ICD-10-CM Billable Code

S42.293

Other displaced fracture of upper end of unspecified humerus

Clinical Classification Guidelines

Medical Intelligence & Overview

An other displaced fracture of the upper end of an unspecified humerus is a specific type of broken bone in the upper arm near the shoulder. This injury involves a break in the upper part of the humerus bone, with the broken parts not aligned properly. Such fractures often occur due to trauma or falls and require medical attention to ensure proper healing and restore arm function.

Causes & Symptoms

Clinical Causes: Falls, especially from a height or onto an outstretched arm Direct blow or trauma to the shoulder area Sports injuries, such as contact sports or impact accidents Motor vehicle accidents Osteoporosis or bone weakening conditions increasing fracture risk

Key Symptoms: Sudden, intense pain in the shoulder or upper arm Swelling and tenderness around the shoulder Bruising or discoloration near the injury site Inability to move the arm or a limited range of motion Deformity or abnormal prominence in the shoulder area Feeling of instability or grinding sensation when attempting movement

Diagnostic & Treatment

Diagnosis Path: Diagnosing this type of fracture involves several steps:

Treatment Protocols: Treatment options depend on the severity and displacement of the fracture:

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 S42.293 a billable ICD-10 code?
Yes, S42.293 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S42.293?
Clinical documentation must specify the nature of Other displaced fracture of upper end of unspecified humerus and any associated comorbidities for accurate reporting.

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