Displaced fracture of lesser tuberosity of right humerus
ICD-10 S42.261 is a billable code used to indicate a diagnosis of displaced fracture of lesser tuberosity of right humerus.
A displaced fracture of the lesser tuberosity of the right humerus typically occurs due to trauma, such as a fall or direct impact to the shoulder. The lesser tuberosity is a small bony prominence on the humerus where the subscapularis muscle attaches, playing a crucial role in shoulder stability and function. Displacement of this fracture can lead to significant pain, limited range of motion, and potential complications such as rotator cuff injuries or shoulder dislocations. Diagnosis is usually confirmed through imaging studies, including X-rays or MRI, which can reveal the extent of the fracture and any associated soft tissue injuries. Treatment often involves orthopedic surgical repair, which may include fixation techniques to stabilize the fracture and restore normal anatomy. Post-operative rehabilitation is essential for recovery, focusing on restoring strength and mobility to prevent long-term dysfunction. Accurate coding of this condition is vital for appropriate reimbursement and tracking of orthopedic injuries.
Detailed operative reports, imaging studies, and post-operative notes are essential.
Fractures resulting from falls, sports injuries, or accidents requiring surgical intervention.
Ensure documentation reflects the complexity of the fracture and any surgical techniques used.
Progress notes detailing rehabilitation protocols and patient response to therapy.
Post-operative rehabilitation following surgical repair of shoulder fractures.
Document functional limitations and progress towards recovery to support coding for therapy services.
Used when a rotator cuff repair is performed alongside fracture fixation.
Operative report detailing the procedure and findings.
Orthopedic surgeons should ensure clear documentation of both the fracture and any associated repairs.
Coding the lesser tuberosity fracture accurately is crucial as it impacts treatment decisions, rehabilitation protocols, and reimbursement. It also helps in tracking the incidence of shoulder injuries and outcomes in clinical practice.
