ICD-10-CM Billable Code

S42.413

Displaced simple supracondylar fracture without intercondylar fracture of unspecified humerus

Clinical Classification Guidelines

Medical Intelligence & Overview

A displaced simple supracondylar fracture of the humerus is a type of arm injury that occurs near the elbow joint. It involves a break in the upper part of the humerus bone, just above the elbow, where the bone has shifted out of its normal alignment. This injury is classified as a displaced fracture, meaning the broken bone fragments are no longer in their proper position. Such fractures are common in children but can also occur in adults due to falls or other trauma. Proper diagnosis and treatment are crucial to ensure healing and restore arm function.

Causes & Symptoms

Clinical Causes: Falls onto an outstretched arm, especially falls onto the elbow or hand Direct blow to the upper arm or elbow area Accidents involving sports or motor vehicle collisions Trauma from falls or other injuries that exert significant force on the humerus

Key Symptoms: Severe pain around the elbow or upper arm Swelling and tenderness near the fracture site Deformity or abnormal appearance of the elbow Difficulty or inability to move the arm or elbow Bruising around the injury area Sensitivity to touch in the affected region

Diagnostic & Treatment

Diagnosis Path: Diagnosing a displaced supracondylar humerus fracture involves a clinical examination and imaging studies. The healthcare provider will assess the arm for signs of deformity, swelling, and reduced movement. X-rays are the primary tool used to confirm the fracture's presence, location, and extent of displacement. In some cases, additional imaging like CT scans may be recommended for detailed visualization, especially if surgical intervention is considered.

Treatment Protocols: Treatment options depend on the severity of the fracture and displacement. Common approaches include: - **Immobilization:** The use of a cast or splint to keep the bone fragments in place, allowing natural healing in less severe cases. - **Closed reduction:** A procedure where a healthcare provider manually realigns the fracture without surgery, often followed by immobilization. - **Surgical intervention:** In cases of significant displacement or unstable fractures, surgery may be necessary. This could involve the use of pins, screws, or plates to hold the bone fragments in correct position. - **Rehabilitation:** Post-treatment physical therapy may be recommended to restore strength and mobility once healing is underway. Early and appropriate treatment is vital to prevent complications such as nerve injury, vascular damage, or problems with bone growth in children.

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 S42.413 a billable ICD-10 code?
Yes, S42.413 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S42.413?
Clinical documentation must specify the nature of Displaced simple supracondylar fracture without intercondylar fracture of unspecified humerus and any associated comorbidities for accurate reporting.

Cite this Clinical Reference

Clinical Meta Tags

humerus displaced simple intercondylar supracondylar fracture