Posterior displaced fracture of sternal end of left clavicle
ICD-10 S42.015 is a billable code used to indicate a diagnosis of posterior displaced fracture of sternal end of left clavicle.
A posterior displaced fracture of the sternal end of the left clavicle is a specific type of fracture that occurs at the junction where the clavicle meets the sternum. This injury is often the result of high-impact trauma, such as a fall or a direct blow to the shoulder. Clinically, patients may present with pain, swelling, and limited range of motion in the shoulder. Physical examination may reveal tenderness over the sternal end of the clavicle, and in some cases, a visible deformity may be noted. Imaging studies, particularly X-rays, are essential for confirming the diagnosis and assessing the displacement of the fracture. Treatment options vary depending on the severity of the fracture and may include conservative management with immobilization or surgical intervention to realign and stabilize the fracture. Complications can include nonunion, malunion, or injury to surrounding structures, such as the brachial plexus or subclavian vessels. Proper coding is crucial for accurate billing and to ensure appropriate management of the patient's condition.
Detailed operative notes, imaging results, and follow-up care plans.
Surgical repair of displaced fractures, management of complications such as nonunion.
Ensure documentation reflects the complexity of the fracture and any surgical interventions performed.
Comprehensive assessment of functional limitations and rehabilitation goals.
Rehabilitation post-fracture repair, management of pain and mobility issues.
Document the impact of the fracture on daily activities and the rehabilitation plan.
Used in cases where surgical intervention is required for fracture repair.
Operative report detailing the procedure and findings.
Orthopedic surgeons must document the surgical approach and any complications.
Specifying displacement is crucial as it affects treatment options and potential complications. Accurate coding ensures appropriate management and reimbursement.
