Fracture of shoulder and upper arm Note: A fracture not indicated as displaced or nondisplaced should be coded to displacedA fracture not indicated as open or closed should be coded to closedExcludes1traumatic amputation of shoulder and upper arm (S48.-)Excludes2periprosthetic fracture around internal prosthetic shoulder joint (M97.3)The appropriate 7th character is to be added to all codes from category S42A - initial encounter for closed fractureB - initial encounter for open fractureD - subsequent encounter for fracture with routine healingG - subsequent encounter for fracture with delayed healingK - subsequent encounter for fracture with nonunionP - subsequent encounter for fracture with malunionS - sequela