ICD-10-CM Billable Code

S42.214

Unspecified nondisplaced fracture of surgical neck of right humerus

Clinical Classification Guidelines

Medical Intelligence & Overview

A nondisplaced fracture occurs when a bone breaks but remains properly aligned. Specifically, an unspecified nondisplaced fracture of the surgical neck of the right humerus refers to a break in the upper arm bone, just below the ball of the shoulder, without movement of the broken parts. This type of injury can result from trauma or falls and often requires specific medical attention. Recognizing its symptoms and understanding the typical treatment options can help in adequate management and recovery.

Causes & Symptoms

Clinical Causes: Falls onto the arm or shoulder Direct blow to the upper arm Trauma from accidents, such as car crashes Sports injuries involving impact to the shoulder Osteoporosis leading to weakened bones Overuse or repetitive strain in some cases

Key Symptoms: Pain in the shoulder or upper arm, especially when moving Tenderness and swelling around the shoulder Limited range of motion in the arm and shoulder Bruising or discoloration over the affected area A sensation of instability or weakness in the shoulder Possible deformity or abnormal bump if swelling or swelling occurs

Diagnostic & Treatment

Diagnosis Path: Physical assessment to evaluate tenderness, swelling, and movement X-ray imaging to visualize the fracture and confirm that it is nondisplaced Additional imaging, such as MRI or CT scans, if further details are needed

Treatment Protocols: Immobilization with a sling or shoulder brace to reduce movement and promote healing Pain management with over-the-counter or prescribed medications Rest and activity restriction to prevent further injury Physical therapy exercises after initial healing to restore mobility and strength Monitoring through follow-up X-rays to ensure proper healing progression

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 S42.214 a billable ICD-10 code?
Yes, S42.214 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report S42.214?
Clinical documentation must specify the nature of Unspecified nondisplaced fracture of surgical neck of right humerus and any associated comorbidities for accurate reporting.

Cite this Clinical Reference