Nondisplaced fracture of neck of scapula, left shoulder
ICD-10 S42.155 is a billable code used to indicate a diagnosis of nondisplaced fracture of neck of scapula, left shoulder.
A nondisplaced fracture of the neck of the scapula is characterized by a break in the bone that does not result in the separation of the bone fragments. This type of fracture typically occurs due to trauma, such as a fall or direct impact to the shoulder area. The scapula, or shoulder blade, plays a crucial role in shoulder mobility and stability, and fractures in this area can lead to pain, limited range of motion, and functional impairment. Patients may present with shoulder pain, swelling, and difficulty lifting the arm. Diagnosis is often confirmed through imaging studies, such as X-rays or CT scans, which can help differentiate between nondisplaced and displaced fractures. Treatment usually involves conservative management, including rest, ice, analgesics, and physical therapy, although surgical intervention may be necessary in cases of associated injuries or complications. Understanding the implications of this fracture is essential for effective management and rehabilitation, as it can significantly impact a patient's quality of life and ability to perform daily activities.
Detailed operative reports, imaging studies, and follow-up notes are essential for accurate coding.
Fractures resulting from falls, sports injuries, or motor vehicle accidents.
Documentation must clearly indicate the type of fracture and any associated injuries to ensure proper coding.
Progress notes detailing the patient's functional status and response to therapy.
Rehabilitation following shoulder fractures or surgeries.
Therapy notes should include specific goals and outcomes related to the fracture recovery.
Used when surgical intervention is required for associated rotator cuff injuries.
Operative reports detailing the procedure and findings.
Orthopedic surgeons must document the necessity of surgery based on the fracture and associated injuries.
A displaced fracture involves a separation of the bone fragments, while a nondisplaced fracture means the bone remains aligned despite the fracture.
