Fracture of neck of scapula
ICD-10 S42.15 is a billable code used to indicate a diagnosis of fracture of neck of scapula.
A fracture of the neck of the scapula is a specific type of injury that occurs at the narrow region just below the glenoid cavity, which is the socket of the shoulder joint. This injury is often the result of high-impact trauma, such as falls or motor vehicle accidents, and can be associated with other shoulder injuries, including dislocations and fractures of the humerus. Patients may present with shoulder pain, swelling, and limited range of motion. Diagnosis typically involves physical examination and imaging studies, such as X-rays or CT scans, to confirm the fracture and assess for any associated injuries. Treatment may vary from conservative management, including rest and physical therapy, to surgical intervention, particularly in cases of displaced fractures or when there is involvement of the rotator cuff. Surgical options may include fixation with plates or screws, and rehabilitation is crucial for restoring function and strength to the shoulder. Understanding the complexities of this injury is essential for accurate coding and appropriate management.
Detailed operative reports, imaging studies, and pre/post-operative assessments.
Fractures resulting from falls, sports injuries, or trauma requiring surgical intervention.
Documentation must clearly indicate the type of fracture and any surgical repairs performed.
Comprehensive evaluations, treatment plans, and progress notes.
Rehabilitation following surgical repair of scapular fractures.
Focus on functional outcomes and rehabilitation goals must be documented.
Used in cases where surgical intervention is required for scapular fractures.
Operative report detailing the procedure and findings.
Orthopedic surgeons must document the specifics of the fracture and any repairs performed.
X-rays are typically the first step, but CT scans may be necessary for a detailed assessment of the fracture and any associated injuries.
