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ICD-10 Guide
ICD-10 CodesS42.017

S42.017

Billable

Nondisplaced fracture of sternal end of right clavicle

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

Code Description

ICD-10 S42.017 is a billable code used to indicate a diagnosis of nondisplaced fracture of sternal end of right clavicle.

Key Diagnostic Point:

A nondisplaced fracture of the sternal end of the right clavicle occurs when there is a break in the bone at the junction where the clavicle meets the sternum, but the bone fragments remain in their normal anatomical position. This type of fracture is often the result of direct trauma, such as a fall or a collision, and is commonly seen in contact sports or accidents. Patients may present with localized pain, swelling, and tenderness over the fracture site, along with limited range of motion in the shoulder. Diagnosis is typically confirmed through physical examination and imaging studies, such as X-rays. Treatment usually involves conservative management, including rest, ice, and analgesics, with surgical intervention being rare unless there are complications or associated injuries. Rehabilitation may be necessary to restore full function and strength to the shoulder. Understanding the implications of this fracture is crucial for proper coding and management, as it can impact the patient's recovery and potential for future injuries.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between displaced and nondisplaced fractures
  • Understanding the anatomical location of the fracture
  • Potential for associated injuries in the shoulder region
  • Variability in treatment approaches based on patient age and activity level

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the laterality of the fracture
  • Misclassification of fracture type (displaced vs. nondisplaced)
  • Lack of follow-up documentation regarding treatment and recovery

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes if surgery is performed, including the type of fracture and any associated procedures.

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or vehicular accidents.

Billing Considerations

Ensure clarity in documentation regarding the fracture type and treatment plan.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessment of functional limitations and rehabilitation goals.

Common Clinical Scenarios

Patients requiring rehabilitation post-fracture for strength and range of motion.

Billing Considerations

Document progress and any complications that may arise during rehabilitation.

Coding Guidelines

Inclusion Criteria

Use S42.017 When
  • According to ICD
  • 10 guidelines, S42
  • 017 should be used when the fracture is confirmed as nondisplaced and specifically at the sternal end of the right clavicle
  • It is essential to document the mechanism of injury and any associated conditions

Exclusion Criteria

Do NOT use S42.017 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 required for a displaced fracture.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must document the indication for surgery.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of fractures, including laterality and displacement status, which enhances the accuracy of patient records and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including laterality and displacement status, which enhances the accuracy of patient records and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

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 difference between a displaced and nondisplaced fracture?

A displaced fracture involves a break in the bone where the fragments are not aligned, while a nondisplaced fracture means the bone remains in its normal position despite the fracture.