Displaced fracture of greater tuberosity of unspecified humerus
ICD-10 S42.253 is a billable code used to indicate a diagnosis of displaced fracture of greater tuberosity of unspecified humerus.
A displaced fracture of the greater tuberosity of the humerus is a common injury often associated with shoulder trauma, particularly in cases of falls or sports injuries. The greater tuberosity serves as an attachment point for the rotator cuff muscles, which are crucial for shoulder stability and movement. When this area is fractured, it can lead to significant pain, limited range of motion, and potential complications such as rotator cuff tears or shoulder dislocation. Diagnosis typically involves physical examination and imaging studies, such as X-rays or MRI, to assess the extent of the fracture and any associated injuries. Treatment may vary from conservative management, including rest and physical therapy, to surgical intervention, such as open reduction and internal fixation (ORIF), depending on the severity of the fracture and the patient's functional needs. Proper coding is essential for accurate billing and to ensure that the patient's medical record reflects the complexity of their injury and treatment plan.
Detailed operative reports, imaging studies, and post-operative notes are essential.
Fractures resulting from falls, sports injuries, or trauma requiring surgical intervention.
Documentation must clearly outline the fracture's characteristics and any surgical repairs performed.
Progress notes detailing functional assessments and treatment plans.
Rehabilitation following surgical repair of the greater tuberosity fracture.
Therapy notes should reflect the patient's progress and any limitations due to the fracture.
Used in conjunction with S42.253 when surgical repair of the rotator cuff is necessary.
Operative report detailing the procedure and findings.
Orthopedic surgeons must document the necessity of the procedure related to the fracture.
Accurate coding of S42.253 is crucial for proper reimbursement, ensuring that the patient's medical record reflects the complexity of their injury and treatment, and for tracking outcomes related to shoulder injuries.
