S42.443
Displaced fracture (avulsion) of medial epicondyle of unspecified humerus
Clinical Classification Guidelines
Medical Intelligence & Overview
A displaced fracture of the medial epicondyle of the humerus (ICD-10 code S42.443) refers to a break in the bony prominence on the inner side of the lower end of the upper arm bone. This type of fracture often involves an avulsion, where a fragment of bone is pulled away by the attached tendons or ligaments. Commonly seen in children and adolescents involved in sports or falls, this injury requires prompt medical attention to restore arm function and prevent complications.
Causes & Symptoms
Clinical Causes: Direct trauma to the inside of the elbow during falls or collisions Repetitive or forceful stresses on the arm, especially in sports like baseball, gymnastics, or swimming Accidental impacts during falls, slips, or obstacles Forceful pulling on the arm when the elbow is bent or under stress
Key Symptoms: Localized pain on the inner side of the elbow, especially when attempting to move the arm Swelling and tenderness around the medial epicondyle area Difficulty in bending or straightening the arm Bruising or discoloration around the injured area Possible numbness or tingling if nerves are affected Weakness in grip or forearm movements
Diagnostic & Treatment
Diagnosis Path: Diagnosis typically involves a detailed history and physical examination by a healthcare provider, focusing on signs of trauma and movement limitations. Imaging studies are essential; they usually include:
Treatment Protocols: Treatment for a displaced fracture of the medial epicondyle can vary based on the extent of displacement and associated injuries. Medical options include:
Clinical Advice & FAQs
Billing Guidance
Is S42.443 a billable ICD-10 code?
Yes, S42.443 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S42.443?
Clinical documentation must specify the nature of Displaced fracture (avulsion) of medial epicondyle of unspecified humerus and any associated comorbidities for accurate reporting.
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