Displaced fracture of glenoid cavity of scapula, left shoulder, initial encounter for closed fracture. S42.142A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM S42.142A became effective on October 1, 2018.
The AO classification of glenoid fractures is widely used. Three fracture types that involve the glenoid articular segment and fossa are identified. F0 = fracture of the articular segment, not involving the glenoid fossa; F1 = simple glenoid fossa fractures; and F2 = multi-fragmentary glenoid fossa fractures.
Glenoid fractures can cause significant morbidity in individuals who are unfortunate enough to sustain one. Fractures involving the glenoid comprise up to 29% of all scapular fractures and occur most commonly in young males ( 1 ). There is a four times higher incidence in males and the average age at time of injury is 35 years ( 2, 3 ).
If untreated, displaced glenoid fractures may lead to persistent pain, mal-union, development of early glenohumeral (GH) osteoarthritis and chronic shoulder instability. It is therefore of utmost importance to properly diagnose, analyse and treat these fractures.
This type of fracture occurs when the shoulder dislocates. As the ball of the shoulder socket dislocates, it pushes against the rim of the socket, causing it to break. Glenoid Fossa Fracture. The glenoid fossa is the center part of the socket.
ICD-10 code Z99 for Dependence on enabling machines and devices, not elsewhere classified is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
S49. 92XA - Unspecified injury of left shoulder and upper arm [initial encounter] | ICD-10-CM.
In ICD-10-CM a fracture not indicated as displaced or nondisplaced should be coded to displaced, and a fracture not designated as open or closed should be coded to closed. While the classification defaults to displaced for fractures, it is very important that complete documentation is encouraged.
ICD-10 code Z99. 89 for Dependence on other enabling machines and devices is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
2: Dependence on renal dialysis.
Unspecified injury of shoulder and upper arm, unspecified arm, initial encounter. S49. 90XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM S49.
ICD-10 code M79. 602 for Pain in left arm is a medical classification as listed by WHO under the range - Soft tissue disorders .
ICD-10 Code for Pain in unspecified shoulder- M25. 519- Codify by AAPC.
S62.91XAICD-10 code S62. 91XA for Unspecified fracture of right wrist and hand, initial encounter for closed fracture is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .
Fractures are coded using the appropriate 7th character extension for subsequent care for encounters after the patient has completed active treatment of the fracture and is receiving routine care for the fracture during the healing or recovery phase.
The general consensus is to use the fracture care codes designated as “closed treatment without manipulation” and bill the initial E/M with modifier 57.
A scapular fracture is a fracture of the scapula, the shoulder blade. The scapula is sturdy and located in a protected place, so it rarely breaks. When it does, it is an indication that the individual was subjected to a considerable amount of force and that severe chest trauma may be present. High-speed vehicle accidents are the most common cause.
DRG Group #562-563 - Fx, sprian, strn and dislocation except femur, hip, pelvis and thigh with MCC.
This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code S42.146A and a single ICD9 code, 811.03 is an approximate match for comparison and conversion purposes.
Glenoid fractures can cause significant morbidity in individuals who are unfortunate enough to sustain one. Fractures involving the glenoid comprise up to 29% of all scapular fractures and occur most commonly in young males ( 1 ). There is a four times higher incidence in males and the average age at time of injury is 35 years ( 2, 3 ). A spectrum of injury patterns exists for glenoid fractures, ranging from low energy instability events to high energy traumatic events. The management of glenoid fractures has an equally wide spectrum of options for each injury pattern.
Glenoid rim fractures occur when the humeral head impacts the glenoid during the act of dislocation creating a shear force on the underlying bone. Glenoid rim fractures may occur anteriorly or posteriorly secondary to anterior and posterior instability events, respectively.
The mechanism for glenoid fossa fractures is typically a direct load of the humeral head on the glenoid fossa, causing a fracture in the fossa and propagation into the scapular neck or body.
The glenoid cavity is the segment of the lateral scapula that articulates with the head of the humerus creating the glenohumeral joint. The glenohumeral joint has a profound range of motion due to the lack of bony restraint, the large surface area of the humeral head, and the relatively small glenoid area.
A number of glenoid fractures can be treated with all-arthroscopic and arthrosco pic-assisted techniques. Nonetheless, familiarity with complex arthroscopic techniques varies among providers. While there is an obvious perceived benefit of minimizing soft tissue disruption, arthroscopic visualization of the glenoid allows for a more complete view of the articular surface and possibly more accurate reduction. Furthermore, additional soft tissue injuries of the shoulder such as humeral avulsion of the glenohumeral ligament (HAGL), labral tears, or rotator cuff pathology can be identified and addressed at the time of surgery.
A majority of glenoid fractures are minimally displaced or nondisplaced and thus amenable to conservative treatment. In general, any nondisplaced fracture involving the glenoid can be treated without surgical intervention. These patients do require a period of immobilization as well as close radiographic follow up.
In addition to the risk of stiffness and post-traumatic arthritis, many gleno id fractures cause long term instability in the shoulder joint which can be difficult to treat. As with many orthopedic procedures, there has been an evolution in minimally invasive surgical options for glenoid fractures.