Nondisplaced fracture of acromial process, left shoulder
ICD-10 S42.125 is a billable code used to indicate a diagnosis of nondisplaced fracture of acromial process, left shoulder.
A nondisplaced fracture of the acromial process of the left shoulder occurs when there is a break in the bone at the acromion, which is the bony prominence on the shoulder blade. This type of fracture is characterized by the fact that the bone fragments remain in their normal anatomical position, which typically leads to a less severe injury compared to displaced fractures. Patients may present with shoulder pain, swelling, and limited range of motion. The acromion serves as an attachment point for muscles and ligaments, and injury to this area can affect shoulder stability and function. Diagnosis is usually confirmed through physical examination and imaging studies, such as X-rays or MRI, to assess the extent of the fracture and rule out associated injuries, such as rotator cuff tears or dislocations. Treatment often involves conservative management, including rest, ice, and physical therapy, although surgical intervention may be necessary in cases where the fracture is associated with significant instability or other injuries.
Detailed operative notes, imaging reports, and follow-up assessments are essential for accurate coding.
Fractures resulting from falls, sports injuries, or trauma requiring surgical intervention.
Ensure clear documentation of fracture type and any associated procedures performed.
Comprehensive assessments of functional limitations and rehabilitation plans.
Patients undergoing rehabilitation post-fracture or surgery.
Documenting progress and response to therapy is crucial for coding and billing.
Used when assessing the shoulder joint for associated injuries.
Document indications for the procedure and findings.
Orthopedic surgeons should provide detailed operative notes.
A displaced fracture involves a break where the bone fragments are misaligned, while a nondisplaced fracture means the bone fragments remain in their normal position.
