ICD 10 CM S42.345P | Description & Clinical Information

ICD 10 S42.345P describes a type of fracture, known as a nondisplaced spiral fracture or torsion fracture, that occurs in the shaft of the left humerus, the long bone of the upper arm, where the break line spirals around the central portion of the bone while maintaining alignment of the fracture fragments, and is typically caused by forceful twisting of the arm, indirect twisting force from falling on the elbow or outstretched arm, or participation in sports activities, and this code is used for subsequent encounters where the fragments have not fully united or are in a faulty position.

Official Description Of S42.345P

The ICD 10 CM book defines ICD 10 code S42.345P as:

Nondisplaced spiral fracture of shaft of humerus, left arm, subsequent encounter for fracture with malunion
Parent Code Notes: S42.3

Excludes2: physeal fractures of upper end of humerus (S49.0-)
physeal fractures of lower end of humerus (S49.1-)

Parent Code Notes: S42

Excludes1: traumatic amputation of shoulder and upper arm (S48.-)

When To Use S42.345P

The diagnosis describes by the ICD 10 CM S42.345P code pertains to a specific type of injury affecting the humeral shaft. This type of fracture is referred to as a nondisplaced spiral fracture of the left humeral shaft. Such injuries can be painful and limit a person’s range of motion, causing stiffness and muscle weakness.

To diagnose this type of injury, a healthcare provider will gather information about the patient’s medical history, paying specific attention to how the accident or injury occurred. Physical examinations are conducted to assess the injury’s severity, and imaging techniques such as Xrays, CT scans, and MRIs may be used to provide a more detailed view of the fracture. Laboratory examinations may also be conducted to evaluate the severity of the injury.

The treatment options for a nondisplaced spiral fracture of the humeral shaft may vary depending on whether the bone has been displaced or not. Typically, treatment involves a combination of medications such as analgesics and nonsteroidal antiinflammatory drugs, muscle relaxants, and immobilization of the affected limb with a splint or soft cast.

Ice, compression, and elevation of the affected area can be applied to reduce swelling, while rest is essential to prevent further damage and promote healing. Physical therapy may be recommended to improve the range of motion, flexibility, and muscle strength in the affected area.

In some cases, reduction of the fracture may be necessary. This can be achieved through closed reduction or surgical open reduction and internal fixation. In both cases, realigning the bone is typically done under general anesthesia to ensure the patient’s comfort and safety during the procedure.

After the injury, regular checkups with a medical professional are essential to ensure proper healing and to monitor the recovery process actively. It is essential to follow the treatment plan prescribed by a healthcare provider to avoid complications and ensure a successful recovery.

In conclusion, medical coders must be aware of the specific codes used to describe different types of fractures so that medical professionals can accurately diagnose and treat injuries. Accurate documentation is essential for the continuity of care and the reimbursement process for healthcare services rendered.

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