ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesS42.135

S42.135

Billable

Nondisplaced fracture of coracoid process, left shoulder

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

Code Description

ICD-10 S42.135 is a billable code used to indicate a diagnosis of nondisplaced fracture of coracoid process, left shoulder.

Key Diagnostic Point:

A nondisplaced fracture of the coracoid process of the scapula is characterized by a break in the bone that does not result in a separation of the fracture fragments. The coracoid process serves as an attachment point for several muscles and ligaments, including the pectoralis minor, coracobrachialis, and the short head of the biceps brachii. This type of fracture is often associated with shoulder dislocations or trauma to the shoulder region, such as falls or direct impacts. Patients may present with localized pain, swelling, and limited range of motion in the shoulder. Diagnosis is typically confirmed through imaging studies, such as X-rays or CT scans, which can reveal the fracture's location and confirm its nondisplaced nature. Treatment usually involves conservative management, including rest, ice, and physical therapy, although surgical intervention may be necessary in cases of associated injuries or if conservative measures fail. Understanding the implications of this fracture is crucial for effective management and rehabilitation, as it can impact shoulder stability and function.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between displaced and nondisplaced fractures
  • Understanding associated injuries (e.g., rotator cuff tears)
  • Documenting the mechanism of injury accurately
  • Identifying the correct anatomical location for coding

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify the laterality of the fracture
  • Misclassification of fracture type (displaced vs. nondisplaced)
  • Lack of follow-up documentation on treatment outcomes

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes if surgery is performed, including the type of fracture and any associated procedures.

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or accidents requiring surgical intervention.

Billing Considerations

Ensure accurate documentation of the fracture type and any surgical repairs performed.

Physical Therapy

Documentation Requirements

Progress notes detailing the patient's rehabilitation progress and response to therapy.

Common Clinical Scenarios

Patients recovering from nondisplaced fractures undergoing rehabilitation to restore range of motion and strength.

Billing Considerations

Document functional limitations and goals for therapy to support the need for ongoing treatment.

Coding Guidelines

Inclusion Criteria

Use S42.135 When
  • According to ICD
  • 10 coding guidelines, fractures should be coded based on the specific site and type
  • Nondisplaced fractures are classified separately from displaced fractures
  • Documentation must clearly indicate the fracture's location, type, and laterality
  • Additionally, any associated injuries should be documented and coded appropriately

Exclusion Criteria

Do NOT use S42.135 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

23470CPT Code

Arthroscopy, shoulder, surgical

Clinical Scenario

Used when surgical intervention is required for associated injuries.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must document the rationale for surgery.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of fractures, including nondisplaced fractures of the coracoid process. This specificity aids in better tracking of treatment outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including nondisplaced fractures of the coracoid process. This specificity aids in better tracking of treatment outcomes and resource allocation.

Reimbursement & Billing Impact

reimbursement and to avoid claim denials.

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 nondisplaced fracture?

A displaced fracture involves a separation of the fracture fragments, while a nondisplaced fracture means the bone remains aligned despite the fracture.