ICD-10-CM Billable Code

S42.142

Displaced fracture of glenoid cavity of scapula, left shoulder

Clinical Classification Guidelines

Medical Intelligence & Overview

A displaced fracture of the glenoid cavity of the scapula refers to a break in the socket part of the shoulder blade on the left side, which has moved out of its normal position. The glenoid cavity plays a crucial role in shoulder movement and stability, connecting the upper arm bone (humerus) to the shoulder blade. Such fractures usually result from significant trauma and can significantly impact shoulder function if not properly treated.

Causes & Symptoms

Clinical Causes: High-impact trauma, such as vehicle accidents Falls onto the shoulder or outstretched arm Sports injuries involving forceful contact or falls Direct blow to the shoulder area

Key Symptoms: Severe shoulder pain, especially with movement Swelling and tenderness around the shoulder Deformity or an obvious bump in the shoulder area Limited range of motion in the shoulder joint Bruising around the shoulder

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a detailed physical examination and imaging studies. X-rays are the primary tool used to identify the fracture and determine if the bone fragments are displaced. In some cases, additional imaging such as a CT scan may be ordered to better understand the extent of the injury and assist in planning treatment. Medical professionals assess the stability of the shoulder and check for other possible injuries involving nearby structures.

Treatment Protocols: Treatment strategies depend on the severity and displacement of the fracture. Common approaches include: - **Non-surgical management:** In cases where the bone fragments are minimally displaced, immobilization with a shoulder brace or sling may suffice. Rest, ice, and pain management are typically recommended, along with gradual physical therapy. - **Surgical intervention:** For significantly displaced fractures or if the joint stability is compromised, surgery might be required. Procedures often involve repositioning the bone fragments and fixing them with hardware such as screws or plates. Following surgery, physical therapy is essential to restore shoulder function and strength. Recovery times can vary based on the treatment approach and individual health, but full rehabilitation often takes several months. Close follow-up with healthcare professionals is vital to monitor healing and prevent complications.

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 S42.142 a billable ICD-10 code?
Yes, S42.142 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S42.142?
Clinical documentation must specify the nature of Displaced fracture of glenoid cavity of scapula, left shoulder and any associated comorbidities for accurate reporting.

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