Fracture of upper end of humerus
ICD-10 S42.2 is a billable code used to indicate a diagnosis of fracture of upper end of humerus.
A fracture of the upper end of the humerus typically occurs in the proximal region of the bone, which includes the head, neck, and greater and lesser tuberosities. This type of fracture is commonly associated with shoulder dislocations and can occur due to falls, direct trauma, or sports injuries. Patients may present with severe shoulder pain, swelling, and limited range of motion. The fracture can be classified as non-displaced or displaced, with the latter often requiring surgical intervention. Complications may include rotator cuff injuries, which can further complicate recovery and rehabilitation. Treatment options vary from conservative management with immobilization and physical therapy to surgical repairs, such as open reduction and internal fixation (ORIF) or shoulder arthroplasty, depending on the severity and displacement of the fracture. Accurate coding is essential for proper reimbursement and to reflect the complexity of the injury and treatment provided.
Detailed operative reports, imaging studies, and pre-operative assessments.
Fractures resulting from falls, sports injuries, or trauma requiring surgical intervention.
Ensure documentation reflects the complexity of the fracture and any associated injuries.
Comprehensive evaluations, treatment plans, and progress notes.
Rehabilitation following surgical repair of humeral fractures.
Document functional limitations and progress towards rehabilitation goals.
Used when a rotator cuff injury is present alongside a humeral fracture.
Operative report detailing the procedure and findings.
Orthopedic surgeons must document the necessity of the procedure.
Common causes include falls, direct trauma, and sports injuries, particularly in older adults and athletes.
Treatment may involve conservative management with immobilization or surgical intervention, depending on the fracture type and displacement.
