ICD 10 CM S42.291S | Description & Clinical Information

ICD 10 S42.291S describes a specific type of fracture that occurs at the upper end of the right humerus, the long bone located between the shoulder and elbow, where the fractured fragments move out of their original position due to sudden or blunt trauma, such as a motor vehicle accident, sports activities, or a fall on an outstretched arm, and is identified by the healthcare provider as a fracture type that is not represented by another code in this category, and may result in sequela, a condition that arises as a consequence of the initial injury.

Official Description Of S42.291S

The ICD 10 CM book defines ICD 10 code S42.291S as:

When To Use S42.291S

The diagnosis describes by the ICD 10 CM S42.291S code refers to a specific type of fracture in the upper end of the right humerus. This injury can cause a range of symptoms such as pain, swelling, bruising, deformity, stiffness, tenderness, muscle spasm, numbness, and tingling due to possible nerve injury, and restriction of motion. Medical coders must be aware of this code and the associated symptoms to accurately report the condition in patient records.

To diagnose this condition, healthcare providers typically start with a review of the patient’s personal history of trauma and a physical examination to assess the wound, nerves or blood supply. The use of imaging techniques such as X-rays, CT scans, and MRI scans can also aid in determining the extent of damage. Laboratory examination may be necessary to rule out other conditions.

Treatment options for this condition include medications such as pain relievers, corticosteroids, muscle relaxants, nonsteroidal anti-inflammatory drugs, and thrombolytics or anticoagulants to reduce the risk of blood clots. Calcium and vitamin D supplements are often prescribed to improve bone strength. A splint or soft cast may be needed for immobilization to prevent further damage and promote healing. Rest, applying ice, compression, and elevation of the affected part can also help reduce swelling. Physical therapy is often recommended to improve the range of motion, flexibility, and muscle strength. In some cases, surgical open reduction and internal fixation may be required.

It is important for medical coders to be familiar with this diagnosis code, as it relates to a common injury that can occur in various settings such as sports injuries, falls, and motor vehicle accidents. Accurate coding of this condition is crucial for billing and reimbursement purposes. Medical coders must also be able to distinguish between this diagnosis code and others that describe fractures in different areas of the humerus.

In conclusion, the ICD 10 CM S42.291S diagnosis code applies to a specific type of displaced fracture in the upper end of the right humerus. It is important for medical coders to be knowledgable about this code, its associated symptoms, and treatment options to ensure accurate coding and billing for this common injury.