondisplaced fracture of sternal end of unspecified clavicle
- S42.021Displaced fracture of shaft of right clavicle
- S42.022Displaced fracture of shaft of left clavicle
- S42.023Displaced fracture of shaft of unspecified clavicle
- S42.024Nondisplaced fracture of shaft of right clavicle
- S42.025Nondisplaced fracture of shaft of left clavicle
- S42.026Nondisplaced fracture of shaft of unspecified clavicle
- S42.031Displaced fracture of lateral end of right clavicle
- S42.032Displaced fracture of lateral end of left clavicle
- S42.033Displaced fracture of lateral end of unspecified clavicle
- S42.034Nondisplaced fracture of lateral end of right clavicle
- S42.035Nondisplaced fracture of lateral end of left clavicle
- S42.036Nondisplaced fracture of lateral end of unspecified clavicle
- S42.101Fracture of unspecified part of scapula, right shoulder
- S42.102Fracture of unspecified part of scapula, left shoulder
- S42.109Fracture of unspecified part of scapula, unspecified shoulder
- S42.111Displaced fracture of body of scapula, right shoulder
- S42.112Displaced fracture of body of scapula, left shoulder
- S42.113Displaced fracture of body of scapula, unspecified shoulder
- View all 201 codes in S42
- S52.001Unspecified fracture of upper end of right ulna
- S52.002Unspecified fracture of upper end of left ulna
- S52.009Unspecified fracture of upper end of unspecified ulna
- S52.011Torus fracture of upper end of right ulna
- S52.012Torus fracture of upper end of left ulna
- S52.019Torus fracture of upper end of unspecified ulna
- S52.021Displaced fracture of olecranon process without intraarticular extension of right ulna
- S52.022Displaced fracture of olecranon process without intraarticular extension of left ulna
- S52.023Displaced fracture of olecranon process without intraarticular extension of unspecified ulna
- S52.024Nondisplaced fracture of olecranon process without intraarticular extension of right ulna
- S52.025Nondisplaced fracture of olecranon process without intraarticular extension of left ulna
- S52.026Nondisplaced fracture of olecranon process without intraarticular extension of unspecified ulna
- S52.031Displaced fracture of olecranon process with intraarticular extension of right ulna
- S52.032Displaced fracture of olecranon process with intraarticular extension of left ulna
- S52.033Displaced fracture of olecranon process with intraarticular extension of unspecified ulna
- S52.034Nondisplaced fracture of olecranon process with intraarticular extension of right ulna
- S52.035Nondisplaced fracture of olecranon process with intraarticular extension of left ulna
- S52.036Nondisplaced fracture of olecranon process with intraarticular extension of unspecified ulna
- S52.041Displaced fracture of coronoid process of right ulna
- S52.042Displaced fracture of coronoid process of left ulna
- S52.043Displaced fracture of coronoid process of unspecified ulna
- S52.044Nondisplaced fracture of coronoid process of right ulna
- S52.045Nondisplaced fracture of coronoid process of left ulna
- S52.046Nondisplaced fracture of coronoid process of unspecified ulna
- S52.091Other fracture of upper end of right ulna
- S52.092Other fracture of upper end of left ulna
- S52.099Other fracture of upper end of unspecified ulna
- S52.101Unspecified fracture of upper end of right radius
- S52.102Unspecified fracture of upper end of left radius
- S52.109Unspecified fracture of upper end of unspecified radius
- View all 186 codes in S52
- S62.001Unspecified fracture of navicular [scaphoid] bone of right wrist
- S62.002Unspecified fracture of navicular [scaphoid] bone of left wrist
- S62.009Unspecified fracture of navicular [scaphoid] bone of unspecified wrist
- S62.011Displaced fracture of distal pole of navicular [scaphoid] bone of right wrist
- S62.012Displaced fracture of distal pole of navicular [scaphoid] bone of left wrist
- S62.013Displaced fracture of distal pole of navicular [scaphoid] bone of unspecified wrist
- S62.014Nondisplaced fracture of distal pole of navicular [scaphoid] bone of right wrist
- S62.015Nondisplaced fracture of distal pole of navicular [scaphoid] bone of left wrist
- S62.016Nondisplaced fracture of distal pole of navicular [scaphoid] bone of unspecified wrist
- S62.021Displaced fracture of middle third of navicular [scaphoid] bone of right wrist
- S62.022Displaced fracture of middle third of navicular [scaphoid] bone of left wrist
- S62.023Displaced fracture of middle third of navicular [scaphoid] bone of unspecified wrist
- S62.024Nondisplaced fracture of middle third of navicular [scaphoid] bone of right wrist
- S62.025Nondisplaced fracture of middle third of navicular [scaphoid] bone of left wrist
- S62.026Nondisplaced fracture of middle third of navicular [scaphoid] bone of unspecified wrist
- S62.031Displaced fracture of proximal third of navicular [scaphoid] bone of right wrist
- S62.032Displaced fracture of proximal third of navicular [scaphoid] bone of left wrist
- S62.033Displaced fracture of proximal third of navicular [scaphoid] bone of unspecified wrist
- S62.034Nondisplaced fracture of proximal third of navicular [scaphoid] bone of right wrist
- S62.035Nondisplaced fracture of proximal third of navicular [scaphoid] bone of left wrist
- S62.036Nondisplaced fracture of proximal third of navicular [scaphoid] bone of unspecified wrist
- S62.101Fracture of unspecified carpal bone, right wrist
- S62.102Fracture of unspecified carpal bone, left wrist
- S62.109Fracture of unspecified carpal bone, unspecified wrist
- S62.111Displaced fracture of triquetrum [cuneiform] bone, right wrist
- S62.112Displaced fracture of triquetrum [cuneiform] bone, left wrist
- S62.113Displaced fracture of triquetrum [cuneiform] bone, unspecified wrist
- S62.114Nondisplaced fracture of triquetrum [cuneiform] bone, right wrist
- S62.115Nondisplaced fracture of triquetrum [cuneiform] bone, left wrist
- S62.116Nondisplaced fracture of triquetrum [cuneiform] bone, unspecified wrist
- View all 273 codes in S62
- S72.001Fracture of unspecified part of neck of right femur
- S72.002Fracture of unspecified part of neck of left femur
- S72.009Fracture of unspecified part of neck of unspecified femur
- S72.011Unspecified intracapsular fracture of right femur
- S72.012Unspecified intracapsular fracture of left femur
- S72.019Unspecified intracapsular fracture of unspecified femur
- S72.021Displaced fracture of epiphysis (separation) (upper) of right femur
- S72.022Displaced fracture of epiphysis (separation) (upper) of left femur
- S72.023Displaced fracture of epiphysis (separation) (upper) of unspecified femur
- S72.024Nondisplaced fracture of epiphysis (separation) (upper) of right femur
- S72.025Nondisplaced fracture of epiphysis (separation) (upper) of left femur
- S72.026Nondisplaced fracture of epiphysis (separation) (upper) of unspecified femur
- S72.031Displaced midcervical fracture of right femur
- S72.032Displaced midcervical fracture of left femur
- S72.033Displaced midcervical fracture of unspecified femur
- S72.034Nondisplaced midcervical fracture of right femur
- S72.035Nondisplaced midcervical fracture of left femur
- S72.036Nondisplaced midcervical fracture of unspecified femur
- S72.041Displaced fracture of base of neck of right femur
- S72.042Displaced fracture of base of neck of left femur
- S72.043Displaced fracture of base of neck of unspecified femur
- S72.044Nondisplaced fracture of base of neck of right femur
- S72.045Nondisplaced fracture of base of neck of left femur
- S72.046Nondisplaced fracture of base of neck of unspecified femur
- S72.051Unspecified fracture of head of right femur
- S72.052Unspecified fracture of head of left femur
- S72.059Unspecified fracture of head of unspecified femur
- S72.061Displaced articular fracture of head of right femur
- S72.062Displaced articular fracture of head of left femur
- S72.063Displaced articular fracture of head of unspecified femur
- View all 156 codes in S72
- S82.001Unspecified fracture of right patella
- S82.002Unspecified fracture of left patella
- S82.009Unspecified fracture of unspecified patella
- S82.011Displaced osteochondral fracture of right patella
- S82.012Displaced osteochondral fracture of left patella
- S82.013Displaced osteochondral fracture of unspecified patella
- S82.014Nondisplaced osteochondral fracture of right patella
- S82.015Nondisplaced osteochondral fracture of left patella
- S82.016Nondisplaced osteochondral fracture of unspecified patella
- S82.021Displaced longitudinal fracture of right patella
- S82.022Displaced longitudinal fracture of left patella
- S82.023Displaced longitudinal fracture of unspecified patella
- S82.024Nondisplaced longitudinal fracture of right patella
- S82.025Nondisplaced longitudinal fracture of left patella
- S82.026Nondisplaced longitudinal fracture of unspecified patella
- S82.031Displaced transverse fracture of right patella
- S82.032Displaced transverse fracture of left patella
- S82.033Displaced transverse fracture of unspecified patella
- S82.034Nondisplaced transverse fracture of right patella
- S82.035Nondisplaced transverse fracture of left patella
- S82.036Nondisplaced transverse fracture of unspecified patella
- S82.041Displaced comminuted fracture of right patella
- S82.042Displaced comminuted fracture of left patella
- S82.043Displaced comminuted fracture of unspecified patella
- S82.044Nondisplaced comminuted fracture of right patella
- S82.045Nondisplaced comminuted fracture of left patella
- S82.046Nondisplaced comminuted fracture of unspecified patella
- S82.091Other fracture of right patella
- S82.092Other fracture of left patella
- S82.099Other fracture of unspecified patella
- View all 201 codes in S82
- S92.001Unspecified fracture of right calcaneus
- S92.002Unspecified fracture of left calcaneus
- S92.009Unspecified fracture of unspecified calcaneus
- S92.011Displaced fracture of body of right calcaneus
- S92.012Displaced fracture of body of left calcaneus
- S92.013Displaced fracture of body of unspecified calcaneus
- S92.014Nondisplaced fracture of body of right calcaneus
- S92.015Nondisplaced fracture of body of left calcaneus
- S92.016Nondisplaced fracture of body of unspecified calcaneus
- S92.021Displaced fracture of anterior process of right calcaneus
- S92.022Displaced fracture of anterior process of left calcaneus
- S92.023Displaced fracture of anterior process of unspecified calcaneus
- S92.024Nondisplaced fracture of anterior process of right calcaneus
- S92.025Nondisplaced fracture of anterior process of left calcaneus
- S92.026Nondisplaced fracture of anterior process of unspecified calcaneus
- S92.031Displaced avulsion fracture of tuberosity of right calcaneus
- S92.032Displaced avulsion fracture of tuberosity of left calcaneus
- S92.033Displaced avulsion fracture of tuberosity of unspecified calcaneus
- S92.034Nondisplaced avulsion fracture of tuberosity of right calcaneus
- S92.035Nondisplaced avulsion fracture of tuberosity of left calcaneus
- S92.036Nondisplaced avulsion fracture of tuberosity of unspecified calcaneus
- S92.041Displaced other fracture of tuberosity of right calcaneus
- S92.042Displaced other fracture of tuberosity of left calcaneus
- S92.043Displaced other fracture of tuberosity of unspecified calcaneus
- S92.044Nondisplaced other fracture of tuberosity of right calcaneus
- S92.045Nondisplaced other fracture of tuberosity of left calcaneus
- S92.046Nondisplaced other fracture of tuberosity of unspecified calcaneus
- S92.051Displaced other extraarticular fracture of right calcaneus
- S92.052Displaced other extraarticular fracture of left calcaneus
- S92.053Displaced other extraarticular fracture of unspecified calcaneus
- View all 198 codes in S92
Common Coding Mistakes
Missing the required 7th character extension
Correction: All fracture codes require a 7th character. If the base code has fewer than 6 characters, use placeholder "X" before the 7th character (e.g., S72.001A, not S72.01A).
Using aftercare Z codes instead of 7th character D-S extensions
Correction: For fracture follow-up, use the original injury code with the appropriate 7th character (D, G, K, P, S) rather than Z aftercare codes.
Defaulting to "unspecified" when laterality is documented
Correction: Always code the specific side (right, left) when documented. Unspecified codes should only be used when laterality is truly unknown.
Using "A" (initial) for all emergency department visits
Correction: Initial encounter (A, B, C) is for active treatment. If patient presents to ED but fracture was already treated, use subsequent encounter (D-S).
Not distinguishing between open fracture types
Correction: Open fractures require B (type I/II) or C (type IIIA/B/C) based on Gustilo classification. This affects DRG assignment and reimbursement.
Frequently Asked Questions
What is the 7th character for fractures?
All fracture codes require a 7th character: A = initial encounter, closed; B = initial, open type I/II; C = initial, open type III; D = subsequent with routine healing; G = delayed healing; K = nonunion; P = malunion; S = sequela. The character indicates episode of care and healing status.
When do I use placeholder X in fracture codes?
Use placeholder X when a code has fewer than 6 characters before the 7th character extension. For example, S72.001A (displaced fracture of neck of right femur, initial encounter) requires the X placeholder: it's S72.00 + 1 + X + A = S72.001A.
What is the difference between initial and subsequent encounter?
Initial encounter (A, B, C) is used while the patient is receiving active treatment for the fracture. Subsequent encounter (D, G, K, P) is for follow-up care after active treatment. This is based on treatment status, not number of visits.
How do I code a healing fracture?
Use 7th character D for routine healing, G for delayed healing, K for nonunion (failed to heal), or P for malunion (healed in wrong position). These require documentation of healing status from the provider.
Related Resources
Data based on CMS ICD-10-CM codes and Medicare hospitalization statistics. Always verify codes against current clinical documentation including imaging reports.