Fracture of scapula
ICD-10 S42.1 is a billable code used to indicate a diagnosis of fracture of scapula.
A fracture of the scapula, or shoulder blade, is a relatively uncommon injury that typically occurs due to high-energy trauma, such as a fall from a height or a motor vehicle accident. The scapula is a flat bone that connects the upper arm bone (humerus) to the collarbone (clavicle) and plays a crucial role in shoulder mobility and stability. Fractures can occur in various parts of the scapula, including the body, glenoid, or acromion. Symptoms often include severe pain, swelling, bruising, and limited range of motion in the shoulder. Diagnosis is primarily through physical examination and imaging studies, such as X-rays or CT scans, to assess the fracture's location and severity. Treatment may involve conservative management with rest, ice, and immobilization, or surgical intervention in cases of displaced fractures or those involving the glenoid. Surgical options may include open reduction and internal fixation (ORIF) or arthroscopic techniques. Rehabilitation is essential for restoring function and strength post-injury.
Detailed operative reports, imaging studies, and post-operative notes are essential for accurate coding.
Fractures resulting from sports injuries, falls, or vehicular accidents requiring surgical intervention.
Ensure documentation specifies the type of fracture and any associated injuries to the shoulder complex.
Comprehensive assessments of functional limitations and rehabilitation progress notes.
Patients undergoing rehabilitation post-scapular fracture or surgical repair.
Document the patient's functional status and response to therapy to support the need for ongoing rehabilitation.
Used in cases of scapular fractures with associated instability.
Operative report detailing the procedure and findings.
Orthopedic surgeons must document the rationale for surgical intervention.
Scapular fractures commonly result from high-energy trauma such as falls, motor vehicle accidents, or sports injuries. They can also occur in elderly patients with low-energy falls, especially those with osteoporosis.
