Displaced fracture of acromial process, unspecified shoulder
ICD-10 S42.123 is a billable code used to indicate a diagnosis of displaced fracture of acromial process, unspecified shoulder.
A displaced fracture of the acromial process is a type of shoulder injury that occurs when the acromion, a bony projection on the scapula (shoulder blade), is fractured. This injury is often the result of trauma, such as a fall or direct impact to the shoulder. The acromion plays a crucial role in shoulder stability and function, serving as an attachment point for muscles and ligaments. Displacement indicates that the fracture fragments have moved from their normal anatomical position, which can lead to complications such as impingement, rotator cuff injuries, or chronic pain if not properly treated. 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 include conservative management with rest, ice, and physical therapy, or surgical intervention to realign and stabilize the fracture, especially in cases of significant displacement. The prognosis is generally favorable with appropriate management, although recovery may vary based on the severity of the fracture and the patient's overall health.
Detailed operative reports, imaging studies, and post-operative notes are essential for accurate coding.
Fractures resulting from sports injuries, falls, or accidents requiring surgical intervention.
Ensure clear documentation of fracture displacement and any associated procedures performed.
Progress notes detailing rehabilitation protocols and patient response to treatment.
Patients recovering from surgical repair of acromial fractures or conservative management.
Document functional limitations and progress towards rehabilitation goals.
Used in conjunction with S42.123 when a rotator cuff injury is present.
Operative report detailing the procedure and findings.
Orthopedic surgeons should ensure clear linkage between the fracture and any surgical repairs performed.
A displaced fracture means that the bone fragments have moved out of alignment, while a non-displaced fracture means the bone remains in its normal position despite the fracture.
