ICD-10-CM Billable Code

S42.252

Displaced fracture of greater tuberosity of left humerus

Clinical Classification Guidelines

Medical Intelligence & Overview

A displaced fracture of the greater tuberosity of the left humerus is a specific type of shoulder injury where the bony prominence on the upper part of the upper arm bone (humerus) is broken and moved out of its normal alignment. This condition typically results from trauma or a direct blow to the shoulder, and it can significantly impact shoulder function and mobility.

Causes & Symptoms

Clinical Causes: Falls directly onto the shoulder or outstretched arm Sports injuries, especially in contact sports Motor vehicle accidents involving significant shoulder trauma Direct blows to the shoulder during accidents or workplace incidents Severe shoulder dislocations that may cause associated fractures

Key Symptoms: Severe shoulder pain, especially when trying to move the arm Swelling and tenderness around the shoulder joint Limited range of motion or inability to lift or rotate the arm Deformity or unusual bump at the top of the shoulder Bruising around the shoulder area Weakness in the affected arm

Diagnostic & Treatment

Diagnosis Path: Diagnosis involves a thorough physical examination by a healthcare professional to assess shoulder function and identify deformities. Imaging studies are crucial and typically include:

Treatment Protocols: Treatment options depend on the severity of the fracture and the degree of displacement. Common approaches include:

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 S42.252 a billable ICD-10 code?
Yes, S42.252 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S42.252?
Clinical documentation must specify the nature of Displaced fracture of greater tuberosity of left humerus and any associated comorbidities for accurate reporting.

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