Fracture of other part of scapula, unspecified shoulder
ICD-10 S42.199 is a billable code used to indicate a diagnosis of fracture of other part of scapula, unspecified shoulder.
The S42.199 code is used to classify fractures of the scapula that do not fall into the more specific categories of scapular fractures. These fractures can occur due to trauma, such as falls or direct blows to the shoulder, and may involve various parts of the scapula, including the body, spine, or glenoid. 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 assess the extent of the fracture. Treatment may vary from conservative management, including rest and physical therapy, to surgical intervention, depending on the fracture's severity and the patient's overall health. Understanding the nuances of this code is essential for accurate documentation and billing, as it reflects the complexity of shoulder injuries that may not be immediately apparent.
Detailed operative notes, imaging studies, and post-operative care plans.
Fractures requiring surgical fixation, rotator cuff repairs, and shoulder arthroscopy.
Ensure clear documentation of fracture type and treatment rationale to support coding.
Comprehensive assessment of functional limitations and rehabilitation plans.
Post-fracture rehabilitation, management of pain, and restoration of shoulder function.
Document progress notes and functional assessments to justify therapy services.
Used when assessing shoulder injuries including scapular fractures.
Operative report detailing findings and procedures performed.
Orthopedic surgeons should document the rationale for arthroscopy.
Document the specific location of the fracture, any associated injuries, imaging results, and the treatment plan. Ensure that all documentation is consistent and supports the diagnosis.
