Other nondisplaced fracture of upper end of unspecified humerus
ICD-10 S42.296 is a billable code used to indicate a diagnosis of other nondisplaced fracture of upper end of unspecified humerus.
The S42.296 code refers to a nondisplaced fracture of the upper end of the humerus, which is a common injury often resulting from falls or direct trauma. This type of fracture is characterized by the bone being cracked but not displaced from its normal alignment. Clinically, patients may present with shoulder pain, swelling, and limited range of motion. Diagnosis typically involves physical examination and imaging studies, such as X-rays, to confirm the fracture and rule out associated injuries like dislocations or rotator cuff tears. Treatment often includes conservative management with immobilization, physical therapy, and pain management. In some cases, surgical intervention may be necessary, particularly if there are complications or if the fracture does not heal properly. Understanding the nuances of this code is essential for accurate billing and coding, as it can impact treatment plans and reimbursement.
Detailed operative reports, imaging results, and follow-up notes.
Fractures resulting from sports injuries, falls, or accidents.
Documentation must specify the fracture type and any surgical interventions performed.
Progress notes, treatment plans, and patient response to therapy.
Rehabilitation following nondisplaced humeral fractures.
Therapy notes should correlate with the initial diagnosis and treatment plan.
Used when a rotator cuff injury is present alongside a humeral fracture.
Operative report detailing the procedure and findings.
Orthopedic surgeons must document the relationship between the fracture and any surgical interventions.
A displaced fracture involves a break in the bone where the ends are not aligned, while a nondisplaced fracture means the bone cracks but remains in its normal position.
