Displaced fracture of lesser tuberosity of unspecified humerus
ICD-10 S42.263 is a billable code used to indicate a diagnosis of displaced fracture of lesser tuberosity of unspecified humerus.
A displaced fracture of the lesser tuberosity of the humerus typically occurs due to trauma, such as a fall or direct impact to the shoulder. The lesser tuberosity is a small bony prominence on the humerus where the subscapularis muscle attaches. This type of fracture can lead to significant pain, limited range of motion, and potential complications if not treated properly. Patients may present with shoulder pain, swelling, and difficulty in performing overhead activities. Diagnosis is usually confirmed through imaging studies such as X-rays or MRI, which can reveal the extent of the fracture and any associated soft tissue injuries. Treatment often involves orthopedic intervention, which may include surgical repair, especially if the fracture is significantly displaced. Rehabilitation is crucial for restoring function and strength to the shoulder joint post-injury. The management of this fracture requires careful consideration of the patient's overall health, activity level, and specific needs to ensure optimal recovery.
Detailed operative notes, imaging reports, and post-operative care plans.
Fractures resulting from falls, sports injuries, or accidents requiring surgical intervention.
Ensure accurate documentation of fracture characteristics and surgical techniques used.
Progress notes detailing rehabilitation exercises and patient response.
Post-operative rehabilitation following surgical repair of humeral fractures.
Document functional limitations and progress towards recovery.
Used when a rotator cuff repair is performed alongside fracture repair.
Operative report detailing the procedure and findings.
Orthopedic surgeons should document the relationship between the fracture and any rotator cuff injuries.
Accurate coding of S42.263 is essential for appropriate reimbursement, ensuring that the complexity of the injury is recognized and that the treatment provided is adequately documented.