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ICD-10 Guide
ICD-10 CodesS42.018

S42.018

Billable

Nondisplaced fracture of sternal end of left clavicle

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

Code Description

ICD-10 S42.018 is a billable code used to indicate a diagnosis of nondisplaced fracture of sternal end of left clavicle.

Key Diagnostic Point:

A nondisplaced fracture of the sternal end of the left clavicle occurs when the bone is broken but the fragments remain in alignment. This type of fracture is often the result of direct trauma, such as a fall or a collision, and is commonly seen in sports injuries or accidents. Patients may present with localized pain, swelling, and tenderness over the clavicle, along with limited range of motion in the shoulder. Diagnosis is typically confirmed through physical examination and imaging studies, such as X-rays. Treatment usually involves conservative management, including rest, ice, and analgesics, with a focus on maintaining shoulder mobility. Surgical intervention is rarely required unless there are complications or associated injuries. Understanding the implications of this fracture is crucial for effective management and rehabilitation, as it can impact shoulder function and overall mobility.

Code Complexity Analysis

Complexity Rating: Low

Low Complexity

Complexity Factors

  • Clear clinical definition with specific anatomical location
  • Low likelihood of complications or associated injuries
  • Standard treatment protocols are well established
  • Minimal ambiguity in documentation requirements

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury
  • Failure to specify laterality (left vs. right)
  • Misclassification of fracture type (displaced vs. nondisplaced)
  • Lack of follow-up documentation on healing progress

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed notes on the mechanism of injury, physical examination findings, and treatment plan.

Common Clinical Scenarios

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

Billing Considerations

Ensure clarity on whether the fracture is stable or requires surgical intervention.

Physical Medicine and Rehabilitation

Documentation Requirements

Assessment of functional limitations and rehabilitation goals.

Common Clinical Scenarios

Patients undergoing rehabilitation post-fracture for strength and mobility.

Billing Considerations

Document progress and any complications that may arise during therapy.

Coding Guidelines

Inclusion Criteria

Use S42.018 When
  • Follow the ICD
  • CM coding guidelines for fractures, ensuring accurate documentation of the fracture type, location, and laterality
  • Include any relevant external cause codes if applicable

Exclusion Criteria

Do NOT use S42.018 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

23630CPT Code

Closed treatment of clavicular fracture

Clinical Scenario

Used when a patient with S42.018 receives closed treatment.

Documentation Requirements

Document the procedure performed and the patient's response.

Specialty Considerations

Orthopedic documentation should include details of the fracture and treatment plan.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 allows for more specific coding of fractures, improving data accuracy and patient care tracking. S42.018 provides clarity in coding nondisplaced fractures, enhancing the understanding of treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 allows for more specific coding of fractures, improving data accuracy and patient care tracking. S42.018 provides clarity in coding nondisplaced fractures, enhancing the understanding of treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 allows for more specific coding of fractures, improving data accuracy and patient care tracking. S42.018 provides clarity in coding nondisplaced fractures, enhancing the understanding of treatment outcomes.

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 difference between a displaced and nondisplaced fracture?

A displaced fracture involves a break where the bone fragments are misaligned, while a nondisplaced fracture means the bone remains in its normal position despite the break.