ICD-10-CM Billable Code

S42.352

Displaced comminuted fracture of shaft of humerus, left arm

Clinical Classification Guidelines

Medical Intelligence & Overview

A displaced comminuted fracture of the shaft of the humerus refers to a serious arm injury where the long bone running from the shoulder to the elbow (humerus) is broken into several pieces, and the broken fragments are out of their normal position. This type of fracture typically results from high-impact trauma and requires prompt medical attention to ensure proper healing and restore arm function.

Causes & Symptoms

Clinical Causes: Falls from a significant height High-energy trauma, such as motor vehicle accidents Direct blow or injury to the upper arm Severe sports injuries Osteoporosis weakening the bone structure, making it more susceptible

Key Symptoms: Severe pain in the upper arm Swelling and bruising around the fracture site Inability or difficulty moving the arm Visible deformity or abnormal positioning of the arm Tenderness when touching the area Numbness or tingling if nerves are affected Loss of function or weakness in the arm

Diagnostic & Treatment

Diagnosis Path: Healthcare professionals typically diagnose a displaced comminuted fracture through a combination of physical examinations and imaging tests. An X-ray is the primary imaging technique used to determine the fracture's complexity, extent, and exact location. Additional imaging like a CT scan may be necessary for detailed visualization, especially in complex cases.

Treatment Protocols: Immobilization with a cast or brace to stabilize the bone Traction, in some cases, to align bones correctly Surgical intervention to realign and fix the fractured pieces using plates, screws, or rods Pain management with medications Physical therapy after initial healing to restore strength and mobility Monitoring for potential complications like nerve injury, infection, or non-union of the fracture

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 S42.352 a billable ICD-10 code?
Yes, S42.352 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S42.352?
Clinical documentation must specify the nature of Displaced comminuted fracture of shaft of humerus, left arm and any associated comorbidities for accurate reporting.

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