3-part fracture of surgical neck of unspecified humerus
ICD-10 S42.239 is a billable code used to indicate a diagnosis of 3-part fracture of surgical neck of unspecified humerus.
A 3-part fracture of the surgical neck of the humerus typically involves three distinct fragments of bone resulting from trauma, often seen in elderly patients due to falls or in younger individuals due to high-energy impacts. This type of fracture is characterized by the involvement of the surgical neck, which is the area just below the head of the humerus. The surgical neck is a common site for fractures, particularly in cases of shoulder dislocation or trauma. Patients may present with severe 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 often involves orthopedic intervention, which may include surgical repair, fixation, or in some cases, shoulder arthroplasty, depending on the severity and displacement of the fracture. Rehabilitation is crucial for restoring function and strength to the shoulder joint post-injury.
Detailed operative notes, imaging reports, and follow-up assessments are essential.
Fractures resulting from falls in elderly patients, sports injuries in younger patients.
Ensure clear documentation of fracture classification and any surgical interventions performed.
Progress notes detailing patient rehabilitation, range of motion assessments, and functional outcomes.
Post-operative rehabilitation following surgical repair of humeral fractures.
Document specific therapy goals and patient progress to support billing.
Used in conjunction with S42.239 when a rotator cuff injury is present.
Operative report detailing the procedure and findings.
Orthopedic surgeons should ensure accurate linkage between the fracture and any surgical repairs performed.
A 2-part fracture involves two fragments of bone, while a 3-part fracture involves three distinct fragments, often indicating more severe displacement and a higher likelihood of requiring surgical intervention.
