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ICD-10 Guide
ICD-10 CodesS42.14

S42.14

Billable

Fracture of glenoid cavity of scapula

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

Code Description

ICD-10 S42.14 is a billable code used to indicate a diagnosis of fracture of glenoid cavity of scapula.

Key Diagnostic Point:

A fracture of the glenoid cavity of the scapula typically occurs due to trauma, such as a fall or a direct blow to the shoulder. The glenoid cavity is the shallow socket in the scapula that articulates with the head of the humerus, forming the shoulder joint. Fractures in this area can lead to instability of the shoulder joint, resulting in pain, swelling, and limited range of motion. Patients may present with symptoms such as difficulty lifting the arm, a visible deformity, or a sensation of instability. Diagnosis is usually confirmed through imaging studies, including X-rays or CT scans, which can reveal the extent of the fracture and any associated injuries, such as dislocations or rotator cuff tears. Treatment may involve conservative management with immobilization and physical therapy or surgical intervention to repair the fracture and restore shoulder function. Surgical options may include open reduction and internal fixation (ORIF) or arthroscopic techniques, depending on the fracture's complexity and the patient's overall health status.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in fracture types and severity
  • Potential for associated injuries (e.g., dislocations, rotator cuff tears)
  • Need for precise documentation of imaging findings
  • Variations in treatment approaches (conservative vs. surgical)

Audit Risk Factors

  • Inadequate documentation of fracture type and location
  • Failure to document associated injuries
  • Incorrect coding of surgical procedures performed
  • Lack of clarity in imaging reports

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, imaging reports, and post-operative assessments are essential for accurate coding.

Common Clinical Scenarios

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

Billing Considerations

Ensure that all associated injuries are documented to support the complexity of the case.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessments of functional limitations and rehabilitation progress notes.

Common Clinical Scenarios

Patients undergoing rehabilitation post-fracture repair to regain shoulder function.

Billing Considerations

Document the patient's functional status and progress to justify therapy services.

Coding Guidelines

Inclusion Criteria

Use S42.14 When
  • Follow official coding guidelines for fractures, including the need for specificity in documentation regarding the fracture type, location, and any associated injuries
  • Ensure compliance with the latest ICD
  • 10 updates and coding conventions

Exclusion Criteria

Do NOT use S42.14 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

23470CPT Code

Arthroscopic shoulder stabilization

Clinical Scenario

Used for surgical repair of glenoid fractures with instability.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must document the rationale for surgical intervention.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding fractures, including those of the glenoid cavity, which aids in better tracking of treatment outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding fractures, including those of the glenoid cavity, which aids in better tracking of treatment outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding fractures, including those of the glenoid cavity, which aids in better tracking of treatment outcomes and resource allocation.

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 are the common causes of a glenoid cavity fracture?

Common causes include falls, sports injuries, and direct trauma to the shoulder. High-impact activities or accidents often lead to such fractures.