ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesS42.012

S42.012

Billable

Anterior displaced fracture of sternal end of left clavicle

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/24/2025

Code Description

ICD-10 S42.012 is a billable code used to indicate a diagnosis of anterior displaced fracture of sternal end of left clavicle.

Key Diagnostic Point:

An anterior displaced fracture of the sternal end of the left clavicle typically occurs due to trauma, such as a fall or direct impact to the shoulder. This type of fracture is characterized by the displacement of the bone fragment anteriorly, which can lead to complications such as impingement on surrounding structures, including nerves and blood vessels. Clinically, patients may present with pain, swelling, and limited range of motion in the shoulder. Physical examination often reveals tenderness over the clavicle and possible deformity. Imaging studies, particularly X-rays, are essential for diagnosis, allowing for assessment of fracture alignment and displacement. Treatment may vary from conservative management, including immobilization and physical therapy, to surgical intervention in cases of significant displacement or associated injuries. Surgical options may include open reduction and internal fixation (ORIF) to restore anatomical alignment and stability. Rehabilitation is crucial for restoring function and strength to the shoulder joint post-injury.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of fracture types and their implications.
  • Differentiation from other clavicular fractures.
  • Need for accurate documentation of displacement and location.
  • Potential for associated injuries that may complicate coding.

Audit Risk Factors

  • Inadequate documentation of fracture type and displacement.
  • Failure to capture associated injuries or complications.
  • Misinterpretation of imaging results leading to incorrect coding.
  • Inconsistent use of terminology in clinical notes.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, imaging reports, and follow-up assessments.

Common Clinical Scenarios

Fractures requiring surgical intervention, post-operative care, and rehabilitation.

Billing Considerations

Ensure clear documentation of fracture characteristics and treatment rationale.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessments of functional status and rehabilitation progress.

Common Clinical Scenarios

Management of post-fracture rehabilitation and pain management.

Billing Considerations

Document functional limitations and goals for therapy.

Coding Guidelines

Inclusion Criteria

Use S42.012 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture's location, type, and any associated injuries
  • Include details on treatment plans and follow
  • up care

Exclusion Criteria

Do NOT use S42.012 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

23630CPT Code

Open treatment of clavicular fracture

Clinical Scenario

Used when surgical intervention is performed for an anterior displaced fracture of the left clavicle.

Documentation Requirements

Operative report detailing the procedure, findings, and post-operative care.

Specialty Considerations

Orthopedic surgeons must document the rationale for surgical intervention.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of data collection and reimbursement processes. S42.012 provides detailed information on the nature of the injury, which is crucial for treatment planning and outcomes tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of data collection and reimbursement processes. S42.012 provides detailed information on the nature of the injury, which is crucial for treatment planning and outcomes tracking.

Reimbursement & Billing Impact

reimbursement processes. S42.012 provides detailed information on the nature of the injury, which is crucial for treatment planning and outcomes tracking.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the primary treatment for an anterior displaced fracture of the sternal end of the left clavicle?

Treatment may involve conservative management with immobilization or surgical intervention, depending on the degree of displacement and associated injuries.