ICD-10-CM Billable Code

S42.472

Displaced transcondylar fracture of left humerus

Clinical Classification Guidelines

Medical Intelligence & Overview

A displaced transcondylar fracture of the left humerus is a specific type of elbow injury involving a break in the lower part of the upper arm bone, the humerus. This fracture occurs across the condyles, which are the rounded protrusions at the end of the bone that articulate with the forearm. When displaced, the broken bone fragments are no longer aligned properly, typically requiring medical intervention. Recognizing the features of this injury is important for appropriate treatment and recovery.

Causes & Symptoms

Clinical Causes: Trauma from falls onto an outstretched arm Direct blows to the elbow or lower arm High-impact sports injuries Motor vehicle accidents Industrial accidents involving direct trauma

Key Symptoms: Severe pain around the elbow and lower upper arm Swelling and tenderness in the affected area Deformity or abnormal angulation of the elbow Inability to move or extend the arm properly Bruising around the elbow Numbness or tingling if nerves are affected Weakness in the arm when attempting movement

Diagnostic & Treatment

Diagnosis Path: Diagnosis begins with a detailed physical examination, focusing on the positioning and condition of the elbow. Imaging studies are crucial for confirmation:

Treatment Protocols: Treatment options depend on the severity of displacement and the patient's overall health:

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 S42.472 a billable ICD-10 code?
Yes, S42.472 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S42.472?
Clinical documentation must specify the nature of Displaced transcondylar fracture of left humerus and any associated comorbidities for accurate reporting.

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