Fracture of unspecified part of clavicle
ICD-10 S42.00 is a billable code used to indicate a diagnosis of fracture of unspecified part of clavicle.
A fracture of the clavicle, commonly known as the collarbone, can occur due to various mechanisms of injury, including falls, direct blows, or sports-related incidents. The clavicle connects the arm to the body and plays a crucial role in shoulder stability and function. Fractures can occur at different locations along the clavicle, including the medial (inner), middle, and lateral (outer) thirds. An unspecified fracture indicates that the exact location of the fracture is not documented, which can complicate treatment and recovery. Symptoms typically include pain, swelling, and difficulty moving the shoulder. Diagnosis is usually confirmed through physical examination and imaging studies such as X-rays. Treatment may vary based on the severity of the fracture, with options ranging from conservative management, such as immobilization with a sling, to surgical intervention in cases of displacement or instability. Understanding the nuances of this code is essential for accurate billing and appropriate patient care.
Detailed notes on fracture location, mechanism of injury, and treatment plan.
Patients presenting with shoulder pain after a fall or sports injury.
Ensure imaging results are included in the documentation to support the diagnosis.
Comprehensive assessment notes, including initial evaluation and imaging results.
Patients with acute shoulder injuries presenting to the emergency department.
Document the patient's history and any immediate interventions performed.
Used when surgical intervention is required for a displaced clavicle fracture.
Operative report detailing the procedure performed and the condition of the fracture.
Orthopedic surgeons should ensure that all surgical notes are comprehensive and include pre-operative and post-operative assessments.
S42.00 should be used when the documentation does not specify the exact location of the clavicle fracture. If the specific part is documented, a more specific code should be used.