S49.02
Salter-Harris Type II physeal fracture of upper end of humerus
Clinical Classification Guidelines
Medical Intelligence & Overview
A Salter-Harris Type II physeal fracture of the upper end of the humerus is a specific type of injury involving the growth plate of the upper arm bone near the shoulder. This fracture affects the growth area of the bone, typically occurring in children and adolescents whose bones are still developing. Recognizing this injury is important for proper treatment and to prevent long-term complications such as growth disturbances.
Causes & Symptoms
Clinical Causes: Sports injuries, especially during contact sports or falls Trauma from falls onto the shoulder or outstretched arm Motor vehicle accidents involving direct impact to the shoulder Impacts from physical activity or accidents involving machinery
Key Symptoms: Pain around the shoulder or upper arm Swelling and tenderness in the area Limited range of motion in the shoulder Visible deformity or misalignment in severe cases Bruising and difficulty moving the arm
Diagnostic & Treatment
Diagnosis Path: Diagnosis typically involves a combination of physical examination and imaging studies. Healthcare providers assess the injury by checking for pain, swelling, and movement limitations. X-rays are crucial to visualize the fracture and confirm the presence of a Salter-Harris Type II injury, characterized by a fracture through the growth plate and metaphysis of the humerus. In some cases, additional imaging like MRI may be used to assess soft tissues and detailed bone structure.
Treatment Protocols: - Monitoring for growth disturbances or deformities during follow-up
Clinical Advice & FAQs
Billing Guidance
Is S49.02 a billable ICD-10 code?
Yes, S49.02 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S49.02?
Clinical documentation must specify the nature of Salter-Harris Type II physeal fracture of upper end of humerus and any associated comorbidities for accurate reporting.
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