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ICD-10 Guide
ICD-10 CodesS42.144

S42.144

Billable

Nondisplaced fracture of glenoid cavity of scapula, right shoulder

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

Code Description

ICD-10 S42.144 is a billable code used to indicate a diagnosis of nondisplaced fracture of glenoid cavity of scapula, right shoulder.

Key Diagnostic Point:

A nondisplaced fracture of the glenoid cavity of the scapula occurs when there is a break in the bone that does not result in the bone fragments being displaced from their normal anatomical position. This type of fracture is often associated with shoulder injuries, particularly in cases of trauma such as falls or direct impacts. The glenoid cavity is the shallow socket in the scapula that articulates with the head of the humerus, forming the shoulder joint. Nondisplaced fractures may not be immediately apparent on X-rays and can be mistaken for other shoulder injuries, such as dislocations or rotator cuff tears. Symptoms typically include localized pain, swelling, and limited range of motion in the shoulder. Treatment often involves conservative management, including rest, immobilization, and physical therapy, although surgical intervention may be necessary in cases of associated injuries or if conservative measures fail. Accurate coding is essential for proper reimbursement and to ensure that the patient's medical record reflects the complexity of their injury.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between displaced and nondisplaced fractures
  • Understanding associated injuries such as dislocations or rotator cuff tears
  • Documentation of imaging results and clinical findings
  • Variability in treatment approaches based on patient age and activity level

Audit Risk Factors

  • Inadequate documentation of the fracture type
  • Failure to document associated injuries
  • Misinterpretation of imaging results
  • Inconsistent treatment documentation

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and follow-up evaluations are necessary to support the diagnosis and treatment plan.

Common Clinical Scenarios

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

Billing Considerations

Ensure that all imaging results are clearly documented and correlate with the clinical findings.

Physical Therapy

Documentation Requirements

Progress notes detailing the patient's response to therapy and any changes in treatment plans.

Common Clinical Scenarios

Rehabilitation following a nondisplaced fracture, focusing on restoring range of motion and strength.

Billing Considerations

Document specific therapeutic interventions and patient progress to support ongoing treatment.

Coding Guidelines

Inclusion Criteria

Use S42.144 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code accurately reflects the patient's condition
  • Include any relevant external cause codes if applicable
  • Ensure that documentation supports the diagnosis and treatment provided

Exclusion Criteria

Do NOT use S42.144 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

23470CPT Code

Arthroscopic shoulder stabilization

Clinical Scenario

Used in cases where surgical intervention is required for stabilization after a nondisplaced fracture.

Documentation Requirements

Operative report detailing the procedure performed and indications for surgery.

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 more specific coding of shoulder injuries, including nondisplaced fractures. 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 shoulder injuries, including nondisplaced fractures. This specificity aids in better tracking of treatment outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of shoulder injuries, including nondisplaced fractures. This specificity 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 is the difference between a displaced and nondisplaced fracture?

A displaced fracture involves a break in the bone where the fragments are misaligned, while a nondisplaced fracture means the bone cracks but maintains its proper alignment.