ICD-10-CM Billable Code

S42.156

Nondisplaced fracture of neck of scapula, unspecified shoulder

Clinical Classification Guidelines

Medical Intelligence & Overview

A nondisplaced fracture of the neck of the scapula refers to a break in the small, bony part connecting the shoulder blade (scapula) to the upper arm bone, where the bone fragments remain aligned and have not shifted out of place. This injury typically occurs due to trauma or a direct blow to the shoulder area. Though it's less common than other shoulder injuries, prompt recognition and appropriate care are important to ensure healing and restore shoulder function.

Causes & Symptoms

Clinical Causes: Direct impact or trauma to the shoulder, such as falls or sports injuries Motor vehicle accidents Falls from significant heights Blunt force injuries during physical activities Repetitive stress or overuse in some cases

Key Symptoms: Pain around the shoulder and upper arm, especially when moving the arm Swelling and tenderness in the shoulder region Limited range of motion in the shoulder joint Possible bruising over the shoulder area Discomfort when attempting to lift or rotate the arm A feeling of instability or weakness in the shoulder

Diagnostic & Treatment

Diagnosis Path: Diagnosis involves a healthcare provider performing a physical examination to assess pain, swelling, and movement restrictions. Imaging tests are crucial for confirming the fracture and determining its type and severity. Common diagnostic tools include:

Treatment Protocols: Management of a nondisplaced fracture of the scapula's neck generally involves conservative approaches aimed at promoting healing and restoring shoulder function. Typical treatments include:

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 S42.156 a billable ICD-10 code?
Yes, S42.156 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S42.156?
Clinical documentation must specify the nature of Nondisplaced fracture of neck of scapula, unspecified shoulder and any associated comorbidities for accurate reporting.

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