Unspecified fracture of upper end of right humerus
ICD-10 S42.201 is a billable code used to indicate a diagnosis of unspecified fracture of upper end of right humerus.
An unspecified fracture of the upper end of the right humerus typically refers to a break in the proximal region of the humerus, which is the bone of the upper arm that connects the shoulder to the elbow. This type of fracture can occur due to various mechanisms, including falls, direct trauma, or sports injuries. Patients may present with shoulder pain, swelling, and limited range of motion. Diagnosis is often confirmed through imaging studies such as X-rays or MRI, which help to assess the fracture's location and severity. Treatment options may vary based on the fracture type and patient factors, ranging from conservative management with immobilization to surgical interventions such as open reduction and internal fixation (ORIF) or shoulder arthroplasty. Rehabilitation is crucial for restoring function and strength post-injury. Understanding the nuances of this code is essential for accurate billing and documentation, as it encompasses a range of potential injuries and treatment pathways.
Detailed operative reports, imaging studies, and post-operative notes are essential.
Fractures resulting from falls, sports injuries, or accidents requiring surgical intervention.
Accurate documentation of fracture type and treatment plan is critical for coding and reimbursement.
Progress notes detailing rehabilitation protocols and patient responses.
Post-operative rehabilitation following humeral fracture repair.
Documentation must reflect the functional limitations and progress of the patient.
Used in conjunction with S42.201 if a rotator cuff injury is also present.
Operative report detailing the procedure and findings.
Orthopedic surgeons must document the relationship between the fracture and any concurrent rotator cuff repair.
Use S42.201 when the documentation indicates an unspecified fracture of the upper end of the right humerus, and no more specific code is available.