Unspecified nondisplaced fracture of surgical neck of right humerus
ICD-10 S42.214 is a billable code used to indicate a diagnosis of unspecified nondisplaced fracture of surgical neck of right humerus.
The unspecified nondisplaced fracture of the surgical neck of the right humerus refers to a break in the bone that occurs at the surgical neck, which is located just below the head of the humerus. This type of fracture is often associated with falls, particularly in older adults, and can occur in younger individuals due to high-impact trauma. Nondisplaced fractures mean that the bone has cracked but has not moved out of its normal alignment. Symptoms typically include pain, swelling, and limited range of motion in the shoulder. Diagnosis is usually confirmed through imaging studies such as X-rays. Treatment may involve conservative management, including immobilization with a sling, physical therapy, and pain management. In some cases, surgical intervention may be necessary if the fracture does not heal properly or if there is associated injury to the surrounding soft tissues, such as the rotator cuff. Understanding the nuances of this fracture type is crucial for accurate coding and appropriate treatment planning.
Detailed imaging reports, surgical notes, and follow-up assessments are essential for accurate coding.
Fractures resulting from falls, sports injuries, or accidents requiring surgical intervention.
Documentation must clearly indicate the type of fracture and any associated injuries to ensure proper coding.
Progress notes detailing range of motion, strength assessments, and treatment plans.
Rehabilitation following humeral fractures, focusing on restoring function and mobility.
Therapists should document the initial assessment and ongoing progress to support the coding of related conditions.
Used when a rotator cuff injury is present alongside the humeral fracture.
Surgical notes detailing the procedure and any associated findings.
Orthopedic surgeons must document the rationale for surgery and any complications.
A displaced fracture occurs when the bone fragments are separated and misaligned, while a nondisplaced fracture means the bone cracks but remains in its normal position.
