Displaced fracture of lateral end of right clavicle
ICD-10 S42.031 is a billable code used to indicate a diagnosis of displaced fracture of lateral end of right clavicle.
A displaced fracture of the lateral end of the right clavicle typically occurs due to trauma, such as a fall or direct impact to the shoulder. This injury is characterized by a break in the bone that results in the fractured ends being misaligned. Clinically, patients may present with shoulder pain, swelling, and limited range of motion. Physical examination often reveals tenderness over the clavicle, and in some cases, a visible deformity may be noted. Imaging studies, particularly X-rays, are essential for confirming the diagnosis and assessing the degree of displacement. Treatment options vary based on the severity of the fracture; non-surgical management may include immobilization with a sling, while surgical intervention may be necessary for significantly displaced fractures to restore proper alignment and function. Complications can include nonunion or malunion of the fracture, which may necessitate further surgical intervention. Rehabilitation is crucial for restoring shoulder function and strength following the injury.
Detailed operative notes, imaging studies, and follow-up care documentation.
Fracture repair, post-operative care, and rehabilitation protocols.
Ensure accurate coding of surgical procedures performed in conjunction with fracture repair.
Comprehensive assessment of functional limitations and rehabilitation progress notes.
Rehabilitation following surgical repair or conservative management of fractures.
Documenting the patient's functional status and progress is critical for coding therapy services.
Used when surgical intervention is performed for a displaced fracture of the clavicle.
Operative report detailing the procedure and findings.
Orthopedic surgeons must document the surgical approach and fixation method.
S42.031 refers to a displaced fracture of the lateral end of the right clavicle, while S42.030 refers to a non-displaced fracture of the same location. The distinction is important for treatment and coding purposes.
