ICD 10 CM S42.023S | Description & Clinical Information

ICD 10 S42.023S describes a specific medical condition characterized by a displaced fracture of the cylindrical central portion of the collarbone, which connects the sternum to the scapula, resulting from a traumatic event such as a direct blow sustained during a fall and landing on the shoulder, falling onto outstretched arms, or a motor vehicle accident, with misalignment of the broken pieces of the bone, and the provider does not document whether the fracture involves the right or left clavicle at this encounter for a sequela, a condition resulting from the fracture.

Official Description Of S42.023S

The ICD 10 CM book defines ICD 10 code S42.023S as:

When To Use S42.023S

The diagnosis describes by the ICD 10 CM code S42.023S pertains to a displaced fracture of the shaft of an unspecified clavicle. This type of fracture occurs when there is a break in the bone, causing the bone fragments to shift out of their normal position. Patients with this condition may experience pain in or near the fracture site, swelling or a bump over the affected area, and bruising. Additionally, they may feel an audible cracking sound when moving the arm and have difficulty lifting the shoulder and arm.

Another common symptom of this diagnosis is a drooping shoulder, which results from a weakened or damaged ligament that supports the collarbone. These changes can also cause difficulty breathing and swallowing, as the collarbone is located close to several critical body structures. In some cases, a puncture of a lung by a fragment of the bone can result in the accumulation of air between the lungs and chest wall, a condition known as pneumothorax.

Diagnosing this condition typically involves a combination of patient history and physical examination, as well as imaging tests such as X-rays and computed tomography (CT) scans. In some cases, ultrasound imaging may be necessary, particularly in children. If the provider suspects nerve or blood vessel damage, more specific laboratory and imaging studies may be required.

Depending on the severity of the fracture, treatment options may vary. Stable and closed fractures may not require surgery, although they may still require immobilization with a sling or wrap to restrict movement of the limb. Alternatively, physical therapy may be recommended to help restore range of motion and strength to the affected area.

Unstable fractures, on the other hand, typically require surgical intervention in the form of fixation, which may involve the use of screws, plates, or wires to secure the bone fragments in place. Open fractures where bone fragments protrude through the skin require wound closure and intravenous antibiotics to prevent infection.

Pain management is an essential aspect of treatment for this condition, and your healthcare provider may recommend the use of analgesics, such as acetaminophen or ibuprofen, or nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin or naproxen, to help alleviate pain and inflammation.

In conclusion, S42.023S is a diagnostic code that describes a specific type of clavicle fracture that is characterized by displacement of the shaft. Proper diagnosis and prompt treatment are essential for ensuring the best possible outcome for patients with this condition.