Nondisplaced fracture of sternal end of unspecified clavicle
ICD-10 S42.019 is a billable code used to indicate a diagnosis of nondisplaced fracture of sternal end of unspecified clavicle.
A nondisplaced fracture of the sternal end of the clavicle occurs when there is a break in the bone at the point where the clavicle meets the sternum, but the bone fragments remain in alignment. This type of fracture is often caused by direct trauma, such as a fall or a collision, and is commonly seen in sports injuries 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 often involves conservative management, including rest, ice, and immobilization, with surgical intervention being rare unless there are complications. Understanding the nuances of this fracture is crucial for accurate coding, as it can impact treatment plans and insurance reimbursements.
Detailed notes on the mechanism of injury, physical examination findings, and imaging results.
Fractures resulting from sports injuries, falls, or vehicular accidents.
Ensure that the documentation clearly states the nondisplaced nature of the fracture and any associated injuries.
Comprehensive assessment of functional limitations and rehabilitation goals.
Patients requiring rehabilitation post-fracture for pain management and restoration of function.
Document the patient's progress and response to therapy to support ongoing treatment.
Used when surgical intervention is required for a displaced fracture.
Operative notes detailing the procedure and findings.
Orthopedic surgeons must document the reason for surgical intervention.
A displaced fracture involves a break in the bone where the ends are not aligned, while a nondisplaced fracture means the bone remains in its normal position despite the fracture.
