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ICD-10 Guide
ICD-10 CodesS42.132

S42.132

Billable

Displaced fracture of coracoid process, left shoulder

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

Code Description

ICD-10 S42.132 is a billable code used to indicate a diagnosis of displaced fracture of coracoid process, left shoulder.

Key Diagnostic Point:

A displaced fracture of the coracoid process of the scapula is a specific type of shoulder injury that occurs when the coracoid process, a small hook-like bony projection on the scapula, is fractured. This injury is often associated with trauma, such as a fall or direct blow to the shoulder. The coracoid process serves as an attachment point for several muscles and ligaments, including the pectoralis minor and the coracobrachialis. Displacement of the fracture can lead to instability in the shoulder joint, affecting the range of motion and strength. Patients may present with pain, swelling, and limited mobility in the shoulder. Diagnosis typically involves physical examination and imaging studies, such as X-rays or CT scans, to confirm the fracture and assess its displacement. Treatment may vary from conservative management, including rest and physical therapy, to surgical intervention, such as fixation of the fracture, depending on the severity and displacement of the fracture. Proper coding is essential for accurate billing and to ensure appropriate treatment is documented.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of specific anatomical terminology.
  • Differentiation from other shoulder injuries like dislocations and humeral fractures.
  • Need for precise documentation of displacement and associated injuries.
  • Potential for multiple codes if co-existing conditions are present.

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury.
  • Failure to specify the degree of displacement.
  • Misclassification of the fracture type.
  • Lack of imaging documentation to support the diagnosis.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

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

Common Clinical Scenarios

Surgical repair of coracoid fractures, management of associated shoulder injuries.

Billing Considerations

Ensure documentation reflects the complexity of the fracture and any surgical interventions performed.

Physical Therapy

Documentation Requirements

Progress notes detailing functional assessments and treatment plans.

Common Clinical Scenarios

Rehabilitation following surgical repair of coracoid fractures.

Billing Considerations

Document the patient's progress and any limitations in range of motion or strength.

Coding Guidelines

Inclusion Criteria

Use S42.132 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the fracture type, location, and any associated injuries
  • Include details on the mechanism of injury and treatment provided
  • displaced fractures or other shoulder injuries unless specified

Exclusion Criteria

Do NOT use S42.132 When
  • Exclude codes for non

Related ICD-10 Codes

Related CPT Codes

23470CPT Code

Arthroscopy, shoulder, surgical

Clinical Scenario

Used for surgical repair of coracoid fractures.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must document the complexity of the fracture and any additional procedures performed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of shoulder injuries, including fractures of the coracoid process, which enhances the accuracy of patient records and billing.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of shoulder injuries, including fractures of the coracoid process, which enhances the accuracy of patient records and billing.

Reimbursement & Billing Impact

billing.

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 primary treatment for a displaced fracture of the coracoid process?

Treatment may involve surgical fixation if the fracture is significantly displaced, or conservative management with rest and physical therapy for less severe cases.