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ICD-10 Guide
ICD-10 CodesS42.134

S42.134

Billable

Nondisplaced fracture of coracoid process, right shoulder

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

Code Description

ICD-10 S42.134 is a billable code used to indicate a diagnosis of nondisplaced fracture of coracoid process, right shoulder.

Key Diagnostic Point:

A nondisplaced fracture of the coracoid process of the scapula is characterized by a break in the bone that does not result in the separation of the fracture fragments. The coracoid process serves as an attachment point for several muscles and ligaments, including the pectoralis minor and the coracobrachialis. This type of fracture is often associated with shoulder dislocations or trauma to the shoulder region, such as falls or direct impacts. Patients may present with localized pain, swelling, and limited range of motion in the shoulder. Diagnosis typically involves physical examination and imaging studies, such as X-rays or CT scans, to confirm the fracture and assess for any associated injuries. Treatment may include conservative management with rest, ice, and immobilization, or surgical intervention if there are complications or if the fracture is associated with significant instability. Rehabilitation is crucial for restoring function and strength to the shoulder joint following recovery.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between displaced and nondisplaced fractures
  • Understanding associated injuries such as shoulder dislocations
  • Knowledge of specific anatomical terminology related to the shoulder
  • Awareness of treatment options and their implications for coding

Audit Risk Factors

  • Inadequate documentation of the fracture type
  • Failure to specify laterality (right shoulder)
  • Misclassification of the fracture as displaced
  • Lack of imaging reports to support the diagnosis

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative notes if surgical intervention is performed, including the type of procedure and any implants used.

Common Clinical Scenarios

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

Billing Considerations

Ensure that all relevant imaging studies are documented to support the diagnosis and treatment plan.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessment of functional limitations and rehabilitation goals.

Common Clinical Scenarios

Patients undergoing rehabilitation post-fracture for strength and mobility.

Billing Considerations

Document progress notes that reflect the patient's recovery and response to therapy.

Coding Guidelines

Inclusion Criteria

Use S42.134 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, laterality, and any associated injuries
  • Include relevant imaging and treatment details

Exclusion Criteria

Do NOT use S42.134 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 necessary for fracture repair.

Documentation Requirements

Operative report detailing the procedure performed and any findings.

Specialty Considerations

Orthopedic surgeons should ensure accurate coding of the procedure in relation to the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of fractures, including nondisplaced fractures of the coracoid process, improving the accuracy of patient records and treatment plans.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of fractures, including nondisplaced fractures of the coracoid process, improving the accuracy of patient records and treatment plans.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of fractures, including nondisplaced fractures of the coracoid process, improving the accuracy of patient records and treatment plans.

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 separation of the fracture fragments, while a nondisplaced fracture does not, meaning the bone remains in alignment.