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

ICD-10 Coding for Right Humerus Fracture

S42.291A

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

Also Known as:
Fracture of Right Humerus
Right Arm Fracture
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Key Information: ICD-10 Coding for Right Humerus Fracture

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

Use ICD-10 code S42.291A for displaced fracture of upper end of right humerus, initial encounter for closed fracture, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

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

Billable Code
S42.291A
Billable

Diagnostic Criteria

clinical:
  • • Radiographic evidence of fracture displacement
documentation:
  • • Clear documentation of initial encounter and closed fracture

Applicable To

  • • Displaced fracture of proximal right humerus

Important Notes

  • • Ensure documentation specifies displacement, laterality, and encounter type.
Ancillary Codes

Additional codes that may be used with this diagnosis

M97.11XA

Periprosthetic fracture around internal prosthetic right shoulder joint, initial encounter

Use when fracture occurs around a shoulder prosthesis.

Frequently Asked Questions

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

The ICD-10 code for a displaced fracture of the upper end of the right humerus, initial encounter for closed fracture, is S42.291A.

How do you document a right humerus fracture?

Document the fracture by specifying laterality, type (displaced/nondisplaced), encounter type (initial/subsequent), and whether it is open or closed.

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