ICD-10-CM Billable Code

S42.15

Fracture of neck of scapula

Clinical Classification Guidelines

Medical Intelligence & Overview

A fracture of the neck of the scapula is a break in the part of the shoulder blade located just below the shoulder joint. This type of injury can result from trauma, such as falls or direct blows to the shoulder. While relatively uncommon compared to other shoulder injuries, it requires proper diagnosis and management to ensure optimal healing and function.

Causes & Symptoms

Clinical Causes: Falls onto the shoulder or outstretched arm Direct blow or trauma to the shoulder region Motor vehicle accidents Sports injuries from contact or high-impact activities Crush injuries from heavy objects

Key Symptoms: Pain around the shoulder and upper arm Swelling and tenderness at the shoulder site Limited range of motion in the shoulder joint Visible deformity or bump if the fracture is displaced Bruising around the shoulder area Difficulty moving or raising the arm

Diagnostic & Treatment

Diagnosis Path: Diagnosis involves a clinical evaluation by a healthcare provider, who assesses the injury's severity and extent. Imaging studies are crucial and typically include:

Treatment Protocols: The management of a fracture of the neck of the scapula depends on the fracture's complexity and displacement. 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 S42.15 a billable ICD-10 code?
Yes, S42.15 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S42.15?
Clinical documentation must specify the nature of Fracture of neck of scapula and any associated comorbidities for accurate reporting.

Cite this Clinical Reference