4-part fracture of surgical neck of unspecified humerus
ICD-10 S42.249 is a billable code used to indicate a diagnosis of 4-part fracture of surgical neck of unspecified humerus.
A 4-part fracture of the surgical neck of the 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 bone, which can complicate the healing process and may require surgical intervention. The surgical neck is located just below the head of the humerus and is a common site for fractures, particularly in older adults due to osteoporosis. Symptoms often include severe shoulder pain, swelling, and limited range of motion. Diagnosis is confirmed through imaging studies, such as X-rays or CT scans, which reveal the fracture pattern. Treatment may involve conservative management with immobilization or surgical options like open reduction and internal fixation (ORIF) to realign the bone fragments. Rehabilitation is crucial for restoring function and strength to the shoulder joint post-injury.
Detailed operative reports, imaging studies, and follow-up notes.
Surgical repair of complex humeral fractures, post-operative care, and rehabilitation.
Ensure accurate coding of surgical procedures and any complications that arise.
Progress notes detailing rehabilitation protocols and patient response.
Rehabilitation following surgical repair of humeral fractures.
Document functional outcomes and range of motion assessments.
Used in conjunction with S42.249 for surgical repair.
Operative report detailing the procedure and findings.
Orthopedic surgeons must document the complexity of the fracture.
A 4-part fracture indicates a more complex injury that may require surgical intervention and has a higher risk of complications compared to simpler fractures.
