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ICD-10 Guide
ICD-10 CodesS42.022

S42.022

Billable

Displaced fracture of shaft of left clavicle

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

Code Description

ICD-10 S42.022 is a billable code used to indicate a diagnosis of displaced fracture of shaft of left clavicle.

Key Diagnostic Point:

A displaced fracture of the shaft of the left clavicle occurs when the bone is broken and the fragments are misaligned, which can result from trauma such as a fall or direct impact. This type of fracture is common in sports injuries, accidents, and falls, particularly in younger individuals. Symptoms typically include pain at the site of the fracture, swelling, bruising, and difficulty moving the shoulder or arm. Diagnosis is usually confirmed through physical examination and imaging studies, such as X-rays, which reveal the fracture's location and displacement. Treatment often involves immobilization with a sling, pain management, and in some cases, surgical intervention may be necessary to realign the bone fragments and stabilize the fracture using plates or screws. Rehabilitation is crucial for restoring function and strength to the shoulder joint. Complications can include nonunion or malunion of the fracture, which may require further surgical intervention.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires precise documentation of fracture type and location.
  • Differentiation between displaced and non-displaced fractures.
  • Potential for associated injuries to the shoulder girdle.
  • Variability in treatment approaches (surgical vs. conservative).

Audit Risk Factors

  • Inadequate documentation of fracture details.
  • Failure to specify laterality (left vs. right).
  • Misclassification of fracture type (displaced vs. non-displaced).
  • Lack of imaging reports to support the diagnosis.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, imaging studies, and follow-up care documentation.

Common Clinical Scenarios

Surgical repair of displaced clavicle fractures, management of complications.

Billing Considerations

Ensure clarity on the type of fracture and any associated injuries.

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation exercises and patient response.

Common Clinical Scenarios

Rehabilitation post-fracture repair, assessment of shoulder mobility.

Billing Considerations

Document functional limitations and progress towards recovery.

Coding Guidelines

Inclusion Criteria

Use S42.022 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture's nature, laterality, and any associated injuries
  • Include relevant imaging and treatment details

Exclusion Criteria

Do NOT use S42.022 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 a displaced fracture.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must document the specifics of the fracture and surgical approach.

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, which enhances the accuracy of patient records and billing.

ICD-9 vs ICD-10

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

Reimbursement & Billing Impact

billing.

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 non-displaced fracture?

A displaced fracture occurs when the bone fragments are misaligned, while a non-displaced fracture means the bone cracks but maintains its proper alignment.