Displaced fracture of neck of scapula, unspecified shoulder
ICD-10 S42.153 is a billable code used to indicate a diagnosis of displaced fracture of neck of scapula, unspecified shoulder.
A displaced fracture of the neck of the scapula is a serious injury that typically occurs due to high-impact trauma, such as falls or vehicular accidents. The scapula, or shoulder blade, plays a crucial role in shoulder stability and mobility. A fracture in this area can lead to significant pain, limited range of motion, and potential complications such as nerve damage or rotator cuff injuries. Patients may present with shoulder pain, swelling, and difficulty moving the arm. Diagnosis is usually confirmed through imaging studies, such as X-rays or CT scans, which reveal the fracture's location and displacement. Treatment often involves immobilization, pain management, and in some cases, surgical intervention to realign the bone fragments. Rehabilitation is essential for restoring function and strength to the shoulder joint post-injury. The complexity of managing such fractures lies in the potential for associated injuries, including dislocations or humeral fractures, which may require comprehensive orthopedic evaluation and intervention.
Detailed operative reports, imaging studies, and post-operative notes are essential for accurate coding.
Fractures resulting from falls, sports injuries, or accidents requiring surgical repair.
Ensure documentation reflects the complexity of the fracture and any associated procedures performed.
Progress notes detailing patient rehabilitation, range of motion assessments, and functional outcomes.
Rehabilitation following surgical repair of scapular fractures or conservative management of non-displaced fractures.
Document specific therapeutic interventions and patient responses to treatment.
Used in cases where surgical intervention is required for displaced fractures.
Operative reports detailing the procedure and findings.
Orthopedic surgeons must document the rationale for surgery and any complications.
A displaced fracture involves a separation of the bone fragments, which can lead to instability and requires more intensive treatment, while a non-displaced fracture means the bone remains aligned.
