ICD 10 CM S42.495B | Description & Clinical Information

ICD 10 S42.495B describes a type of fracture that occurs in the distal part of the lower end of the left humerus, which is the solitary long bone located between the shoulder and the elbow, resulting from sudden or blunt trauma such as a forceful blow from a moving object, motor vehicle accident, sports activities, or fall on an outstretched arm, and is characterized by maintained alignment of the fractured fragments, with the provider identifying a specific type of fracture that is not represented by another code at the initial encounter for a fracture exposed through a tear or laceration of the skin caused by the nondisplaced fragments or by external trauma.

Official Description Of S42.495B

The ICD 10 CM book defines ICD 10 code S42.495B as:

When To Use S42.495B

The diagnosis describes by the ICD 10 CM S42.495B code is a type of nondisplaced fracture of the lower end of the left humerus, which is the bone that runs from the shoulder to the elbow. This type of fracture can result in pain at the affected site, along with swelling, bruising, stiffness, tenderness, and even numbness and tingling due to possible nerve injury. Deformity may also be present, and there can be restriction of motion.

To diagnose this condition, medical providers rely on the patient’s personal history of trauma and a physical examination to assess the area of concern, including the wound, nerves, or blood supply. Imaging techniques such as X-rays, computed tomography (CT) scans, or magnetic resonance imaging (MRI) are also necessary to determine the extent of the damage. Laboratory examinations may also be necessary in some cases.

Once a diagnosis is made, treatment options may include medications such as analgesics, corticosteroids, muscle relaxants, or nonsteroidal anti-inflammatory drugs (NSAIDs). Thrombolytics or anticoagulants may also be prescribed to reduce the risk of blood clots. Calcium and vitamin D supplements may be necessary to improve the bone strength. A splint or soft cast may be required for immobilization to promote healing and prevent further damage. Rest, along with the application of ice, compression, and elevation of the affected part can also help reduce swelling. Physical therapy may be necessary to improve the range of motion, flexibility, and muscle strength.

Stable and closed fractures rarely require surgery. However, unstable fractures require fixation, which may include using hardware to hold the bones in place. Open fractures, which involve a break in the skin, require surgical open reduction and internal fixation (ORIF) to close the wound.

It is important for medical coders to have a thorough understanding of this diagnosis code and the associated treatment options. Accurate coding is vital for appropriate billing and reimbursement for healthcare services rendered. Additionally, accurate coding helps with the tracking of trends and outcomes related to this condition, which can contribute to ongoing research and advancements in medical treatment.