What You Need to Know
You would code the aftercare codes for follow up visits while the fracture is healing after the initial treatment. The guidelines state: "Fractures are coded using the aftercare codes 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.
S42. 291A - Other displaced fracture of upper end of right humerus [initial encounter for closed fracture]. ICD-10-CM.
ICD-10 Code for Other fracture of upper end of humerus- S42. 29- Codify by AAPC.
Unspecified fracture of upper end of left humerus, initial encounter for closed fracture. S42. 202A 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 S42.
The proximal humerus consists of the humeral head, anatomical neck, greater tuberosity, lesser tuberosity, surgical neck, and proximal shaft. Fractures of the proximal humerus (Box 4-8) are associated with osteoporosis. The majority of fractures are the result of indirect forces such as a fall onto an outstretched arm.
Unspecified fracture of shaft of humerus, unspecified arm, initial encounter for closed fracture. S42. 309A 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 S42.
What are humerus fractures? A humerus fracture is the medical name for breaking the bone in your upper arm (your humerus). Humerus fractures are usually caused by traumas like car accidents or falls. If you break your humerus, you might need surgery to repair your bone.
S42. 302A - Unspecified fracture of shaft of humerus, left arm [initial encounter for closed fracture]. ICD-10-CM.
CPT® 23615 in section: Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed, includes repair of tuberosity(s), when performed.
humerus, long bone of the upper limb or forelimb of land vertebrates that forms the shoulder joint above, where it articulates with a lateral depression of the shoulder blade (glenoid cavity of scapula), and the elbow joint below, where it articulates with projections of the ulna and the radius.
2-PART FRACTURE: This is when the proximal humerus is broken into two pieces, meaning there is one fracture line on x-ray. Commonly, this will be a fracture of the greater tuberosity, which is the part of the humerus where the rotator cuff attaches.
A proximal humerus fracture is a break of the upper part of the bone of the arm (humerus). Symptoms include pain, swelling, and a decreased ability to move the shoulder. Complications may include axillary nerve or axillary artery injury. The cause is generally a fall onto the arm or direct trauma to the arm.
The humerus is a long bone of the upper limb, which extends from the shoulder to the elbow. The proximal aspect of the humerus articulates with the glenoid fossa of the scapula, forming the glenohumeral joint.