ICD-10-CM Billable Code

S42.114

Nondisplaced fracture of body of scapula, right shoulder

Clinical Classification Guidelines

Medical Intelligence & Overview

A nondisplaced fracture of the body of the right scapula refers to a break in the shoulder blade where the bone remains properly aligned. The scapula, or shoulder blade, is a flat, triangular bone located on the upper back that connects the humerus (upper arm bone) with the collarbone. When this type of fracture occurs, it typically results from a direct blow or trauma to the shoulder. While the fracture does not involve misalignment of the bone, it still requires proper management to ensure healing and restore shoulder function.

Causes & Symptoms

Clinical Causes: Direct trauma from falls, sports injuries, or accidents Blunt force impact to the shoulder region Trauma from car accidents or falls onto the shoulder High-impact sports activities

Key Symptoms: Pain around the shoulder and upper back Swelling and tenderness in the affected area Limited range of motion in the shoulder Bruising around the shoulder blade Difficulty moving the arm or lifting objects Possible visible deformity or tenderness upon palpation

Diagnostic & Treatment

Diagnosis Path: X-rays to visualize the fracture line and confirm nondisplacement Computed tomography (CT) scans may be used for detailed images if needed MRI scans are generally not required unless soft tissue injury is suspected

Treatment Protocols: Immobilization with a shoulder sling or brace to restrict movement Pain management using over-the-counter medications or prescribed pain relievers Application of ice packs to reduce swelling and inflammation Rest and activity modification to prevent further injury Physical therapy after initial healing to restore strength and mobility Regular follow-up appointments to monitor healing progress via imaging

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 S42.114 a billable ICD-10 code?
Yes, S42.114 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S42.114?
Clinical documentation must specify the nature of Nondisplaced fracture of body of scapula, right shoulder and any associated comorbidities for accurate reporting.

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