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ICD-10 Coding for Collarbone Fracture(S42.021A, M84.52, S42.021K)

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Learn about ICD-10 coding for collarbone fractures, including displaced and nonunion fractures, with detailed documentation requirements.

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

Complete code families applicable to Collarbone 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
S42.021ADisplaced fracture of shaft of right clavicle, initial encounter
S42.021KDisplaced fracture of shaft of right clavicle, subsequent encounter for nonunion
Primary ICD-10-CM Codes
Displaced fracture of shaft of right clavicle, initial encounter for closed fracture
S42.021ABillable
Differential Codes

Alternative codes to consider when ruling out similar conditions

Fracture of scapulaS42.3

Use when the fracture involves the scapula, not the clavicle.

Fracture of clavicle, unspecifiedS42.0

Use only when specific details of the fracture are not documented.

Documentation & Coding Risks

Avoid these common issues when documenting Collarbone Fracture.

Omitting laterality in documentation

Impact

Clinical: Potential for incorrect treatment planning., Regulatory: Non-compliance with coding standards., Financial: Denied claims due to incomplete documentation.

Mitigation

Always document right or left for clavicle fractures.

Assuming closed fracture without documentation

Impact

Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.

Mitigation

Always verify and document whether the fracture is open or closed.

Unspecified Fracture Codes

Impact

Using unspecified codes can trigger audits.

Mitigation

Ensure all documentation specifies fracture details.

Frequently Asked Questions

Related condition guides

Documentation requirements, coding pitfalls and FAQs for conditions coded with S42.021A.