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Home/Diagnosis/ICD-10 Coding for Right Shoulder Fracture

ICD-10 Coding for Right Shoulder Fracture

S42.201A
S42.211A

Complete ICD-10-CM coding and documentation guide for icd-10 coding for right shoulder fracture includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Fracture of Right Shoulder
Right Proximal Humerus Fracture
fracture right humerus
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Key Information: ICD-10 Coding for Right Shoulder Fracture

Essential facts and insights about ICD-10 Coding for Right Shoulder Fracture

Use ICD-10 code S42.201A for unspecified displaced fracture of right proximal humerus, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Unspecified displaced fracture of right proximal humerus, initial encounter

Billable Code
S42.201A
Billable

Diagnostic Criteria

clinical:
  • • Confirmed displacement on imaging
documentation:
  • • Lack of specific fracture details

Applicable To

  • • Displaced fracture of right proximal humerus

Important Notes

  • • Ensure documentation specifies displacement and laterality.

2-part displaced surgical neck fracture, right shoulder, initial encounter

Billable Code
S42.211A
Billable

Applicable To

  • • Displaced surgical neck fracture of right shoulder

Important Notes

  • • Ensure documentation specifies the fracture type and location.
Ancillary Codes

Additional codes that may be used with this diagnosis

W00.0XXA

Fall from slipping on ice, initial encounter

Use to describe the external cause of the fracture.

V43.52XA

Car accident occupant, initial encounter

Use to describe the external cause if applicable.

Frequently Asked Questions

What is the ICD-10 code for a right shoulder fracture?

The ICD-10 code for a right shoulder fracture, specifically a displaced fracture of the proximal humerus, is S42.201A for initial encounters.

How do you code a pathological fracture of the right shoulder?

For a pathological fracture of the right shoulder, use ICD-10 code M84.411A, ensuring documentation of the underlying condition.

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