2-part fracture of surgical neck of humerus
ICD-10 S42.22 is a billable code used to indicate a diagnosis of 2-part fracture of surgical neck of humerus.
A 2-part fracture of the surgical neck of the humerus typically occurs in the proximal region of the humerus, just below the head of the bone. This type of fracture is commonly associated with falls, particularly in older adults, and can result from direct trauma or indirect forces applied to the shoulder. Clinically, patients may present with shoulder pain, swelling, and limited range of motion. Diagnosis is often confirmed through imaging studies such as X-rays or MRI, which can reveal the fracture's location and displacement. Treatment options vary based on the fracture's severity and may include conservative management with immobilization or surgical intervention, such as open reduction and internal fixation (ORIF). Complications can include nonunion, malunion, or avascular necrosis of the humeral head, necessitating careful monitoring and follow-up. Understanding the nuances of this fracture type is crucial for accurate coding and appropriate management.
Detailed operative reports, imaging studies, and follow-up notes are essential for accurate coding.
Fractures resulting from falls, sports injuries, or trauma requiring surgical intervention.
Documentation must clearly indicate the fracture type, treatment plan, and any complications.
Comprehensive assessments of functional status and rehabilitation progress.
Patients undergoing rehabilitation post-fracture repair or those with complications affecting mobility.
Focus on documenting the impact of the fracture on daily activities and rehabilitation goals.
Used when surgical intervention is performed for a 2-part fracture.
Operative report detailing the procedure, findings, and post-operative care.
Orthopedic surgeons must document the specifics of the fracture and the surgical approach.
A 1-part fracture involves a single fracture line with no displacement, while a 2-part fracture involves two fragments, often with some degree of displacement, requiring different treatment approaches.
