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ICD-10 Guide
ICD-10 CodesS42.145

S42.145

Billable

Nondisplaced fracture of glenoid cavity of scapula, left shoulder

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

Code Description

ICD-10 S42.145 is a billable code used to indicate a diagnosis of nondisplaced fracture of glenoid cavity of scapula, left 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 misaligned. This type of fracture is often associated with shoulder dislocations, particularly in cases of trauma or falls. The glenoid cavity is the shallow socket in the scapula that articulates with the head of the humerus, forming the shoulder joint. Injuries to this area can lead to pain, swelling, and limited range of motion. Patients may experience difficulty with overhead activities and may present with tenderness over the shoulder joint. Diagnosis typically involves imaging studies such as X-rays or MRI to confirm the fracture and assess for any associated injuries, such as rotator cuff tears or humeral head fractures. Treatment may include conservative management with rest, ice, and physical therapy, or surgical intervention if instability or significant functional impairment is present. Understanding the nuances of this fracture is crucial for accurate coding and appropriate management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

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

Audit Risk Factors

  • Inadequate documentation of the fracture type
  • Failure to document associated injuries
  • Misclassification of fracture displacement
  • Inconsistent coding of concurrent shoulder conditions

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, imaging reports, and follow-up assessments are essential.

Common Clinical Scenarios

Fractures resulting from falls, sports injuries, or motor vehicle accidents.

Billing Considerations

Ensure that all associated injuries are documented to support coding for surgical interventions.

Physical Therapy

Documentation Requirements

Progress notes detailing range of motion, strength assessments, and treatment plans.

Common Clinical Scenarios

Rehabilitation following shoulder fractures or dislocations.

Billing Considerations

Documenting patient progress and response to therapy is crucial for accurate coding.

Coding Guidelines

Inclusion Criteria

Use S42.145 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the fracture is documented as nondisplaced
  • Include any relevant imaging findings and associated injuries

Exclusion Criteria

Do NOT use S42.145 When
  • Exclude codes for displaced fractures or other shoulder conditions unless specified

Related ICD-10 Codes

Related CPT Codes

23470CPT Code

Arthroscopic shoulder stabilization

Clinical Scenario

Used when surgical intervention is required for instability following a nondisplaced fracture.

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 shoulder injuries, improving the accuracy of diagnoses and treatment plans. S42.145 provides a clear distinction between nondisplaced and displaced fractures, which is crucial for appropriate management and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of shoulder injuries, improving the accuracy of diagnoses and treatment plans. S42.145 provides a clear distinction between nondisplaced and displaced fractures, which is crucial for appropriate management and reimbursement.

Reimbursement & Billing Impact

reimbursement.

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 where the bone fragments are misaligned, while a nondisplaced fracture means the bone remains in its normal position despite the fracture.