Fracture of lateral end of clavicle
ICD-10 S42.03 is a billable code used to indicate a diagnosis of fracture of lateral end of clavicle.
A fracture of the lateral end of the clavicle typically occurs due to a fall onto the shoulder or an impact during sports activities. This injury can lead to significant pain, swelling, and limited range of motion in the shoulder. Clinically, patients may present with tenderness over the acromioclavicular joint and may have difficulty lifting their arm. The fracture can be classified as either displaced or non-displaced, which influences treatment options. Non-displaced fractures may be managed conservatively with a sling and physical therapy, while displaced fractures may require surgical intervention, such as open reduction and internal fixation (ORIF). Complications can include nonunion, malunion, or arthritis of the acromioclavicular joint. Accurate diagnosis often involves imaging studies, such as X-rays or CT scans, to assess the fracture's alignment and any associated injuries to the shoulder girdle, including dislocations or rotator cuff tears.
Detailed operative notes, imaging reports, and follow-up assessments are essential for accurate coding.
Fractures requiring surgical intervention, post-operative care, and rehabilitation.
Ensure clear documentation of the surgical approach and any complications encountered during the procedure.
Progress notes detailing the patient's rehabilitation progress and response to therapy.
Patients recovering from conservative management of clavicle fractures.
Document functional limitations and goals to support the need for therapy.
Used when surgical intervention is required for a displaced fracture of the lateral end of the clavicle.
Operative report detailing the procedure and any complications.
Orthopedic surgeons should ensure accurate coding of the procedure performed.
A displaced fracture involves a separation of the bone fragments, which may require surgical intervention, while a non-displaced fracture means the bone remains aligned and can often be treated conservatively.
