ICD 10 CM S42.266S | Description & Clinical Information

ICD 10 S42.266S describes a specific medical condition characterized by a fracture in the smaller of the two bony projections of the upper arm bone where it connects to the shoulder, caused by trauma from various sources such as motor vehicle accidents, falls on outstretched hands, direct impact on the shoulder, and sports injuries, without any displacement of the bone fragments from their original position, and the provider has not specified whether the injury involves the right or left humerus, with this code being applicable to the sequela, which is a condition resulting from the initial injury.

Official Description Of S42.266S

The ICD 10 CM book defines ICD 10 code S42.266S as:

When To Use S42.266S

The diagnosis describes by the ICD 10 CM S42.266S code pertains to a specific type of fracture in the humerus bone called nondisplaced fracture of the lesser tuberosity. This condition can cause intense pain that radiates to the arm, limited range of motion of the affected upper extremity, muscle spasm, numbness, tingling, and swelling. The condition is typically caused by trauma or an injury.

To diagnose a nondisplaced fracture of the lesser tuberosity of the humerus, healthcare providers typically begin with a thorough physical examination of the affected area. They assess the wound, nerves, and blood supply to the area. Imaging techniques like X-rays, CT scans, and MRI may be used as appropriate to accurately diagnose the condition. Laboratory examinations also play a role in diagnosing this condition.

There are various treatment options available for a nondisplaced fracture of the lesser tuberosity of the humerus. Non-operative treatment methods include immobilization with a sling and the administration of medications such as analgesics, corticosteroids, muscle relaxants, and nonsteroidal anti-inflammatory drugs. Analgesics are used to relieve pain, corticosteroids to reduce inflammation, muscle relaxants to calm muscle spasms, and nonsteroidal anti-inflammatory drugs to reduce pain and inflammation.

Physical therapy can be prescribed to improve the range of motion, flexibility, and muscle strength of the affected upper extremity. The goal of physical therapy is to restore normal function to the affected area as quickly as possible. Physical therapy may be administered on its own or in combination with other treatment methods.

Operative treatment methods include open reduction and internal fixation of the fracture. This procedure involves realigning the broken bone fragments and fixing them with screws, plates, or other hardware to encourage healing. The decision to use operative methods usually depends on the severity of the injury and is typically decided by a medical professional.

Understanding the ICD 10 CM S42.266S diagnosis code is essential for effective medical coding. Accurate coding ensures that insurance claims are processed correctly and protects healthcare providers from potentially costly billing errors. Proper treatment and management of patients with nondisplaced fractures of the lesser tuberosity of the humerus not only improves their quality of life but also reduces long-term healthcare costs. Patients with this condition require comprehensive care, and medical coders play a crucial role in ensuring that they receive the care they need.