ICD 10 CM S42.131D | Description & Clinical Information

ICD 10 S42.131D describes a specific type of injury that involves a displaced fracture of the coracoid process of the right shoulder, which occurs when the hook-like projection on the upper and outer end of the scapula is broken and the broken pieces of bone become misaligned, typically resulting from high impact trauma caused by a forceful direct blow from a fall onto the scapula from a high elevation, a motor vehicle accident, or falling on the extended arm, and this code is used for subsequent encounters when the fracture is healing normally.

Official Description Of S42.131D

The ICD 10 CM book defines ICD 10 code S42.131D as:

When To Use S42.131D

The diagnosis describes by ICD 10 CM S42.131D code refers to a specific type of shoulder fracture that can be caused by a direct injury or indirect force applied to the shoulder area. The coracoid process is a small hook-like structure situated on the upper part of the scapula that serves as a site of attachment for various muscles, including the pectoralis minor and the short head of the biceps brachii. When the coracoid process is fractured and displaced, it can cause pain and interfere with arm movement, depending on the severity and location of the injury.

Patients with a displaced fracture of the coracoid process may experience swelling, bruising, tenderness, limited range of motion, and difficulty breathing, especially when the displaced bone fragments impinge on the lungs, nerves, or blood vessels in the area. To diagnose the condition, healthcare providers typically take a comprehensive medical history and perform a physical examination, looking for signs of inflammation, deformation, or instability in the shoulder region.

Imaging studies such as X-rays or computed tomography (CT) scans are also helpful in visualizing the extent of the damage, identifying any associated injuries in nearby structures, and determining the appropriate course of treatment. In some cases, additional tests may be necessary to assess the motor and sensory functions of the nerves or the blood flow in the affected arm.

Treatment for a displaced fracture of the coracoid process depends on the severity of the injury and the patient’s overall health status. Stable and closed fractures, where the bone remains in place and the skin is intact, may require only conservative measures such as rest, ice, compression, and elevation (RICE), along with pain-relieving medications like oral analgesics or nonsteroidal anti-inflammatory drugs (NSAIDs). In addition, a sling or wrap may be used to restrict the movement of the arm and help the patient feel more comfortable during the healing process.

However, unstable or open (visible wound) fractures require more intensive interventions, such as surgical fixation or reduction, to reposition the bones, stabilize the injured area, and prevent further damage to the underlying structures. If the wound is left open, the surgeon may need to perform skin grafting or flap closure to cover the exposed tissue and avoid infections or other complications.

After an initial period of immobilization, patients may undergo physical therapy to restore the strength, flexibility, and range of motion of the affected arm and prevent any problems related to immobilization or disuse. Depending on the individual’s needs, a physical therapist may suggest exercises, stretches, or other modalities to rehabilitate the shoulder joint and help the patient return to his or her pre-injury level of function.

In summary, ICD 10 CM S42.131D code represents a specific type of shoulder fracture that can cause pain, swelling, and limited mobility, particularly when the coracoid process is displaced and compresses nearby structures. Diagnostic tests, such as X-rays and CT scans, can confirm the diagnosis, while treatment options may range from conservative measures, such as pain management and immobilization, to surgical intervention and physical therapy. Early recognition and proper management of this condition can reduce the risk of long-term complications and ensure a better outcome for the patient.