ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesS42.232

S42.232

Billable

3-part fracture of surgical neck of left humerus

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/24/2025

Code Description

ICD-10 S42.232 is a billable code used to indicate a diagnosis of 3-part fracture of surgical neck of left humerus.

Key Diagnostic Point:

A 3-part fracture of the surgical neck of the left humerus is a complex injury typically resulting from high-energy trauma, such as falls or accidents. This type of fracture involves three distinct fragments of the humerus, which can lead to significant displacement and instability of the shoulder joint. The surgical neck is located just below the head of the humerus and is a common site for fractures, particularly in older adults with osteoporosis. Symptoms include severe pain, swelling, and limited range of motion in the shoulder. Diagnosis is confirmed through imaging studies, such as X-rays or CT scans, which reveal the fracture pattern and any associated dislocations. Treatment often requires surgical intervention, including internal fixation or shoulder arthroplasty, to restore function and stability. Rehabilitation is crucial for recovery, focusing on restoring mobility and strength to the shoulder joint.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Requires detailed documentation of fracture type and location.
  • Involves understanding of surgical interventions and their coding.
  • Potential for multiple associated injuries complicating coding.
  • Need for accurate imaging reports to support coding.

Audit Risk Factors

  • Inadequate documentation of fracture details.
  • Failure to capture associated injuries.
  • Incorrect coding of surgical procedures.
  • Lack of imaging reports to support diagnosis.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and pre-operative assessments.

Common Clinical Scenarios

Fractures resulting from falls, sports injuries, or vehicular accidents.

Billing Considerations

Ensure accurate coding of surgical procedures performed, including fixation methods.

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation goals and outcomes.

Common Clinical Scenarios

Post-operative rehabilitation following shoulder surgery.

Billing Considerations

Document functional limitations and progress to support therapy coding.

Coding Guidelines

Inclusion Criteria

Use S42.232 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, laterality, and any associated injuries
  • Include details from imaging studies and surgical reports to support the diagnosis

Exclusion Criteria

Do NOT use S42.232 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

23470CPT Code

Arthroscopic shoulder surgery

Clinical Scenario

Used in conjunction with S42.232 for surgical repair of the fracture.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must document the specifics of the fracture and repair.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of fractures, including the laterality and complexity of injuries, which aids in better tracking and management of shoulder injuries.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including the laterality and complexity of injuries, which aids in better tracking and management of shoulder injuries.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, including the laterality and complexity of injuries, which aids in better tracking and management of shoulder injuries.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the significance of coding the fracture as 3-part?

Coding a fracture as 3-part indicates a more complex injury that may require surgical intervention and has implications for treatment and recovery. It is crucial for accurate reimbursement and tracking of patient outcomes.