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ICD-10 Guide
ICD-10 CodesS42.143

S42.143

Billable

Displaced fracture of glenoid cavity of scapula, unspecified shoulder

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

Code Description

ICD-10 S42.143 is a billable code used to indicate a diagnosis of displaced fracture of glenoid cavity of scapula, unspecified shoulder.

Key Diagnostic Point:

A displaced fracture of the glenoid cavity of the scapula typically occurs due to trauma, such as a fall or a direct blow to the shoulder. The glenoid cavity is the shallow socket in the scapula that articulates with the head of the humerus, forming the shoulder joint. This type of fracture can lead to significant pain, swelling, and limited range of motion in the shoulder. Patients may present with symptoms such as difficulty lifting the arm, tenderness over the shoulder joint, and visible deformity in severe cases. Diagnosis is usually confirmed through imaging studies, including X-rays or CT scans, which can reveal the extent of the fracture and any associated dislocation. Treatment often involves immobilization, pain management, and in some cases, surgical intervention to realign the fractured bone and stabilize the joint. Rehabilitation is crucial for restoring function and strength to the shoulder post-injury. Complications can include chronic pain, stiffness, and potential for future dislocations or arthritis in the joint.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between displaced and non-displaced fractures
  • Identifying associated injuries such as dislocations or rotator cuff tears
  • Understanding the implications of unspecified shoulder in coding
  • Variability in treatment approaches based on fracture severity

Audit Risk Factors

  • Inadequate documentation of fracture type and displacement
  • Failure to document associated injuries
  • Misclassification of unspecified shoulder injuries
  • Lack of clarity in treatment plans and follow-up care

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Detailed operative reports, imaging studies, and post-operative notes are essential.

Common Clinical Scenarios

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

Billing Considerations

Ensure accurate coding of any surgical procedures performed, including fixation methods.

Physical Medicine and Rehabilitation

Documentation Requirements

Comprehensive assessments of functional limitations and rehabilitation progress notes.

Common Clinical Scenarios

Patients undergoing rehabilitation post-fracture repair to regain shoulder function.

Billing Considerations

Documenting the patient's response to therapy and any complications that arise.

Coding Guidelines

Inclusion Criteria

Use S42.143 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the fracture type, location, and any associated injuries
  • displaced fractures or other shoulder conditions unless specified

Exclusion Criteria

Do NOT use S42.143 When
  • Exclude codes for non

Related ICD-10 Codes

Related CPT Codes

23470CPT Code

Arthroscopic shoulder stabilization

Clinical Scenario

Used for surgical repair of a displaced glenoid fracture with instability.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Orthopedic surgeons must document the specific techniques used during surgery.

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. S42.143 provides a clear designation for displaced fractures, enhancing data collection and analysis.

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. S42.143 provides a clear designation for displaced fractures, enhancing data collection and analysis.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of shoulder injuries, improving the accuracy of diagnoses and treatment plans. S42.143 provides a clear designation for displaced fractures, enhancing data collection and analysis.

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