2-part nondisplaced fracture of surgical neck of left humerus
ICD-10 S42.225 is a billable code used to indicate a diagnosis of 2-part nondisplaced fracture of surgical neck of left humerus.
A 2-part nondisplaced fracture of the surgical neck of the left humerus typically occurs due to trauma, such as a fall or direct impact. This type of fracture is characterized by the fracture line dividing the humerus into two distinct fragments without significant displacement. The surgical neck is a common site for fractures, especially in older adults with osteoporosis or in younger individuals involved in high-impact sports. Clinically, patients may present with shoulder pain, swelling, and limited range of motion. Diagnosis is confirmed through imaging studies, such as X-rays or MRI, which reveal the fracture's location and confirm the absence of displacement. Treatment often involves conservative management, including immobilization with a sling and physical therapy to restore function. Surgical intervention may be considered if there are complications or if the fracture does not heal properly. Understanding the nuances of this fracture type is crucial for accurate coding and appropriate management.
Detailed operative notes if surgery is performed, including fracture type, fixation method, and post-operative care.
Fractures resulting from falls, sports injuries, or accidents requiring surgical intervention.
Ensure accurate documentation of fracture characteristics and treatment plans to support coding.
Progress notes detailing range of motion, strength assessments, and rehabilitation goals.
Patients recovering from nondisplaced fractures undergoing rehabilitation.
Document functional limitations and progress to justify therapy services.
Used in cases where surgical intervention is necessary for fracture stabilization.
Operative report detailing the procedure performed and indications for surgery.
Orthopedic surgeons must document the rationale for surgical intervention.
A displaced fracture involves a break in the bone where the ends are not aligned, while a nondisplaced fracture means the bone cracks but maintains its proper alignment.
