S42.191
Fracture of other part of scapula, right shoulder
Clinical Classification Guidelines
Medical Intelligence & Overview
A fracture of the scapula, commonly known as the shoulder blade, is a break in one of the plates of bone that make up the shoulder blade. The specific code S42.191 refers to a fracture involving a different part of the scapula on the right side of the body. Such injuries typically result from trauma, such as falls or accidents, and can affect shoulder mobility and integrity. Proper diagnosis and management are essential for optimal healing and recovery.
Causes & Symptoms
Clinical Causes: Direct blow to the shoulder during falls, sports injuries, or accidents High-impact trauma, such as car or motorcycle collisions Falls onto the outstretched arm or shoulder Crushing injuries or severe impact forces
Key Symptoms: Pain and tenderness in the shoulder area Swelling and bruising around the shoulder blade Limited range of motion or difficulty moving the shoulder Deformity or abnormal positioning of the shoulder Weakness in arm and shoulder movements Pain that worsens with shoulder movement or deep breaths
Diagnostic & Treatment
Diagnosis Path: X-ray: The primary imaging modality to visualize fractures in the scapula Computed tomography (CT) scan: Provides detailed images of complex or suspected intra-articular fractures Magnetic resonance imaging (MRI): Sometimes used to assess soft tissue damage around the shoulder
Treatment Protocols: Conservative management with immobilization using a shoulder brace or sling to restrict movement and allow healing Pain management with medications as prescribed by a healthcare provider Physical therapy to restore mobility, strength, and function following initial healing Surgical intervention, in cases where the fracture is severe, displaced, or involves joint surfaces, may involve Internal fixation with plates and screws to ensure proper alignment Follow-up imaging to monitor healing progress
Clinical Advice & FAQs
Billing Guidance
Is S42.191 a billable ICD-10 code?
Yes, S42.191 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S42.191?
Clinical documentation must specify the nature of Fracture of other part of scapula, right shoulder and any associated comorbidities for accurate reporting.
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