Left Proximal Humerus Fracture ICD-10-CM Codes

Discover the comprehensive ICD-10 codes for Left Proximal Humerus Fracture. Understand how these codes help identify the fracture type, severity, and more.

By Nate Lacson on Feb 29, 2024.

Fact Checked by Ericka Pingol.

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Left Proximal Humerus Fracture ICD-10-CM Codes

What ICD-10 Codes are Used for Left Proximal Humerus Fracture 

S42.202A

This is one of the Left Proximal Humerus Fracture ICD Codes and it is used to classify an unspecified fracture of the upper end of the left humerus, with an initial encounter for a closed fracture. A closed fracture is one in which the bone has broken but the skin has not been pierced. The upper end of the humerus is the part of the bone that is near the shoulder joint.

S42.291K

This left proximal humerus fracture ICD 10 code is used to classify an other fracture of the upper end of the humerus, on the left side, with an initial encounter for a closed fracture. This code is used when the fracture is not specifically described in any other code.

S42.295A

This ICD 10 left proximal humerus fracture code is used to classify an other nondisplaced fracture of the upper end of the left humerus, with an initial encounter for a closed fracture. A nondisplaced fracture is one in which the bone fragments have not moved out of alignment.

S42.296A

This left proximal humerus fracture ICD-10 code is used to classify an other nondisplaced fracture of the upper end of an unspecified humerus, with an initial encounter for a closed fracture. This code is used when the humerus is not specifically identified as being on the left or right side.

Which Left Proximal Humerus Fracture ICD codes are Billable: 

Yes, the codes mentioned are billable because they are specific and descriptive of the fracture. They also include the information that the fracture is on the left side and that it is an initial encounter for a closed fracture. This information is important for insurance companies to determine whether the fracture is covered and how much they will reimburse for the treatment.

Clinical Information

  • A left proximal humerus fracture is a break in the upper end of the humerus, the long bone in the upper arm. The proximal humerus is the part of the bone that forms the shoulder joint.
  • Most commonly caused by a fall onto an outstretched hand. Other causes include a direct blow to the shoulder, a fall from a height, or a car accident.
  • Typically diagnosed with an X-ray. In some cases, a CT scan may be necessary for a more detailed view of the fracture.
  • Non-surgical treatment with a sling or shoulder immobilizer for less severe fractures.
  • Physical therapy to restore range of motion and strength. Surgery for displaced or complex fractures.
  • Recovery time varies depending on severity and treatment. Most patients can return to normal activities within 4-6 weeks.
  • The symptoms of a left proximal humerus fracture may include pain in the shoulder, swelling and bruising around the shoulder, difficulty moving the arm, and weakness in the arm.
  • Avascular necrosis is a condition characterized by bone death resulting from a lack of blood supply, while nonunion refers to the improper healing of the fracture. Infection is a rare but possible complication that can arise if the bone or wound is not adequately treated.
  • Prevention of left proximal humerus fractures involves maintaining strong bones through a healthy diet, regular exercise, and calcium/vitamin D supplements, as well as being cautious during daily activities and utilizing safety devices like grab bars to avoid falls.

Synonyms

  • Left shoulder fracture
  • Fracture of the left humeral head
  • Fracture of the left proximal humerus
  • Fracture of the left humerus neck
  • Fracture of the left greater tuberosity
  • Fracture of the left lesser tuberosity
  • Fracture of the left humeral shaft
  • Fracture of the left shoulder joint
  • Left shoulder dislocation
Medical Billing and Coding

Commonly asked questions

When to use an Left Proximal Humerus Fracture ICD code?

An ICD 10 code for left proximal humerus fracture should be utilized when a patient is diagnosed with this specific type of fracture. This code aids in identifying the fracture and facilitates tracking its treatment and recovery progress.

What are the common treatments for Left Proximal Humerus Fracture Diagnosis Codes

Treatment for left proximal humerus fractures depends on severity. Mild fractures may be managed non-surgically with a sling or shoulder immobilizer, followed by physical therapy. Severe cases may require surgery, particularly for displaced or multi-fragment fractures.

What does a diagnosis code for Left Proximal Humerus Fracture mean?

A diagnosis code for Left Proximal Humerus Fracture is used to identify and classify this type of fracture in medical records. It includes details about the fracture type, severity, and the affected side of the body. The code (e.g., S42.2) and its subcategories help track treatment, and recovery, and ensure appropriate patient care.

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