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Home/Diagnosis/ICD-10 Coding for Hill-Sachs Lesion

ICD-10 Coding for Hill-Sachs Lesion

S42.292A

Complete ICD-10-CM coding and documentation guide for icd-10 coding for hill-sachs lesion includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Hill-Sachs Fracture
Posterolateral Humeral Head Defect
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Key Information: ICD-10 Coding for Hill-Sachs Lesion

Essential facts and insights about ICD-10 Coding for Hill-Sachs Lesion

Use ICD-10 code S42.292A for other displaced fracture of upper end of left humerus, initial encounter for closed fracture, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Other displaced fracture of upper end of left humerus, initial encounter for closed fracture

Billable Code
S42.292A
Billable

Diagnostic Criteria

clinical:
  • • Imaging shows displaced fracture of the posterolateral humeral head.
documentation:
  • • Documentation specifies 'displaced fracture' and laterality.

Applicable To

  • • Displaced Hill-Sachs fracture

Important Notes

  • • Ensure documentation specifies 'displaced fracture' and laterality.
Ancillary Codes

Additional codes that may be used with this diagnosis

M24.411

Recurrent dislocation, shoulder, right

Use when there is documented recurrent shoulder dislocation associated with the Hill-Sachs lesion.

Frequently Asked Questions

What is the ICD-10 code for a Hill-Sachs lesion?

The ICD-10 code for a displaced Hill-Sachs lesion is S42.292A, which specifies a displaced fracture of the upper end of the left humerus.

How is a Hill-Sachs lesion documented?

Documentation should include laterality, displacement, and imaging confirmation of the Hill-Sachs lesion, such as 'displaced fracture of the left humerus, confirmed on MRI.'

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