Fracture of unspecified part of right clavicle
ICD-10 S42.001 is a billable code used to indicate a diagnosis of fracture of unspecified part of right clavicle.
The fracture of the right clavicle, an essential bone in the shoulder girdle, can occur due to various mechanisms, including falls, direct trauma, or sports injuries. This fracture is classified as 'unspecified' when the exact location or type of fracture (e.g., midshaft, distal, or proximal) is not documented. Clinically, patients may present with shoulder pain, swelling, and limited range of motion. Physical examination often reveals tenderness over the clavicle, and imaging studies, such as X-rays, are crucial for diagnosis. Treatment typically involves conservative management, including immobilization with a sling, pain management, and physical therapy. In some cases, surgical intervention may be necessary, particularly if there is significant displacement or associated injuries to the surrounding structures, such as the rotator cuff or humerus. Understanding the nuances of this fracture is essential for accurate coding and appropriate management.
Detailed operative notes, imaging results, and follow-up assessments.
Fractures requiring surgical fixation, management of associated shoulder injuries.
Ensure documentation reflects the specific type of fracture and any surgical interventions performed.
Comprehensive assessment of functional limitations and rehabilitation goals.
Post-fracture rehabilitation, management of pain and mobility issues.
Document the impact of the fracture on daily activities and progress in therapy.
Used when surgical intervention is performed for a clavicle fracture.
Operative report detailing the procedure and findings.
Orthopedic surgeons should ensure that the procedure aligns with the diagnosis.
Document the mechanism of injury, clinical findings, imaging results, and any treatment provided. Ensure clarity in the documentation to avoid ambiguity.
