ICD 10 CM S42.153A | Description & Clinical Information

ICD 10 S42.153A describes a specific type of injury, namely a displaced fracture of the neck of the scapula, which occurs when the bone is broken and the pieces are misaligned, often resulting in a neurologic injury, and is typically caused by a high impact fall, sports activities, or automobile accident, with the provider not documenting whether the condition affects the right or left shoulder at the initial encounter for a fracture not exposed by a tear or laceration in the skin.

Official Description Of S42.153A

The ICD 10 CM book defines ICD 10 code S42.153A as:

Clinical Information

The diagnosis describes by the ICD 10 CM code S42.153A refers to a specific type of injury to the shoulder area. This code specifically denotes a displaced fracture in the neck of the scapula, which is one of the bones that make up the shoulder joint. A displaced fracture means that the bone in question has been forcefully moved out of its original position, potentially causing damage to the surrounding tissue and nerves.

A person with a displaced scapular neck fracture may experience a range of symptoms that can significantly impact their daily life. Pain in the shoulder area is a common symptom, which can be severe enough to limit the person’s ability to perform basic activities such as lifting or reaching. The range of motion in the shoulder joint may also be diminished, and the affected area may become swollen and stiff.

In some cases, a displaced scapular neck fracture can cause nerve damage, which can result in tingling or numbness in the arms and fingers. This can be a particularly concerning symptom, as it can make it difficult for a person to use their affected arm normally. Additionally, muscle weakness in the arm and upper back may occur due to the inability to move the shoulder joint properly.

Diagnosis of a displaced scapular neck fracture typically begins with a thorough medical history of the patient’s experience of the injury. A physical examination will also be conducted to assess the severity of the injury and to identify any potential nerve damage.

Further testing may be required to confirm the diagnosis, including lab tests to assess calcium and vitamin D levels, neurological tests to evaluate muscle strength, sensation, and reflexes, and imaging techniques such as X-rays, computed tomography (CT), magnetic resonance imaging (MRI), electromyography and nerve conduction studies, or a bone scan.

Treatment of a displaced scapular neck fracture will depend on the severity of the injury. A stable fracture may not require surgery, but an unstable fracture may require fixation and nerve decompression surgery. Immobilization of the shoulder with a splint or cast may also be necessary.

Physical therapy with strengthening exercises can be an effective treatment option to promote healing, reduce pain, and improve overall shoulder function. Medications such as steroids, analgesics, and nonsteroidal anti-inflammatory drugs (NSAIDs) may also be prescribed to manage pain and inflammation. In cases where blood clots are a risk, thrombolytics or anticoagulants may also be prescribed.

If the injury is severe, an open reduction and internal fixation (ORIF) procedure, or a shoulder replacement surgery, may be necessary to restore normal shoulder function. It is essential to follow the prescribed treatment plan and attend all follow-up appointments with your healthcare provider to ensure the best possible outcome.