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ICD-10 Coding for Collar Bone Fracture(S42.001A, M97.11, S42.001S)

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Learn about ICD-10 coding for collar bone fractures, including documentation requirements and common pitfalls. Ensure accurate coding with our detailed guide.

Also known as:
Clavicle FractureBroken Collarbone
Related ICD-10 Code Ranges

Complete code families applicable to Collar Bone Fracture

S00-T88Primary Range

Injury, poisoning and certain other consequences of external causes

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Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescription
S42.001AFracture of unspecified part of right clavicle, initial encounter for closed fracture
S42.021ADisplaced fracture of shaft of right clavicle, initial encounter for closed fracture
Primary ICD-10-CM Codes
Fracture of unspecified part of right clavicle, initial encounter for closed fracture
S42.001ABillable
Differential Codes

Alternative codes to consider when ruling out similar conditions

Displaced fracture of shaft of right clavicle, initial encounter for closed fractureS42.021A

Use when the fracture is specifically identified as displaced and located at the shaft.

Nonunion of fracture of lateral end of right clavicleS42.031K

Use for nonunion cases confirmed by imaging.

Documentation & Coding Risks

Avoid these common issues when documenting Collar Bone Fracture.

Omitting laterality in documentation

Impact

Clinical: Ambiguity in treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.

Mitigation

Always document laterality in clinical notes.

Lack of specificity in fracture location

Impact

Reimbursement: May lead to claim denials or reduced payments., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data for clinical and research purposes.

Mitigation

Ensure documentation specifies the exact part of the clavicle.

Specificity of fracture coding

Impact

Risk of audits due to non-specific coding.

Mitigation

Ensure detailed documentation of fracture specifics.

Frequently Asked Questions

Related condition guides

Documentation requirements, coding pitfalls and FAQs for conditions coded with S42.001A.