S42.202A is a valid billable ICD-10 diagnosis code for Unspecified fracture of upper end of left humerus, initial encounter for closed fracture. It is found in the 2022 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA
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S42. 202A - Unspecified fracture of upper end of left humerus [initial encounter for closed fracture]. ICD-10-CM.
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AnswerWhat is humeral head fracture?
A proximal humeral fracture refers to a break involving the area surrounding the humeral head, which is commonly known as the ball of the shoulder's ball-and-socket joint. The humeral head is located at the top of the humerus (upper arm bone).
What is a 2 part fracture of the surgical neck of the humerus?
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.
What is the ICD-10 code for right proximal humerus fracture?
Unspecified fracture of upper end of right humerus, initial encounter for closed fracture. S42. 201A 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 is the right proximal humerus?
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.
Why is it called surgical neck of humerus?
As well as its true anatomical neck, the constriction below the greater and lesser tubercles of the humerus is referred to as its surgical neck due to its tendency to fracture, thus often becoming the focus of surgeons.
Where is surgical neck of humerus?
The anatomical neck of the humerus is located distal to the head of the humerus, at an oblique angle to the shaft of the humerus. The surgical neck of the humerus on the other hand is a constriction of the humerus located inferior to the greater and lesser tubercles.
How do you code a fractured humerus?
ICD-10 Code for Other fracture of upper end of humerus- S42. 29- Codify by AAPC.
What is the ICD-10 code for fracture of humerus?
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.
Is the humerus bone?
The humerus — also known as the upper arm bone — is a long bone that runs from the shoulder and scapula (shoulder blade) to the elbow.
Where is the proximal left humerus?
Your shoulder is made up of three bones, the clavicle (collarbone), the scapula (shoulder blade) and the humerus (upper arm bone). The top part of your humerus is called the proximal part of the bone.
What is proximal medial structure of the humerus?
The proximal end of the humerus consists of a head, an anatomical neck and the greater and lesser tubercles.
What is medial to the humerus?
The medial condyle of the humerus is the medial column of the distal expansion of the humerus that includes the following: Trochlea. Coronoid fossa. Olecranon fossa.
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.
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.
When to use S42.202A?
Unspecified diagnosis codes like S42.202A are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition.
What is the ICd 10 code for a fracture of the left humerus?
S42.202A is a billable diagnosis code used to specify a medical diagnosis of unspecified fracture of upper end of left humerus, initial encounter for closed fracture. The code S42.202A is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.#N#The ICD-10-CM code S42.202A might also be used to specify conditions or terms like closed fracture of proximal left humerus, open fracture of left humerus or open fracture of proximal left humerus.#N#S42.202A is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like unspecified fracture of upper end of left humerus for closed fracture. According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.#N#Unspecified diagnosis codes like S42.202A are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.#N#The code S42.202A is linked to some Quality Measures as part of Medicare's Quality Payment Program (QPP). When this code is used as part of a patient's medical record the following Quality Measures might apply: Communication With The Physician Or Other Clinician Managing On-going Care Post-fracture For Men And Women Aged 50 Years And Older , Osteoporosis Management In Women Who Had A Fracture.
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.
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