ICD-10-CM Billable Code

S42.034

Nondisplaced fracture of lateral end of right clavicle

Clinical Classification Guidelines

Medical Intelligence & Overview

A nondisplaced fracture of the lateral end of the right clavicle is a break in the collarbone near the shoulder that has not shifted out of place. This type of fracture is common in falls or direct impacts to the shoulder area and typically results in localized pain, swelling, and limited arm movement.

Causes & Symptoms

Clinical Causes: Falls directly onto the shoulder or an outstretched hand Direct trauma or blow to the shoulder area Vehicular accidents causing impact to the shoulder Sports injuries, especially contact or high-impact sports Repeated stress or overuse of the shoulder joint

Key Symptoms: Pain at the site of the injury, especially over the clavicle Swelling and tenderness around the shoulder Limited ability to move the arm or shoulder comfortably Discomfort when lifting or reaching with the affected arm Possible bruising around the injury site

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a physical examination by a healthcare professional, who will assess pain levels, swelling, and shoulder movement. Confirmatory imaging studies like X-rays are essential to visualize the fracture, determine its type (displaced or nondisplaced), and plan appropriate treatment. In some cases, additional imaging such as MRI may be used if soft tissue injury is suspected.

Treatment Protocols: Treatment for a nondisplaced fracture of the lateral end of the right clavicle often involves conservative approaches, such as: - Resting the shoulder and avoiding activities that worsen pain - Using a sling to support and immobilize the arm - Applying ice packs to reduce swelling and pain - Taking over-the-counter pain relievers as recommended by a healthcare provider While most nondisplaced fractures heal well without surgery, follow-up with a healthcare professional ensures proper healing. In some cases, physical therapy may be recommended to restore shoulder strength and mobility once the fracture begins to heal. Surgical intervention might be considered if the fracture shows signs of displacement or if complications arise, but it is generally less common for nondisplaced fractures.

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 S42.034 a billable ICD-10 code?
Yes, S42.034 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S42.034?
Clinical documentation must specify the nature of Nondisplaced fracture of lateral end of right clavicle and any associated comorbidities for accurate reporting.

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