4-part fracture of surgical neck of right humerus
ICD-10 S42.241 is a billable code used to indicate a diagnosis of 4-part fracture of surgical neck of right humerus.
A 4-part fracture of the surgical neck of the right humerus is a complex injury typically resulting from high-energy trauma, such as falls or motor vehicle accidents. This type of fracture involves four distinct fragments of the humerus, which can complicate treatment and recovery. 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 fixation with plates or screws, to restore anatomical alignment and function. Rehabilitation is crucial for recovery, focusing on restoring mobility and strength to the shoulder joint. The complexity of this fracture type necessitates careful coding to ensure accurate representation of the injury and associated treatments.
Detailed operative reports, imaging studies, and pre-operative assessments.
Surgical repair of humeral fractures, management of shoulder dislocations.
Ensure documentation reflects the complexity of the fracture and any surgical interventions performed.
Progress notes detailing rehabilitation goals, treatment plans, and patient responses.
Post-operative rehabilitation following humeral fracture repair.
Document functional limitations and progress towards recovery to support coding for therapy services.
Used in conjunction with S42.241 for surgical repair.
Operative report detailing the procedure and findings.
Orthopedic surgeons must document the complexity of the fracture and the surgical approach.
Coding a 4-part fracture accurately reflects the complexity of the injury, which impacts treatment decisions and reimbursement. It is crucial for ensuring that the patient's care is appropriately documented and billed.
