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

ICD-10 Coding for Left Shoulder Fracture

S42.202A
S42.292A

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

Also Known as:
Fracture of Left Proximal Humerus
Left Humerus Fracture
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Key Information: ICD-10 Coding for Left Shoulder Fracture

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

Use ICD-10 code S42.202A for unspecified fracture of upper end of left humerus, initial encounter for closed fracture, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Unspecified fracture of upper end of left humerus, initial encounter for closed fracture

Billable Code
S42.202A
Billable

Diagnostic Criteria

  • • Document the fracture as closed and specify the encounter type.

Applicable To

  • • Closed fracture of upper end of left humerus

Important Notes

  • • Ensure laterality and encounter type are documented to avoid unspecified coding.

Displaced fracture of upper end of left humerus, initial encounter for closed fracture

Billable Code
S42.292A
Billable

Diagnostic Criteria

    Applicable To

    • • Displaced fracture of surgical neck of left humerus

    Important Notes

    • • Ensure displacement is clearly documented to avoid defaulting to unspecified.
    Ancillary Codes

    Additional codes that may be used with this diagnosis

    W00.0XXA

    Fall from slipping, initial encounter

    Use to specify the external cause of the fracture.

    V89.2XXA

    Car accident, initial encounter

    Use to specify the external cause of the fracture.

    Frequently Asked Questions

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

    The ICD-10 code for an unspecified fracture of the upper end of the left humerus, initial encounter, is S42.202A.

    How do you code a displaced left shoulder fracture?

    For a displaced fracture of the upper end of the left humerus, use ICD-10 code S42.292A for initial encounters.

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