ICD-10-CM Billable Code

S42.262

Displaced fracture of lesser tuberosity of left humerus

Clinical Classification Guidelines

Medical Intelligence & Overview

A displaced fracture of the lesser tuberosity of the left humerus is a type of shoulder injury where the small bony prominence on the upper arm bone (humerus) is broken and displaced from its normal position. This injury usually results from trauma or a significant impact to the shoulder. It can affect shoulder stability and movement, often requiring medical intervention to heal properly.

Causes & Symptoms

Clinical Causes: Falls onto an outstretched arm or shoulder Direct blow or trauma to the shoulder area Sports injuries involving forceful shoulder movements Car accidents or high-impact incidents Severe shoulder dislocations leading to associated fractures

Key Symptoms: Pain in the shoulder and upper arm Swelling and tenderness around the shoulder Limited range of motion in the shoulder joint Weakness or inability to lift or rotate the arm Visible deformity or bump around the shoulder area Bruising or discoloration post-injury

Diagnostic & Treatment

Diagnosis Path: A healthcare provider typically evaluates a displaced fracture of the lesser tuberosity through a physical examination and patient history. Imaging tests are essential to confirm the diagnosis, including:

Treatment Protocols: Treatment strategies depend on the severity of the fracture and displacement. Options often 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 S42.262 a billable ICD-10 code?
Yes, S42.262 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S42.262?
Clinical documentation must specify the nature of Displaced fracture of lesser tuberosity of left humerus and any associated comorbidities for accurate reporting.

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