ICD-10-CM Billable Code

S42.22

2-part fracture of surgical neck of humerus

Clinical Classification Guidelines

Medical Intelligence & Overview

A 2-part fracture of the surgical neck of the humerus is a specific type of shoulder fracture that affects the upper arm bone near the shoulder joint. This injury commonly occurs due to trauma and often requires medical evaluation and treatment to ensure proper healing and restore shoulder function.

Causes & Symptoms

Clinical Causes: Falls onto an outstretched arm or shoulder Direct blow to the shoulder Sports injuries involving impact or falls Motor vehicle accidents Osteoporosis or weakened bones increasing fracture risk

Key Symptoms: Sudden onset of shoulder pain Swelling and tenderness around the shoulder Inability to move the arm or shoulder Deformity or noticeable bump at the shoulder area Bruising around the shoulder Weakness in the arm Limited range of motion

Diagnostic & Treatment

Diagnosis Path: Diagnosis generally involves a physical examination to assess pain, deformity, and mobility. Imaging studies, such as X-rays, are essential to confirm the presence of a fracture, determine its type (in this case, a 2-part fracture), and plan appropriate treatment.

Treatment Protocols: Treatment options depend on the severity and specifics of the fracture. They may include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is S42.22 a billable ICD-10 code?
Yes, S42.22 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S42.22?
Clinical documentation must specify the nature of 2-part fracture of surgical neck of humerus and any associated comorbidities for accurate reporting.

Cite this Clinical Reference