Fracture of unspecified part of unspecified clavicle
ICD-10 S42.009 is a billable code used to indicate a diagnosis of fracture of unspecified part of unspecified clavicle.
The S42.009 code refers to a fracture of the clavicle that does not specify the exact location or type of fracture. Clavicle fractures are common injuries, often resulting from falls, direct blows, or sports-related incidents. The clavicle, or collarbone, connects the arm to the body and plays a crucial role in shoulder stability and movement. Fractures can occur in various parts of the clavicle, including the medial (inner) third, lateral (outer) third, or the midshaft. 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 from conservative management, including rest and immobilization, to surgical intervention in cases of severe displacement or instability. Accurate coding is essential for proper reimbursement and tracking of treatment outcomes.
Detailed notes on the mechanism of injury, physical examination findings, and imaging results.
Patients presenting with shoulder pain after a fall or sports injury, requiring evaluation for possible clavicle fracture.
Ensure that the documentation clearly indicates the need for imaging and the rationale for the chosen treatment approach.
Comprehensive assessment of the patient's injury, including vital signs, pain level, and initial treatment provided.
Patients arriving at the emergency department with acute shoulder pain following trauma.
Document the mechanism of injury and any immediate interventions performed to support the diagnosis.
Used when surgical intervention is required for a displaced clavicle fracture.
Operative report detailing the procedure performed and the indication for surgery.
Orthopedic surgeons should ensure that the surgical notes clearly correlate with the diagnosis.
Use S42.009 when the documentation does not specify the exact location or type of clavicle fracture. If the specific site is documented, opt for a more specific code.
