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ICD-10 Guide
ICD-10 CodesS42.142

S42.142

Billable

Displaced fracture of glenoid cavity of scapula, left shoulder

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

Code Description

ICD-10 S42.142 is a billable code used to indicate a diagnosis of displaced fracture of glenoid cavity of scapula, left shoulder.

Key Diagnostic Point:

A displaced fracture of the glenoid cavity of the scapula, specifically on the left shoulder, occurs when there is a break in the bone that forms the socket of the shoulder joint, which is responsible for articulating with the head of the humerus. This type of fracture is often the result of high-energy trauma, such as a fall or a motor vehicle accident, and can lead to significant pain, swelling, and limited range of motion in the shoulder. The displacement of the fracture can complicate the injury, as it may affect the alignment of the joint and the surrounding soft tissues, including the rotator cuff. Diagnosis typically involves imaging studies such as X-rays or CT scans to assess the extent of the fracture and any associated injuries. Treatment may require surgical intervention to realign the bones and stabilize the joint, often involving orthopedic surgical repairs such as open reduction and internal fixation (ORIF). Rehabilitation is crucial for restoring function and strength to the shoulder post-injury.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of anatomical terminology related to the shoulder.
  • Differentiation from similar codes for shoulder injuries.
  • Need for precise documentation of displacement and associated injuries.
  • Potential for multiple treatment modalities affecting coding.

Audit Risk Factors

  • Inadequate documentation of the mechanism of injury.
  • Failure to specify the degree of displacement.
  • Lack of imaging reports to support the diagnosis.
  • Inconsistent coding of associated injuries.

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and pre-operative assessments.

Common Clinical Scenarios

Fractures resulting from falls, sports injuries, or vehicular accidents.

Billing Considerations

Documentation must clearly indicate the type of fracture and any surgical interventions performed.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessments of functional limitations and rehabilitation plans.

Common Clinical Scenarios

Post-operative rehabilitation following surgical repair of shoulder fractures.

Billing Considerations

Focus on recovery outcomes and functional improvements in documentation.

Coding Guidelines

Inclusion Criteria

Use S42.142 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, location, and any associated injuries
  • Include details on the treatment plan and any surgical procedures performed

Exclusion Criteria

Do NOT use S42.142 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

23470CPT Code

Arthroscopic shoulder stabilization

Clinical Scenario

Used in cases of recurrent shoulder dislocations or instability following a fracture.

Documentation Requirements

Operative report detailing the procedure and indications.

Specialty Considerations

Orthopedic surgeons must document the rationale for surgical intervention.

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 data collection and reimbursement processes. S42.142 provides a clear distinction between types of fractures, which aids in clinical management and research.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of shoulder injuries, improving the accuracy of data collection and reimbursement processes. S42.142 provides a clear distinction between types of fractures, which aids in clinical management and research.

Reimbursement & Billing Impact

reimbursement processes. S42.142 provides a clear distinction between types of fractures, which aids in clinical management and research.

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 primary treatment for a displaced fracture of the glenoid cavity?

The primary treatment often involves surgical intervention to realign the fracture and stabilize the joint, followed by a rehabilitation program to restore function.