ICD-10-CM Billable Code

S42.01

Fracture of sternal end of clavicle

Clinical Classification Guidelines

Medical Intelligence & Overview

A fracture of the sternal end of the clavicle refers to a break in the clavicle bone at the point where it connects to the sternum, or breastbone. This type of fracture typically happens due to a direct blow to the shoulder, a fall onto the shoulder or outstretched hand, or a sports injury. It is important for individuals experiencing trauma to the shoulder area to seek medical assessment, as proper diagnosis and treatment are essential for healing and restoring function.

Causes & Symptoms

Clinical Causes: Direct impact or blow to the shoulder or chest region Fall onto the shoulder or outstretched hand Sports-related injuries, such as tackles or falls Vehicular accidents resulting in shoulder trauma Falls from a height onto the shoulder area

Key Symptoms: Pain and tenderness around the front of the shoulder Swelling or bruising over the clavicle area Difficulty moving or lifting the arm Visible deformity or bump at the site of fracture Limited range of shoulder motion Pain worsens with shoulder movement or pressing on the area

Diagnostic & Treatment

Diagnosis Path: X-ray imaging to visualize the fracture and determine its location and severity Additional imaging such as MRI or CT scan may be used if more details are necessary Assessment of neurovascular status to ensure no nerve or blood vessel damage

Treatment Protocols: Immobilization with a sling or shoulder immobilizer to keep the clavicle steady Use of pain relievers or anti-inflammatory medications for discomfort Physical therapy to regain strength and range of motion post-immobilization In cases of significant displacement, surgical intervention such as open reduction and internal fixation (ORIF) may be necessary Follow-up imaging to monitor healing process

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 S42.01 a billable ICD-10 code?
Yes, S42.01 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S42.01?
Clinical documentation must specify the nature of Fracture of sternal end of clavicle and any associated comorbidities for accurate reporting.

Cite this Clinical Reference