Displaced fracture of body of scapula, unspecified shoulder
ICD-10 S42.113 is a billable code used to indicate a diagnosis of displaced fracture of body of scapula, unspecified shoulder.
A displaced fracture of the body of the scapula is a significant injury that typically results from high-energy trauma, such as falls or vehicular accidents. The scapula, or shoulder blade, plays a crucial role in shoulder stability and function, and fractures in this area can lead to considerable pain, limited range of motion, and functional impairment. Patients may present with swelling, bruising, and tenderness over the shoulder region. Diagnosis is often confirmed through imaging studies, including X-rays or CT scans, which can reveal the extent of the fracture and any associated injuries. Treatment may involve conservative management with immobilization or surgical intervention, depending on the fracture's displacement and the patient's overall health. Surgical options may include open reduction and internal fixation (ORIF) to restore the anatomical alignment of the scapula. Rehabilitation is essential for restoring shoulder function and strength post-injury. Understanding the complexities of this injury is vital for accurate coding and appropriate management.
Detailed operative reports, imaging studies, and follow-up notes are essential for accurate coding.
Fractures resulting from sports injuries, falls, or trauma requiring surgical intervention.
Documentation must clearly outline the fracture's characteristics and any surgical repairs performed.
Comprehensive assessments of functional limitations and rehabilitation progress.
Patients undergoing rehabilitation post-fracture repair to regain shoulder function.
Focus on documenting the patient's functional status and rehabilitation goals.
Used in cases where surgical intervention is required for displaced fractures.
Operative reports detailing the procedure and findings.
Orthopedic surgeons must document the specifics of the fracture and surgical approach.
Treatment may involve surgical intervention to realign the bone fragments, followed by rehabilitation to restore function.
