ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesS42.122

S42.122

Billable

Displaced fracture of acromial process, left shoulder

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

Code Description

ICD-10 S42.122 is a billable code used to indicate a diagnosis of displaced fracture of acromial process, left shoulder.

Key Diagnostic Point:

A displaced fracture of the acromial process of the left shoulder occurs when there is a break in the bone at the acromion, which is the bony prominence on the top of the shoulder blade (scapula). This type of fracture is often the result of trauma, such as a fall onto the shoulder or a direct blow to the area. Symptoms typically include severe pain, swelling, and limited range of motion in the shoulder. Diagnosis is usually confirmed through imaging studies, such as X-rays or CT scans, which reveal the fracture's displacement. Treatment may involve conservative management, including rest, ice, and immobilization, or surgical intervention if the fracture is significantly displaced or involves other structures, such as the rotator cuff. Surgical options may include open reduction and internal fixation (ORIF) to realign the bone fragments and stabilize the shoulder. Rehabilitation is crucial for restoring function and strength post-injury.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of fracture type and displacement
  • Differentiation from similar shoulder injuries (e.g., rotator cuff tears)
  • Potential for surgical intervention affecting coding
  • Variability in treatment approaches based on fracture severity

Audit Risk Factors

  • Inadequate documentation of fracture specifics
  • Failure to document imaging results
  • Incorrect coding of associated injuries (e.g., rotator cuff tears)
  • Lack of clarity on treatment plan and follow-up care

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes, imaging reports, and post-operative care plans.

Common Clinical Scenarios

Fractures resulting from sports injuries, falls, or accidents requiring surgical repair.

Billing Considerations

Ensure accurate coding of any associated procedures performed during surgery.

Physical Therapy

Documentation Requirements

Progress notes detailing rehabilitation exercises and patient response.

Common Clinical Scenarios

Rehabilitation following surgical repair of shoulder fractures.

Billing Considerations

Document functional limitations and progress towards recovery.

Coding Guidelines

Inclusion Criteria

Use S42.122 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture's location, type, and any associated injuries
  • Include imaging results and treatment plans in the medical record

Exclusion Criteria

Do NOT use S42.122 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

23470CPT Code

Arthroscopy, shoulder, surgical

Clinical Scenario

Used in cases where surgical intervention is required for displaced fractures.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must ensure accurate coding of the procedure performed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of shoulder injuries, improving the accuracy of diagnoses and treatment plans. S42.122 provides a clear distinction for displaced fractures, which aids in appropriate reimbursement and care management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of shoulder injuries, improving the accuracy of diagnoses and treatment plans. S42.122 provides a clear distinction for displaced fractures, which aids in appropriate reimbursement and care management.

Reimbursement & Billing Impact

reimbursement and care management.

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 non-displaced fracture?

A displaced fracture means the bone fragments are not aligned, while a non-displaced fracture means the bone remains in its normal position despite the fracture.