Nondisplaced fracture of lateral end of unspecified clavicle
ICD-10 S42.036 is a billable code used to indicate a diagnosis of nondisplaced fracture of lateral end of unspecified clavicle.
A nondisplaced fracture of the lateral end of the clavicle occurs when there is a break in the bone at the outer end of the clavicle, but the bone fragments remain in alignment. This type of fracture is often the result of a fall onto the shoulder or an impact during sports activities. 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 often involves conservative management, including rest, ice, and immobilization, although surgical intervention may be necessary in cases of associated injuries or if the fracture does not heal properly. Understanding the implications of this fracture is crucial, as it can affect shoulder stability and function, potentially leading to complications such as rotator cuff injuries or shoulder dislocations if not managed appropriately.
Detailed notes on the mechanism of injury, physical examination findings, and imaging results.
Fractures resulting from falls, sports injuries, or trauma.
Ensure clarity on whether the fracture is treated conservatively or surgically, as this impacts coding.
Comprehensive assessment of functional limitations and rehabilitation goals.
Patients requiring rehabilitation post-fracture for strength and mobility.
Document progress and any complications that may arise during rehabilitation.
Used when a rotator cuff injury is present alongside a clavicle fracture.
Document the presence of both conditions and the treatment plan.
Orthopedic surgeons should ensure clarity on the relationship between the fracture and any rotator cuff injuries.
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.
