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ICD-10 Guide
ICD-10 CodesS42.112

S42.112

Billable

Displaced fracture of body of scapula, left shoulder

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

Code Description

ICD-10 S42.112 is a billable code used to indicate a diagnosis of displaced fracture of body of scapula, left shoulder.

Key Diagnostic Point:

A displaced fracture of the body of the scapula, specifically on the left shoulder, is a significant injury that typically results from high-energy trauma, such as falls or motor vehicle accidents. The scapula, or shoulder blade, plays a crucial role in shoulder stability and mobility. Displacement indicates that the fracture fragments are not aligned properly, which can lead to complications such as impaired shoulder function, pain, and potential nerve or vascular injury. Diagnosis is often confirmed through imaging studies, including X-rays or CT scans, which reveal the extent and nature of the fracture. Treatment may involve conservative management with immobilization or surgical intervention, particularly if the fracture is unstable or associated with other injuries. Rehabilitation is essential for restoring range of motion and strength in the shoulder post-injury. Understanding the nuances of this fracture is critical for accurate coding and appropriate management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires knowledge of anatomical terminology and fracture types.
  • Differentiation from non-displaced fractures and other shoulder injuries.
  • Potential for associated injuries complicating the clinical picture.
  • Need for precise documentation of displacement and treatment approach.

Audit Risk Factors

  • Inadequate documentation of fracture type and displacement.
  • Failure to document associated injuries or complications.
  • Misclassification of fracture severity.
  • Lack of clarity in treatment plans and follow-up care.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

Surgical repair of displaced scapular fractures, management of associated shoulder injuries.

Billing Considerations

Documentation must clearly indicate the type of fracture, treatment rationale, and any complications.

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation goals, treatment modalities, and patient response.

Common Clinical Scenarios

Rehabilitation following surgical repair of scapular fractures.

Billing Considerations

Focus on functional outcomes and range of motion assessments.

Coding Guidelines

Inclusion Criteria

Use S42.112 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, location, and any associated injuries
  • Include details of treatment and follow
  • up care

Exclusion Criteria

Do NOT use S42.112 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

23470CPT Code

Arthroscopy, shoulder, surgical

Clinical Scenario

Used for surgical repair of a displaced scapular fracture.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must document the rationale for surgical intervention.

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 data collection and reimbursement processes. S42.112 provides a clear distinction between displaced and non-displaced fractures, facilitating better patient management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of data collection and reimbursement processes. S42.112 provides a clear distinction between displaced and non-displaced fractures, facilitating better patient management.

Reimbursement & Billing Impact

reimbursement processes. S42.112 provides a clear distinction between displaced and non-displaced fractures, facilitating better patient management.

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 that the bone fragments are not aligned properly, while a non-displaced fracture indicates that the bone remains in its normal position despite the fracture.