ICD-10-CM Billable Code

S42.113

Displaced fracture of body of scapula, unspecified shoulder

Clinical Classification Guidelines

Medical Intelligence & Overview

A displaced fracture of the body of the scapula is a serious injury involving a break in one of the flat bones that make up the shoulder blade. The scapula plays a vital role in shoulder movement and stability. When this bone is fractured and displaced, it often requires prompt medical attention to ensure proper healing and to restore shoulder function. This guide provides an overview useful for patients seeking to understand this condition, its causes, symptoms, diagnosis, and treatment options.

Causes & Symptoms

Clinical Causes: Trauma from falls or direct blows to the shoulder area Motor vehicle accidents causing impact to the shoulder Sports-related injuries from contact or high-impact activities Crushing injuries or collisions Osteoporosis or weakened bones increasing fracture risk

Key Symptoms: Severe pain around the shoulder blade Swelling and tenderness near the shoulder Visible deformity or abnormal positioning of the shoulder Limited range of motion or inability to move the shoulder properly Bruising around the shoulder and upper back Difficulty lifting or supporting arm movements

Diagnostic & Treatment

Diagnosis Path: Diagnosing a displaced fracture of the scapula involves a combination of clinical examination and imaging studies. The healthcare provider will assess the shoulder for signs of injury, deformity, and tenderness. Confirmatory tests include:

Treatment Protocols: Immobilization with a sling or brace to restrict movement and reduce pain Pain management through medications as recommended by a healthcare professional Rest and activity modification to allow healing Physical therapy exercises to restore range of motion and strengthen shoulder muscles after initial healing Surgical intervention for severely displaced fractures or if bones do not heal properly with non-surgical methods, which may involve internal fixation with plates and screws

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 S42.113 a billable ICD-10 code?
Yes, S42.113 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S42.113?
Clinical documentation must specify the nature of Displaced fracture of body of scapula, unspecified shoulder and any associated comorbidities for accurate reporting.

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