Supracondylar fracture with intracondylar extension of lower end of femur. The 2019 edition of ICD-10-CM S72.46 became effective on October 1, 2018. This is the American ICD-10-CM version of S72.46 - other international versions of ICD-10 S72.46 may differ.
Unfortunately ICD-10 is very poorly done as it applies to Fractures of the Distal Humerus, particularly for Supracondylar fractures with Intercondylar (i.e. Intra-articular) extension, often called T-Condylar Fractures. In fact it doesn't even recognize/acknowledge "with" Intercondylar (Inra-articular) extension at all.
2018/2019 ICD-10-CM Diagnosis Code S72.46. Supracondylar fracture with intracondylar extension of lower end of femur. S72.46 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
Short description: Suprcndl fracture w intrcndl extension of lower end of femur. The 2019 edition of ICD-10-CM S72.46 became effective on October 1, 2018.
Background: Intercondylar fracture of humerus is one of the commonest fractures of young adult and counts for about 30% of all elbow fractures. The treatment of these fractures continues to present challenges despite advances in internal fixation.
Displaced simple supracondylar fracture without intercondylar fracture of unspecified humerus, initial encounter for closed fracture. S42. 413A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Extension type supracondylar fractures typically occur as a result of a fall on a hyper-extended elbow. When this occurs, the olecranon acts as a fulcrum after engaging in the olecranon fossa. The humerus fractures anteriorly initially and then posteriorly.
Your child's humerus is fractured (broken) near the elbow area, just above the joint. This is called a supracondylar (supra CON dy ler) humerus fracture. It is the most common type of elbow fracture and happens most often to children younger than 8 years old.
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.
The distal humerus is the lower end of the humerus. It forms the upper part of the elbow and makes it possible for your forearm to bend and straighten. The radial head is the knobby end of the radius where it meets the elbow.
Gartland originally described a classification for extension-type supracondylar humerus fractures, dividing them into three types: type I is non-displaced, type II is displaced with an intact posterior cortex, and type III is displaced without cortical contact [2, 5].
Type 2 – angulation present but a posterior bony hinge remains intact. Type 3 – complete displacement with no bony hinge. Periosteum is usually intact. Type 4 – a controversial category describing a fracture that is unstable in flexion and extension, implying a lack of intact periosteum.
Supracondylar fractures are initially divided into two types, depending on the direction of displacement of the distal fragment:Flexion-type (rare) - distal fragment is displaced anteriorly.Extension-type (98%) - distal fragment is displaced posteriorly.
0:533:23Supracondylar fracture - radiology video tutorial (x-ray) - YouTubeYouTubeStart of suggested clipEnd of suggested clipSince the capitellum is displaced posteriorly in the vast majority of super-continent fractures.MoreSince the capitellum is displaced posteriorly in the vast majority of super-continent fractures. This is an extremely helpful tool for demonstrating. Correct alignment at the elbow joint.
Medical Definition of supracondylar : of, relating to, affecting, or being the part of a bone situated above a condyle supracondylar osteotomy a supracondylar fracture of the humerus.
Complications following these fractures are infection, loss of reduction, non-union, cubitus varus or valgus and neurovascular lesions [4]. The incidence of vascular complications associated with supracondylar fractures ranges from 3.2 to 14.3% [5], nerve injuries are reported with a relative incidence of 12–20% [6].
Overview. A supracondylar fracture is an injury to the humerus, or upper arm bone, at its narrowest point, just above the elbow. Supracondylar fractures are the most common type of upper arm injury in children. They are frequently caused by a fall on an outstretched elbow or a direct blow to the elbow.
Medical Definition of supracondylar : of, relating to, affecting, or being the part of a bone situated above a condyle supracondylar osteotomy a supracondylar fracture of the humerus.
As the Median and Radial Nerves lie anterior to the supracondylar humerus region they are at risk for injury, primarily post-trauma either by stretching, piercing or impinging at the fracture ends or being entrapped between two fracture fragments (traumatic or primary nerve injury), whereas the Ulnar Nerve injury is ...
Delayed treatment Displaced supracondylar fractures have been traditionally treated as surgical emergencies due to the risk of neurovascular complications or the belief that open reduction instead of closed reduction will be needed if surgery is delayed.
Note: A fracture not indicated as displaced or nondisplaced should be coded to displaced A fracture not indicated as open or closed should be coded to closed
NEC Not elsewhere classifiable This abbreviation in the Tabular List represents “other specified”. When a specific code is not available for a condition, the Tabular List includes an NEC entry under a code to identify the code as the “other specified” code.
For codes less than 6 characters that require a 7th character a placeholder 'X' should be assigned for all characters less than 6. The 7th character must always be the 7th position of a code. E.g. The ICD-10-CM code T67.4 (Heat exhaustion due to salt depletion) requires an Episode of Care identifier.
A humerus fracture is a bone fracture of the arm. Fractures of the humerus may be classified by the location and divided into fractures of the upper end, the shaft, or the lower end.