Find information on right clavicle fracture diagnosis, including clinical documentation, ICD-10 and CPT codes, medical coding guidelines, and healthcare resources. Learn about right clavicle fracture treatment, distal, midshaft, and proximal fracture types, radiology and imaging, and proper documentation for accurate billing and reimbursement. Explore resources for physicians, coders, and other healthcare professionals regarding right clavicle fracture care and coding best practices.
Also known as
Fracture of right clavicle
Covers fractures of the right clavicle, including unspecified, closed, and open types.
Fracture of clavicle
Includes fractures of the clavicle, unspecified side or both sides.
Injuries, poisoning, etc.
Broad category encompassing various injuries, including fractures.
Fracture of skull and facial bones
While not directly related, included for potential associated injuries in trauma cases.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the fracture closed?
Yes
Displaced?
No
Type of open fracture?
When to use each related code
| Description |
|---|
| Right clavicle fracture |
| Right clavicle dislocation |
| Right clavicle contusion |
Coding right clavicle fracture without specifying right side can lead to claim rejection. ICD-10 requires laterality.
Unspecified fracture type (e.g., displaced, comminuted) impacts reimbursement. CDI should query physician for details.
Initial encounter, subsequent encounter, or sequela? Incorrect coding affects payment and compliance.
Patient presents with complaints of right shoulder pain and limited range of motion following a fall onto an outstretched hand. Physical examination reveals localized tenderness, swelling, and crepitus over the right clavicle. Positive scarf test and piano key sign are noted. Radiographic imaging of the right clavicle confirms a displaced midshaft fracture, specifically a transverse fracture without comminution. Diagnosis of right clavicle fracture is made. Assessment includes evaluation for neurovascular compromise, which is currently negative. Treatment plan includes a sling for immobilization, pain management with analgesics, and close follow-up for fracture healing. Patient education provided on activity modification, proper sling use, and potential complications such as nonunion or malunion. Referral to orthopedics for definitive management and possible surgical intervention if indicated. ICD-10 code S42.001A assigned for displaced fracture of the right clavicle, initial encounter. CPT codes for evaluation and management, radiographic imaging, and application of sling documented. Prognosis is generally good with appropriate management, although potential for delayed union or nonunion exists. Follow-up scheduled in one week for repeat radiographic evaluation and assessment of healing progress.