S42.123
Displaced fracture of acromial process, unspecified shoulder
Clinical Classification Guidelines
Medical Intelligence & Overview
A displaced fracture of the acromial process is a specific type of shoulder injury where a small bony projection at the top of the shoulder blade, called the acromion process, is broken and the broken pieces are displaced from their normal alignment. This injury often results from trauma or a fall onto the shoulder and can cause pain, swelling, and limited movement. It is classified under the ICD-10 code S42.123, indicating a fracture of the acromial process with displacement, affecting the shoulder region. Recognizing the nature of this injury is essential for effective treatment and recovery.
Causes & Symptoms
Clinical Causes: Direct trauma to the shoulder, such as a fall or blow. Sports-related injuries involving impacts or falls. Accidents in which the shoulder is subjected to sudden force. Falls from a height landing on the shoulder area. Stress or repetitive activity leading to weakened bone structure.
Key Symptoms: Pain at the top of the shoulder, especially near the shoulder blade. Swelling or bruising around the shoulder area. Limited range of motion in the affected shoulder. Tenderness upon touching the acromion region. A visible deformity or bump may be noted if displacement is significant. Pain worsened by shoulder movement or lifting objects. Possible numbness or tingling if nearby nerves are affected.
Diagnostic & Treatment
Diagnosis Path: To confirm a displaced fracture of the acromial process, healthcare providers typically rely on imaging tests such as X-rays, which provide clear visualization of the bone break and displacement. In some cases, additional imaging like CT scans may be ordered for detailed assessment. Physical examination includes checking for tenderness, swelling, deformity, and range of motion limitations. A careful history of injury is also collected to determine the cause and extent of the injury.
Treatment Protocols: Treatment approaches vary based on the severity of the fracture and displacement. Common interventions include:
Clinical Advice & FAQs
Billing Guidance
Is S42.123 a billable ICD-10 code?
Yes, S42.123 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S42.123?
Clinical documentation must specify the nature of Displaced fracture of acromial process, unspecified shoulder and any associated comorbidities for accurate reporting.
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