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ICD-10 Guide
ICD-10 CodesS42.024

S42.024

Billable

Nondisplaced fracture of shaft of right clavicle

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

Code Description

ICD-10 S42.024 is a billable code used to indicate a diagnosis of nondisplaced fracture of shaft of right clavicle.

Key Diagnostic Point:

A nondisplaced fracture of the shaft of the right clavicle is characterized by a break in the bone that does not result in a separation of the fracture fragments. This type of fracture is commonly caused by direct trauma, such as a fall onto the shoulder or a collision during contact sports. Patients typically present with localized pain, swelling, and tenderness over the clavicle, along with limited range of motion in the shoulder. Diagnosis is confirmed through physical examination and imaging studies, such as X-rays, which reveal the fracture without displacement. Treatment often involves conservative management, including immobilization with a sling, pain management, and physical therapy to restore function. Surgical intervention may be considered in cases where the fracture is associated with significant displacement or if there are complications such as neurovascular injury. Understanding the nuances of this condition is essential for accurate coding and appropriate management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between displaced and nondisplaced fractures
  • Understanding associated injuries (e.g., rotator cuff tears)
  • Documentation of mechanism of injury
  • Variability in treatment approaches

Audit Risk Factors

  • Inadequate documentation of fracture type
  • Failure to specify laterality
  • Misclassification of associated injuries
  • Lack of follow-up documentation

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes if surgery is performed, including type of fracture and fixation method.

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or accidents.

Billing Considerations

Ensure documentation reflects the nondisplaced nature of the fracture and any associated injuries.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessment of functional limitations and rehabilitation goals.

Common Clinical Scenarios

Patients undergoing rehabilitation post-fracture for strength and mobility.

Billing Considerations

Document progress and response to therapy to support ongoing treatment.

Coding Guidelines

Inclusion Criteria

Use S42.024 When
  • Follow official ICD
  • CM guidelines for coding fractures, including specificity for laterality and type of fracture
  • Ensure that documentation supports the diagnosis and treatment plan

Exclusion Criteria

Do NOT use S42.024 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

23470CPT Code

Arthroscopy, shoulder, surgical

Clinical Scenario

Used if surgical intervention is required for associated injuries.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must document the rationale for surgery.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding fractures, improving the accuracy of patient records and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding fractures, improving 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 separation of the fracture fragments, while a nondisplaced fracture maintains the alignment of the bone.