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ICD-10 Guide
ICD-10 CodesS42.014

S42.014

Billable

Posterior displaced fracture of sternal end of right clavicle

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/24/2025

Code Description

ICD-10 S42.014 is a billable code used to indicate a diagnosis of posterior displaced fracture of sternal end of right clavicle.

Key Diagnostic Point:

A posterior displaced fracture of the sternal end of the right clavicle occurs when the clavicle, a bone that connects the arm to the body, breaks at its sternal end and displaces posteriorly. This type of fracture is often the result of high-energy trauma, such as a fall or a direct blow to the shoulder. Clinically, patients may present with shoulder pain, swelling, and limited range of motion. Physical examination may reveal tenderness over the sternal end of the clavicle, and in some cases, a visible deformity. Imaging studies, particularly X-rays, are essential for confirming the diagnosis and assessing the degree of displacement. Treatment may vary based on the severity of the fracture and the degree of displacement, ranging from conservative management with immobilization to surgical intervention for severe cases. Surgical options may include open reduction and internal fixation (ORIF) to realign the bone fragments and stabilize the fracture. Rehabilitation is crucial for restoring function and strength to the shoulder joint following treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of fracture types and their implications.
  • Differentiation between displaced and non-displaced fractures.
  • Knowledge of associated injuries to the shoulder girdle.
  • Understanding of surgical versus non-surgical management options.

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury.
  • Failure to specify the degree of displacement.
  • Lack of imaging reports to support the diagnosis.
  • Improper coding of associated injuries or complications.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and post-operative notes.

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or vehicular accidents.

Billing Considerations

Documentation must clearly indicate the type of fracture and treatment plan.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessments of functional limitations and rehabilitation progress.

Common Clinical Scenarios

Patients undergoing rehabilitation post-fracture repair.

Billing Considerations

Focus on functional outcomes and therapy goals.

Coding Guidelines

Inclusion Criteria

Use S42.014 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, location, and any associated injuries
  • Include details about the treatment plan and any surgical interventions performed

Exclusion Criteria

Do NOT use S42.014 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

23630CPT Code

Open treatment of clavicular fracture

Clinical Scenario

Used when surgical intervention is performed for a displaced fracture.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must document the surgical approach and fixation method.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of fractures, including details about displacement and location, which enhances the accuracy of patient records and treatment plans.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including details about displacement and location, which enhances the accuracy of patient records and treatment plans.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, including details about displacement and location, which enhances the accuracy of patient records and treatment plans.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the primary treatment for a posterior displaced fracture of the sternal end of the clavicle?

Treatment may involve conservative management with immobilization or surgical intervention, such as open reduction and internal fixation, depending on the severity of the fracture and patient factors.