ICD-10-CM Billable Code

S42.416

Nondisplaced simple supracondylar fracture without intercondylar fracture of unspecified humerus

Clinical Classification Guidelines

Medical Intelligence & Overview

A nondisplaced simple supracondylar fracture of the humerus is a specific type of arm injury that affects the upper part of the upper arm bone, known as the humerus. This kind of fracture occurs just above the elbow joint and is characterized by a break in the bone that remains properly aligned, meaning the bone fragments haven't shifted out of place. It's a common injury, especially among children, but can also occur in adults due to falls or trauma. Recognizing this fracture accurately helps in guiding appropriate treatment to ensure proper healing and restore function.

Causes & Symptoms

Clinical Causes: Falls onto an outstretched hand or directly onto the elbow Sports injuries, especially in contact or high-impact sports Trauma from accidents, such as car crashes or falls from heights Direct impact to the upper arm or elbow area

Key Symptoms: Pain around the elbow or upper arm that worsens with movement Swelling or bruising in the area of the fracture Tenderness when touching the affected area Limited range of motion in the elbow Possible visible deformity if the bone is displaced (though in this case, it remains aligned) Sensitivity to pressure or palpation over the humerus

Diagnostic & Treatment

Diagnosis Path: Diagnosing a nondisplaced simple supracondylar fracture typically involves a clinical evaluation and imaging studies. A healthcare provider will examine the arm to check for tenderness, swelling, and range of motion. To confirm the diagnosis and assess the fracture's detail, X-rays are essential. These images help to determine the exact location of the fracture, whether the bone fragments are aligned, and if there are any associated injuries, such as damage to nearby nerves or blood vessels.

Treatment Protocols: Immobilization with a cast or splint to keep the humerus steady during healing Pain management using medications as recommended by healthcare providers Rest and activity restrictions to prevent further injury Follow-up X-rays to monitor healing progress and confirm proper alignment

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 S42.416 a billable ICD-10 code?
Yes, S42.416 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S42.416?
Clinical documentation must specify the nature of Nondisplaced simple supracondylar fracture without intercondylar fracture of unspecified humerus and any associated comorbidities for accurate reporting.

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Clinical Meta Tags

humerus simple intercondylar supracondylar nondisplaced fracture