Fracture of acromial process
ICD-10 S42.12 is a billable code used to indicate a diagnosis of fracture of acromial process.
The acromial process is a bony projection of the scapula that forms the highest point of the shoulder. A fracture of the acromial process can occur due to trauma, such as a fall onto the shoulder or a direct blow to the area. This type of fracture is often associated with shoulder dislocations, humeral fractures, and rotator cuff injuries, as the acromion plays a critical role in shoulder stability and function. Patients may present with pain, swelling, and limited range of motion in the shoulder. Diagnosis typically involves physical examination and imaging studies, such as X-rays or MRI, to assess the extent of the fracture and any associated injuries. Treatment may vary from conservative management, including rest and physical therapy, to surgical intervention, particularly if there is significant displacement or involvement of the rotator cuff. Surgical options may include open reduction and internal fixation (ORIF) or arthroscopic repair, depending on the fracture's complexity and the patient's overall health status. Proper coding of this condition is essential for accurate billing and reimbursement, as well as for tracking outcomes in orthopedic care.
Detailed operative reports, imaging studies, and post-operative notes are essential for accurate coding.
Fractures resulting from falls, sports injuries, or accidents requiring surgical intervention.
Documentation must clearly outline the fracture type, treatment plan, and any complications.
Comprehensive assessments of functional limitations and rehabilitation progress.
Patients undergoing rehabilitation post-fracture or surgical repair.
Focus on documenting the impact of the fracture on daily activities and recovery goals.
Used when a rotator cuff tear is present alongside an acromial process fracture.
Operative report detailing the procedure and findings.
Orthopedic surgeons must document the relationship between the fracture and the rotator cuff injury.
Common causes include falls, direct trauma to the shoulder, and sports-related injuries. Patients with osteoporosis are at higher risk due to decreased bone density.
