Unspecified fracture of surgical neck of humerus
ICD-10 S42.21 is a billable code used to indicate a diagnosis of unspecified fracture of surgical neck of humerus.
The surgical neck of the humerus is a common site for fractures, particularly in older adults and those with osteoporosis. An unspecified fracture at this location indicates a break in the bone that does not have a specific classification, which can complicate treatment and recovery. These fractures often result from falls or direct trauma to the shoulder. Symptoms typically include pain, swelling, and limited range of motion in the shoulder. Diagnosis is usually confirmed through imaging studies such as X-rays or CT scans. Treatment may involve conservative management with immobilization and physical therapy, or surgical intervention if the fracture is displaced or unstable. Surgical options may include internal fixation or shoulder arthroplasty, depending on the severity of the fracture and the patient's overall health. Rehabilitation is crucial for restoring function and strength to the shoulder joint post-injury.
Detailed operative reports, imaging studies, and post-operative notes are essential.
Fractures due to falls in elderly patients, sports injuries in younger patients, and post-surgical complications.
Ensure accurate documentation of fracture type and treatment approach to avoid coding errors.
Progress notes detailing rehabilitation protocols and patient responses.
Rehabilitation following surgical repair of humeral fractures.
Documenting functional limitations and progress is crucial for accurate coding.
Used in cases where surgical intervention is required for fracture repair.
Operative report detailing the procedure and findings.
Orthopedic surgeons must document the necessity for surgery.
Use S42.21 when a patient has an unspecified fracture of the surgical neck of the humerus, and no further details are available regarding the fracture type or treatment.
