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ICD-10 Guide
ICD-10 CodesS42.141

S42.141

Billable

Displaced fracture of glenoid cavity of scapula, right shoulder

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

Code Description

ICD-10 S42.141 is a billable code used to indicate a diagnosis of displaced fracture of glenoid cavity of scapula, right shoulder.

Key Diagnostic Point:

A displaced fracture of the glenoid cavity of the scapula is a serious injury that typically occurs due to high-energy trauma, such as a fall from a height or a motor vehicle accident. The glenoid cavity is the shallow socket in the scapula that articulates with the head of the humerus, forming the shoulder joint. This type of fracture can lead to significant pain, swelling, and limited range of motion in the shoulder. Patients may present with a visible deformity or an inability to move the arm. Diagnosis is usually confirmed through imaging studies, such as X-rays or CT scans, which reveal the fracture's displacement and any associated injuries to the surrounding soft tissues, including the rotator cuff. Treatment often involves surgical intervention to realign the fracture fragments and stabilize the joint, followed by rehabilitation to restore function. Complications can include chronic pain, stiffness, and the risk of post-traumatic arthritis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of anatomical terminology related to the shoulder
  • Involves distinguishing between displaced and non-displaced fractures
  • May require knowledge of associated injuries, such as rotator cuff tears
  • Documentation must specify laterality (right shoulder)

Audit Risk Factors

  • Inadequate documentation of fracture type and displacement
  • Failure to specify laterality
  • Incorrect coding of associated injuries
  • Lack of imaging reports to support the diagnosis

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and pre-operative assessments are essential.

Common Clinical Scenarios

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

Billing Considerations

Ensure that all surgical procedures performed are documented and linked to the diagnosis.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive evaluations of functional limitations and rehabilitation progress notes.

Common Clinical Scenarios

Patients undergoing rehabilitation post-surgery for shoulder fractures.

Billing Considerations

Documenting the patient's functional status and response to therapy is crucial for coding.

Coding Guidelines

Inclusion Criteria

Use S42.141 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, laterality, and any associated injuries
  • Include any relevant external cause codes if applicable

Exclusion Criteria

Do NOT use S42.141 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

23470CPT Code

Arthroscopy, shoulder, surgical

Clinical Scenario

Used for surgical repair of a displaced glenoid fracture.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must document the specifics of the fracture and repair.

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 the ability to denote laterality and the type of fracture, 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 the ability to denote laterality and the type of fracture, 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 difference between a displaced and non-displaced fracture?

A displaced fracture means that the bone fragments are not aligned properly, while a non-displaced fracture means the bone remains in its normal position despite the fracture.