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ICD-10 Guide
ICD-10 CodesS42.034

S42.034

Billable

Nondisplaced fracture of lateral end of right clavicle

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

Code Description

ICD-10 S42.034 is a billable code used to indicate a diagnosis of nondisplaced fracture of lateral end of right clavicle.

Key Diagnostic Point:

A nondisplaced fracture of the lateral end of the right clavicle occurs when there is a break in the bone without any significant displacement of the fracture fragments. This type of fracture is commonly associated with falls, direct blows to the shoulder, or sports injuries. Clinically, patients may present with localized pain, swelling, and tenderness over the lateral aspect of the clavicle. Range of motion may be limited due to pain, and patients often hold their arm close to their body to minimize discomfort. Diagnosis is typically confirmed through physical examination and imaging studies, such as X-rays, which reveal the fracture without displacement. Treatment usually involves conservative management, including rest, ice application, analgesics, and possibly a sling to immobilize the shoulder. Surgical intervention is rarely required unless there are complications or associated injuries. Understanding the nuances of this fracture is essential for accurate coding and appropriate management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between displaced and nondisplaced fractures
  • Understanding the anatomical location of the clavicle
  • Identifying associated injuries or complications
  • Documentation of clinical findings and imaging results

Audit Risk Factors

  • Inadequate documentation of fracture type
  • Failure to specify laterality
  • Misclassification of fracture displacement
  • Lack of imaging reports in the medical record

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, imaging studies, and follow-up assessments.

Common Clinical Scenarios

Management of acute fractures, postoperative care, and rehabilitation.

Billing Considerations

Ensure clear documentation of fracture type and treatment plan.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessments of functional limitations and rehabilitation plans.

Common Clinical Scenarios

Post-fracture rehabilitation and pain management.

Billing Considerations

Document progress and response to therapy to support coding.

Coding Guidelines

Inclusion Criteria

Use S42.034 When
  • According to ICD
  • 10 coding guidelines, S42
  • 034 should be used when the fracture is confirmed as nondisplaced and specifically located at the lateral end of the right clavicle
  • Coders must ensure accurate documentation of laterality and fracture type

Exclusion Criteria

Do NOT use S42.034 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 required for a displaced fracture.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must document the rationale for surgery.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of data collection and reimbursement processes. S42.034 provides clarity in documenting nondisplaced fractures, which can impact treatment protocols and outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, improving the accuracy of data collection and reimbursement processes. S42.034 provides clarity in documenting nondisplaced fractures, which can impact treatment protocols and outcomes.

Reimbursement & Billing Impact

reimbursement processes. S42.034 provides clarity in documenting nondisplaced fractures, which can impact treatment protocols and 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 fracture.