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Home/Diagnosis/ICD-10 Coding for Humeral Head Fracture

ICD-10 Coding for Humeral Head Fracture

S42.211A

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

Also Known as:
Proximal Humerus Fracture
Shoulder Fracture
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Key Information: ICD-10 Coding for Humeral Head Fracture

Essential facts and insights about ICD-10 Coding for Humeral Head Fracture

Use ICD-10 code S42.211A for displaced fracture of humeral head, right arm, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Displaced fracture of humeral head, right arm, initial encounter

Billable Code
S42.211A
Billable

Diagnostic Criteria

clinical:
  • • Displacement confirmed by imaging
documentation:
  • • Laterality and displacement status documented

Applicable To

  • • Displaced fracture of right humeral head

Important Notes

  • • Ensure documentation specifies displacement and laterality.
Ancillary Codes

Additional codes that may be used with this diagnosis

W10.xxxA

Fall on stairs

Use to specify the external cause of the fracture.

Frequently Asked Questions

What is the ICD-10 code for a humeral head fracture?

The ICD-10 code for a displaced fracture of the humeral head is S42.211A for the right arm and S42.212A for the left arm.

How do you document a humeral head fracture?

Document the fracture's displacement, laterality, and classification using imaging confirmation. Include details like Neer classification and any associated dislocation.

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