3-part fracture of surgical neck of right humerus
ICD-10 S42.231 is a billable code used to indicate a diagnosis of 3-part fracture of surgical neck of right humerus.
A 3-part fracture of the surgical neck of the right humerus typically occurs due to high-energy trauma, such as falls or sports injuries, particularly in older adults with osteoporotic bones. This type of fracture involves three distinct fragments: the greater tuberosity, the lesser tuberosity, and the humeral shaft. Clinically, patients present with significant shoulder pain, swelling, and limited range of motion. Diagnosis is confirmed through imaging studies, primarily X-rays, which reveal the fracture pattern and displacement. Treatment often involves surgical intervention, such as open reduction and internal fixation (ORIF), to restore anatomical alignment and function. Post-operative rehabilitation is crucial for regaining strength and mobility, and complications may include nonunion, malunion, or stiffness. Understanding the nuances of this fracture type is essential for accurate coding and appropriate management.
Detailed operative reports, imaging studies, and post-operative notes are essential.
Fractures due to falls, sports injuries, or pathological fractures in osteoporotic patients.
Ensure that all fracture fragments and surgical techniques are documented to support coding.
Progress notes detailing rehabilitation goals, treatment modalities, and patient response.
Rehabilitation following surgical repair of humeral fractures.
Documenting functional limitations and progress is crucial for coding therapy sessions.
Used in conjunction with S42.231 for surgical repair.
Operative report detailing the procedure and findings.
Orthopedic surgeons must document the fracture type and surgical approach.
A 2-part fracture involves two fragments, typically the humeral head and the shaft, while a 3-part fracture includes additional fragments, such as the greater and lesser tuberosities, indicating a more complex injury.
