ICD-10-CM Billable Code

S42.035

Nondisplaced fracture of lateral end of left clavicle

Clinical Classification Guidelines

Medical Intelligence & Overview

A nondisplaced fracture of the lateral end of the left clavicle is a type of shoulder injury where the collarbone (clavicle) is broken but the broken pieces remain in proper alignment. The clavicle is a long bone that connects the shoulder blade to the breastbone, playing a crucial role in shoulder mobility and stability. When fractured, especially in the lateral (outer) end, it often results from direct trauma or falls onto the shoulder. This injury is classified under ICD-10 code S42.035, indicating a specific location and type of clavicle fracture, which aids in diagnosis, treatment planning, and administrative procedures.

Causes & Symptoms

Clinical Causes: Falls directly onto the shoulder or collarbone Trauma from sports injuries, such as cycling, football, or hockey Traffic accidents involving impact to the shoulder area Falls onto an outstretched hand that transmits force to the clavicle Direct blow during physical altercations or accidents

Key Symptoms: Pain around the outer shoulder or collarbone area Swelling and tenderness near the lateral end of the clavicle Limited or painful shoulder movement, especially lifting the arm Bruising around the shoulder or collarbone A visible bump or deformity at the fracture site (in some cases) Difficulty carrying or lifting objects due to discomfort

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a detailed physical examination by a healthcare professional, focusing on injury site tenderness, swelling, and range of motion. Imaging is essential for confirming the fracture and its characteristics. X-rays are the most common diagnostic tool used to visualize the break, determine whether the fracture is displaced or nondisplaced, and assess any other associated injuries.

Treatment Protocols: Management of a nondisplaced fracture of the lateral end of the left clavicle usually involves conservative measures. These may include: - Rest and activity modification to prevent further injury - Application of ice packs to reduce swelling - Use of a sling or shoulder immobilizer to support the arm and collarbone - Pain management with over-the-counter medications, such as acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs) - Gradual physical therapy exercises to restore movement and strength after initial healing Most nondisplaced clavicle fractures heal well with conservative treatment within a few weeks to a couple of months. Surgery is rarely necessary unless there are complications or specific indications, such as associated injuries or instability.

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 S42.035 a billable ICD-10 code?
Yes, S42.035 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S42.035?
Clinical documentation must specify the nature of Nondisplaced fracture of lateral end of left clavicle and any associated comorbidities for accurate reporting.

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