S42.202S is a valid billable ICD-10 diagnosis code
Diagnosis code
In healthcare, diagnosis codes are used as a tool to group and identify diseases, disorders, symptoms, poisonings, adverse effects of drugs & chemicals, injuries and other reasons for patient encounters. Diagnostic coding is the translation of written descriptions of diseases, illnesses and injuries into codes from a particular classification.
Health Insurance Portability and Accountability Act
The Health Insurance Portability and Accountability Act of 1996 was enacted by the 104th United States Congress and signed by President Bill Clinton in 1996. It was created primarily to modernize the flow of healthcare information, stipulate how Personally Identifiable Information maintained by the healthcare and healthcare insurance industries should be protected from fraud and theft, and address lim…
Unspecified fracture of upper end of left humerus, sequela
S42. 202S 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. 202S became effective on October 1, 2021.What is the 7th character for open fracture?
The open fracture designations in the assignment of the 7th character for fractures of the forearm, femur and lower leg, including ankle are based on the Gustilo open fracture classification. When the Gustilo classification type is not specified for an open fracture, the 7th character for open fracture type I or II should be assigned (B, E, H, M, Q).
How are fractures of specified sites coded?
Fractures of specified sites are coded individually by site nd the level of detail furnished by medical record content. A fracture not indicated as open or closed should be coded to closed. A fracture not indicated whether displaced or not displaced should be coded to displaced.
What is the code for a fracture of the upper end of the left humerus?
S42.202S is a billable diagnosis code used to specify a medical diagnosis of unspecified fracture of upper end of left humerus, sequela. The code S42.202S is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
What character is used for trauma fracture?
Traumatic fractures are coded using the appropriate 7th character for initial encounter (A, B, C) for each encounter where the patient is receiving active treatment for the fracture. The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.
What character should be used for malunion?
Care of complications of fractures, such as malunion and nonunion, should be reported with the appropriate 7th character for subsequent care with nonunion (K, M, N,) or subsequent care with malunion (P, Q, R).
What is a broken bone called?
Also called: Broken bone. A fracture is a break, usually in a bone. If the broken bone punctures the skin, it is called an open or compound fracture. Fractures commonly happen because of car accidents, falls, or sports injuries. Other causes are low bone density and osteoporosis, which cause weakening of the bones.
What does "undetermined" mean in medical terms?
Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.
What is the ICd 10 code for a fractured humerus?
Unspecified fracture of upper end of left humerus 1 S42.202 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. 2 The 2021 edition of ICD-10-CM S42.202 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of S42.202 - other international versions of ICD-10 S42.202 may differ.
What is the secondary code for Chapter 20?
Use secondary code (s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code. Type 1 Excludes.
Can S42.202 be used for reimbursement?
S42.202 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
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