Unspecified fracture of shaft of humerus, unspecified arm
ICD-10 S42.309 is a billable code used to indicate a diagnosis of unspecified fracture of shaft of humerus, unspecified arm.
The S42.309 code refers to an unspecified fracture of the shaft of the humerus, which is the long bone in the upper arm. This type of fracture can occur due to various mechanisms, including trauma from falls, sports injuries, or accidents. The humeral shaft is particularly susceptible to fractures due to its length and the forces exerted during impact. Symptoms typically include pain, swelling, and limited range of motion in the affected arm. Diagnosis is usually confirmed through imaging studies such as X-rays or CT scans. Treatment may vary based on the fracture's severity and displacement, ranging from conservative management with immobilization to surgical intervention for more complex cases. Surgical options may include intramedullary nailing or plate fixation to stabilize the fracture and promote healing. Rehabilitation is often necessary to restore function and strength to the arm following treatment.
Detailed operative reports, imaging studies, and follow-up notes are essential for accurate coding.
Fractures resulting from falls, sports injuries, or vehicular accidents.
Documentation must clearly indicate the fracture type, treatment plan, and any complications.
Comprehensive assessments of functional limitations and rehabilitation progress.
Patients undergoing rehabilitation post-fracture repair.
Focus on documenting functional outcomes and therapy goals.
Used when a patient with S42.309 undergoes closed reduction.
Operative report detailing the procedure and fracture characteristics.
Orthopedic surgeons must document the specifics of the fracture and treatment.
Used when surgical intervention is required for S42.309.
Detailed operative report and imaging studies.
Ensure clear documentation of surgical approach and fixation method.
Use S42.309 when the documentation does not specify the type or location of the humeral fracture, and no other codes apply.
Documentation should include the mechanism of injury, imaging results, treatment plan, and any associated injuries.
