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ICD-10 Guide
ICD-10 CodesS42.032

S42.032

Billable

Displaced fracture of lateral end of left clavicle

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

Code Description

ICD-10 S42.032 is a billable code used to indicate a diagnosis of displaced fracture of lateral end of left clavicle.

Key Diagnostic Point:

A displaced fracture of the lateral end of the left clavicle occurs when the outer portion of the clavicle, which connects to the acromion of the scapula, is broken and the fracture fragments are misaligned. This type of injury is commonly caused by falls, direct blows to the shoulder, or accidents involving sports or motor vehicles. Clinically, patients may present with shoulder pain, swelling, and limited range of motion. Physical examination often reveals tenderness over the fracture site, and in some cases, a visible deformity may be noted. Imaging studies, particularly X-rays, are essential for confirming the diagnosis and assessing the degree of displacement. Treatment options vary based on the severity of the fracture; non-displaced fractures may be managed conservatively with a sling, while displaced fractures often require surgical intervention to realign the bone fragments and stabilize the shoulder joint. Post-operative rehabilitation is crucial for restoring function and strength to the shoulder. Understanding the implications of this fracture is vital for orthopedic specialists, as it can significantly impact a patient's quality of life and functional capabilities.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires precise documentation of fracture type and location
  • Differentiation from non-displaced fractures
  • Potential for surgical intervention complicates coding
  • Need for accurate imaging reports to support coding

Audit Risk Factors

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

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, imaging results, and post-operative care plans are essential.

Common Clinical Scenarios

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

Billing Considerations

Ensure that all surgical interventions and follow-up care are documented to support coding.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessment of functional limitations and rehabilitation progress.

Common Clinical Scenarios

Patients undergoing rehabilitation post-fracture repair.

Billing Considerations

Documenting the impact of the fracture on daily activities and rehabilitation goals.

Coding Guidelines

Inclusion Criteria

Use S42.032 When
  • According to ICD
  • 10 guidelines, S42
  • 032 should be used when the fracture is confirmed through imaging and is specifically documented as displaced
  • It is important to include laterality and the specific location of the fracture

Exclusion Criteria

Do NOT use S42.032 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

23470CPT Code

Arthroplasty, shoulder, total

Clinical Scenario

Used in cases where a fracture leads to severe joint damage requiring replacement.

Documentation Requirements

Operative report detailing the procedure and indications.

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 more specific coding of fractures, improving the accuracy of claims and enhancing the ability to track outcomes related to shoulder injuries.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of claims and enhancing the ability to track outcomes related to shoulder injuries.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of claims and enhancing the ability to track outcomes related to shoulder injuries.

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 means the bone fragments are misaligned, while a non-displaced fracture means the bone remains in its normal position despite the break.