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Home/Diagnosis/ICD-10 Coding for Left Humerus Fracture

ICD-10 Coding for Left Humerus Fracture

S42.452A
S42.202A

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

Also Known as:
Fracture of the left upper arm
Left upper humeral fracture
Left arm fracture
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Key Information: ICD-10 Coding for Left Humerus Fracture

Essential facts and insights about ICD-10 Coding for Left Humerus Fracture

Use ICD-10 code S42.452A for displaced fracture of lateral condyle of left humerus, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Displaced fracture of lateral condyle of left humerus, initial encounter

Billable Code
S42.452A
Billable

Diagnostic Criteria

clinical:
  • • Imaging confirms displaced fracture of lateral condyle.
documentation:
  • • Documentation specifies initial encounter and laterality.

Applicable To

  • • Displaced fracture of lateral condyle of left humerus

Important Notes

  • • Ensure documentation specifies 'displaced' and 'lateral condyle'.

Unspecified fracture of upper end of left humerus, initial encounter

Billable Code
S42.202A
Billable

Diagnostic Criteria

clinical:
    documentation:
    • • Lack of specific fracture type in documentation

    Applicable To

    • • Fracture of upper end of left humerus, unspecified

    Important Notes

    • • Query for specifics if documentation is vague.
    Ancillary Codes

    Additional codes that may be used with this diagnosis

    W19.XXXA

    Unspecified fall, initial encounter

    Use to specify the external cause of the fracture.

    Frequently Asked Questions

    What is the ICD-10 code for a left humerus fracture?

    The ICD-10 code for a displaced fracture of the lateral condyle of the left humerus, initial encounter, is S42.452A. For unspecified fractures, use S42.202A.

    How do you code a pathological fracture of the left humerus?

    For a pathological fracture of the left humerus, use M84.422A, and include an external cause code if applicable.

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