Fracture of clavicle due to birth injury
ICD-10 P13.4 is a billable code used to indicate a diagnosis of fracture of clavicle due to birth injury.
Fracture of the clavicle due to birth injury is a common occurrence in neonates, particularly during difficult deliveries. This injury typically arises from excessive lateral traction applied to the head and shoulders during delivery, especially in cases of shoulder dystocia. The clavicle is the most frequently fractured bone in newborns, and while it may be asymptomatic, it can lead to complications such as limited range of motion in the affected arm or shoulder. Clinical evaluation often reveals a palpable step-off at the fracture site, and the infant may exhibit signs of discomfort when moving the affected arm. Diagnosis is usually confirmed through physical examination, and in some cases, imaging studies may be warranted to assess the extent of the injury. Management is generally conservative, focusing on pain relief and ensuring proper positioning to promote healing. Most clavicular fractures heal well without surgical intervention, with a typical recovery time of 2 to 3 weeks. Understanding the mechanisms of birth-related injuries is crucial for accurate coding and management in neonatal care.
Detailed notes on delivery complications, physical examination findings, and treatment plans.
Infants presenting with limited arm movement post-delivery, or those with a palpable fracture.
Ensure accurate coding of associated conditions, such as brachial plexus injury.
Comprehensive history and physical examination, including developmental milestones.
Pediatric follow-up for infants with birth injuries, assessing growth and motor skills.
Consider the long-term implications of birth injuries on development.
Used when a newborn with a clavicle fracture is admitted for monitoring.
Document the newborn's condition, including any injuries and treatment plans.
Neonatologists should ensure thorough documentation of birth history.
Common signs include limited movement of the affected arm, swelling or deformity at the fracture site, and signs of discomfort when handling the arm.
