Unspecified fracture of upper end of left humerus
ICD-10 S42.202 is a billable code used to indicate a diagnosis of unspecified fracture of upper end of left humerus.
An unspecified fracture of the upper end of the left 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 pain, swelling, and limited range of motion in the shoulder. Diagnosis is usually confirmed through imaging studies such as X-rays or MRI, which help to visualize the fracture and assess for any associated injuries, such as dislocations or rotator cuff tears. Treatment often involves conservative management with immobilization, physical therapy, and pain management, but surgical intervention may be necessary in cases of displaced fractures or when there is significant joint involvement. Understanding the specific nature of the fracture is crucial for appropriate management and coding, as it can impact treatment decisions and outcomes.
Detailed notes on fracture type, treatment plan, and follow-up care.
Fractures resulting from falls, sports injuries, or trauma requiring surgical intervention.
Ensure documentation specifies the nature of the fracture and any surgical procedures performed.
Progress notes detailing rehabilitation goals, treatment modalities, and patient response.
Rehabilitation following surgical repair of humeral fractures or conservative management.
Document functional limitations and progress towards recovery to support coding for therapy services.
Used when a rotator cuff injury is present alongside the humeral fracture.
Document the nature of the rotator cuff injury and the surgical approach.
Orthopedic surgeons should ensure that the rotator cuff injury is clearly documented to support the procedure.
S42.202 is used for unspecified fractures of the upper end of the left humerus, while S42.201 is for unspecified fractures of the upper end of the right humerus. Accurate coding requires documentation of the side of the injury.
