Complete ICD-10-CM coding and documentation guide for icd-10 coding for fracture of proximal humerus includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Fracture of Proximal Humerus
Use ICD-10 code S42.20XA for unspecified fracture of upper end of humerus, initial encounter for closed fracture, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Fall from slipping, tripping and stumbling on same level, initial encounter
Use to describe the external cause of the fracture.
Pathological fracture in neoplastic disease, initial encounter for fracture
Use if the fracture is due to a pathological condition.
The ICD-10 code for an unspecified proximal humerus fracture is S42.20XA. Specific codes like S42.21XA are used for displaced fractures.
For a displaced proximal humerus fracture, use ICD-10 code S42.21XA, ensuring documentation includes imaging confirmation of displacement.