2025 ICD-10-CM code S42.0
Fracture of clavicle.
Yes, modifiers can be applied to specify the encounter (initial or subsequent) and the healing status of the fracture (routine, delayed, nonunion, malunion).
Medical necessity for treatment is established by the diagnosis of a clavicle fracture.Further interventions, such as surgery, are justified based on the specific characteristics of the fracture, such as displacement, comminution, or associated injuries.
Physicians diagnose a clavicle fracture based on physical examination, X-rays, and sometimes other imaging studies like CT scans or ultrasounds, especially in children. Treatment varies depending on the severity of the fracture.Simple fractures are often treated with a sling, pain medication, and physical therapy. More complex fractures may require surgery to realign the bone.
- Injury, poisoning and certain other consequences of external causes (S00-T88)
- Injuries to the shoulder and upper arm
In simple words: A broken collarbone. This is a break in the bone that connects your shoulder to your breastbone.It’s often caused by a fall or a blow to the shoulder.
Fracture of the clavicle, also known as a broken collarbone. This condition is commonly caused by a direct blow to the shoulder, a fall onto an outstretched arm, or trauma during birth.
Example 1: A 25-year-old male falls off his bicycle and lands directly on his shoulder, resulting in a fractured clavicle., A 70-year-old female trips and falls onto an outstretched hand, breaking her collarbone., An infant sustains a clavicle fracture during a difficult delivery.
Documentation should include details of the injury mechanism, physical exam findings (e.g., deformity, swelling, tenderness, crepitus), and results of imaging studies confirming the fracture and its location.Associated injuries, such as neurovascular compromise or other fractures, should also be documented.
** The ICD-10-CM code S42.0 is a billable code.Excludes1 notes indicate conditions that are not coded with S42.0: birth trauma (P10-P15) and obstetric trauma (O70-O71).Excludes2 notes indicate conditions that are not included in the block S40-S49: burns and corrosions (T20-T32), frostbite (T33-T34), injuries of elbow (S50-S59), and venomous insect bite or sting (T63.4).
- Specialties:Orthopedic Surgery, Emergency Medicine, Family Medicine, Pediatrics
- Place of Service:Office, Inpatient Hospital, On Campus-Outpatient Hospital, Emergency Room - Hospital, Off Campus-Outpatient Hospital