Fracture of unspecified part of scapula, left shoulder
ICD-10 S42.102 is a billable code used to indicate a diagnosis of fracture of unspecified part of scapula, left shoulder.
A fracture of the scapula, particularly in the left shoulder, can occur due to trauma, falls, or direct impact. The scapula, or shoulder blade, is a flat bone that connects the humerus (upper arm bone) with the clavicle (collarbone). Fractures in this area can be classified into various types, including those involving the body, glenoid, or acromion of the scapula. Symptoms typically include pain, swelling, and limited range of motion in the shoulder. Diagnosis is often confirmed through imaging studies such as X-rays or CT scans. Treatment may vary based on the severity of the fracture, ranging from conservative management with rest and physical therapy to surgical intervention for more complex fractures. Understanding the specific part of the scapula that is fractured is crucial for treatment planning and rehabilitation. This code is used when the specific part of the scapula is not documented, which can complicate treatment and recovery outcomes.
Detailed notes on the mechanism of injury, imaging results, and treatment plan.
Fractures resulting from falls, sports injuries, or vehicular accidents.
Ensure clarity in documentation regarding the specific part of the scapula involved.
Progress notes detailing range of motion, strength assessments, and rehabilitation goals.
Post-operative rehabilitation following surgical repair of scapular fractures.
Document functional limitations and progress towards rehabilitation milestones.
Used in cases where surgical intervention is required for scapular fractures.
Operative report detailing the procedure and findings.
Orthopedic surgeons should ensure accurate coding based on the surgical approach.
Document the mechanism of injury, clinical findings, imaging results, and treatment plan. Ensure that the specific part of the scapula is noted if known.
