2022 ICD-10-CM Code S42.109B
Fracture of unspecified part of scapula, unspecified shoulder, initial encounter for open fracture
Code Classification
S42.109B is a billable diagnosis code used to specify a medical diagnosis of fracture of unspecified part of scapula, unspecified shoulder, initial encounter for open fracture. The code S42.109B is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code S42.109B might also be used to specify conditions or terms like closed fracture of scapula, closed multiple fractures of clavicle and/or scapula and/or humerus, fracture of scapula, multiple fractures of clavicle, multiple fractures of clavicle, scapula and humerus , multiple fractures of humerus, etc.
S42.109B is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like fracture of unspecified part of scapula unspecified shoulder for open fracture. According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.
Unspecified diagnosis codes like S42.109B are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
The code S42.109B is linked to some Quality Measures as part of Medicare's Quality Payment Program (QPP). When this code is used as part of a patient's medical record the following Quality Measures might apply: Communication With The Physician Or Other Clinician Managing On-going Care Post-fracture For Men And Women Aged 50 Years And Older , Osteoporosis Management In Women Who Had A Fracture.
Coding Guidelines
The principles of multiple coding of injuries should be followed in coding fractures. Fractures of specified sites are coded individually by site nd the level of detail furnished by medical record content.
A fracture not indicated as open or closed should be coded to closed. A fracture not indicated whether displaced or not displaced should be coded to displaced.
Initial vs. Subsequent Encounter for Fractures
Traumatic fractures are coded using the appropriate 7th character for initial encounter (A, B, C) for each encounter where the patient is receiving active treatment for the fracture. The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.
Fractures are coded using the appropriate 7th character for subsequent care for encounters after the patient has completed active treatment of the fracture and is receiving routine care for the fracture during the healing or recovery phase.
Care for complications of surgical treatment for fracture repairs during the healing or recovery phase should be coded with the appropriate complication codes.
Care of complications of fractures, such as malunion and nonunion, should be reported with the appropriate 7th character for subsequent care with nonunion (K, M, N,) or subsequent care with malunion (P, Q, R).
Malunion/nonunion: The appropriate 7th character for initial encounter should also be assigned for a patient who delayed seeking treatment for the fracture or nonunion.
The open fracture designations in the assignment of the 7th character for fractures of the forearm, femur and lower leg, including ankle are based on the Gustilo open fracture classification. When the Gustilo classification type is not specified for an open fracture, the 7th character for open fracture type I or II should be assigned (B, E, H, M, Q).
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Closed fracture of scapula
- Closed multiple fractures of clavicle and/or scapula and/or humerus
- Fracture of scapula
- Multiple fractures of clavicle
- Multiple fractures of clavicle, scapula and humerus
- Multiple fractures of humerus
- Multiple fractures of scapula
- Multiple fractures of scapula
- Open fracture of scapula
- Open multiple fractures of clavicle and/or scapula and/or humerus
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code S42.109B is grouped in the following groups for version MS-DRG V39.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2021 through 09/30/2022.
MS-DRG | MS-DRG Title | MCD | Relative Weight |
---|---|---|---|
562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | 08 | 1.408 |
563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 08 | 0.8708 |
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert S42.109B to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code S42.109B its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
- 811.10 - Fx scapula NOS-open (Approximate Flag)
Quality Payment Program Measures
When code S42.109B is part of the patient's diagnoses the following Quality Measures apply and affect reimbursement. The objective of Medicare's Quality Measures is to improve patient care by making it more: effective, safe, efficient, patient-centered and equitable.
Quality Measure | Description | Quality Domain | Measure Type | High Priority | Submission Methods |
---|---|---|---|---|---|
Communication with the Physician or Other Clinician Managing On-Going Care Post-Fracture for Men and Women Aged 50 Years and Older | Percentage of patients aged 50 years and older treated for a fracture with documentation of communication, between the physician treating the fracture and the physician or other clinician managing the patient's on-going care, that a fracture occurred and that the patient was or should be considered for osteoporosis treatment or testing. This measure is submitted by the physician who treats the fracture and who therefore is held accountable for the communication. | Communication and Care Coordination | Process | YES | Claims, Registry |
Osteoporosis Management in Women Who Had a Fracture | The percentage of women age 50-85 who suffered a fracture in the six months prior to the performance period through June 30 of the performance period and who either had a bone mineral density test or received a prescription for a drug to treat osteoporosis in the six months after the fracture. | Effective Clinical Care | Process | NO | Claims, Registry |
Information for Patients
Fractures
A fracture is a break, usually in a bone. If the broken bone punctures the skin, it is called an open or compound fracture. Fractures commonly happen because of car accidents, falls, or sports injuries. Other causes are low bone density and osteoporosis, which cause weakening of the bones. Overuse can cause stress fractures, which are very small cracks in the bone.
Symptoms of a fracture are
- Intense pain
- Deformity - the limb looks out of place
- Swelling, bruising, or tenderness around the injury
- Numbness and tingling
- Problems moving a limb
You need to get medical care right away for any fracture. An x-ray can tell if your bone is broken. You may need to wear a cast or splint. Sometimes you need surgery to put in plates, pins or screws to keep the bone in place.
[Learn More in MedlinePlus]
Shoulder Injuries and Disorders
Your shoulder joint is composed of three bones: the clavicle (collarbone), the scapula (shoulder blade), and the humerus (upper arm bone). Your shoulders are the most movable joints in your body. They can also be unstable because the ball of the upper arm is larger than the shoulder socket that holds it. To remain in a stable or normal position, the shoulder must be anchored by muscles, tendons, and ligaments.
Because your shoulder can be unstable, it can be easily injured. Common problems include
- Sprains and strains
- Dislocations
- Separations
- Tendinitis
- Bursitis
- Torn rotator cuffs
- Frozen shoulder
- Fractures (broken bones)
- Arthritis
Health care providers diagnose shoulder problems by using your medical history, a physical exam, and imaging tests.
Often, the first treatment for shoulder problems is RICE. This stands for Rest, Ice, Compression, and Elevation. Other treatments include exercise and medicines to reduce pain and swelling. If those don't work, you may need surgery.
NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases
[Learn More in MedlinePlus]
Related Codes
ICD Code | Description | Valid for Submission |
---|---|---|
S42 | Fracture of shoulder and upper arm | NON-BILLABLE CODE |
S42.0 | Fracture of clavicle | NON-BILLABLE CODE |
S42.00 | Fracture of unspecified part of clavicle | NON-BILLABLE CODE |
S42.001 | Fracture of unspecified part of right clavicle | NON-BILLABLE CODE |
S42.001A | Fracture of unspecified part of right clavicle, initial encounter for closed fracture | BILLABLE CODE |
S42.001B | Fracture of unspecified part of right clavicle, initial encounter for open fracture | BILLABLE CODE |
S42.001D | Fracture of unspecified part of right clavicle, subsequent encounter for fracture with routine healing | BILLABLE CODE |
S42.001G | Fracture of unspecified part of right clavicle, subsequent encounter for fracture with delayed healing | BILLABLE CODE |
S42.001K | Fracture of unspecified part of right clavicle, subsequent encounter for fracture with nonunion | BILLABLE CODE |
S42.001P | Fracture of unspecified part of right clavicle, subsequent encounter for fracture with malunion | BILLABLE CODE |
S42.001S | Fracture of unspecified part of right clavicle, sequela | BILLABLE CODE |
S42.002 | Fracture of unspecified part of left clavicle | NON-BILLABLE CODE |
S42.002A | Fracture of unspecified part of left clavicle, initial encounter for closed fracture | BILLABLE CODE |
S42.002B | Fracture of unspecified part of left clavicle, initial encounter for open fracture | BILLABLE CODE |
S42.002D | Fracture of unspecified part of left clavicle, subsequent encounter for fracture with routine healing | BILLABLE CODE |
S42.002G | Fracture of unspecified part of left clavicle, subsequent encounter for fracture with delayed healing | BILLABLE CODE |
S42.002K | Fracture of unspecified part of left clavicle, subsequent encounter for fracture with nonunion | BILLABLE CODE |
S42.002P | Fracture of unspecified part of left clavicle, subsequent encounter for fracture with malunion | BILLABLE CODE |
S42.002S | Fracture of unspecified part of left clavicle, sequela | BILLABLE CODE |
S42.009 | Fracture of unspecified part of unspecified clavicle | NON-BILLABLE CODE |
S42.009A | Fracture of unspecified part of unspecified clavicle, initial encounter for closed fracture | BILLABLE CODE |
S42.009B | Fracture of unspecified part of unspecified clavicle, initial encounter for open fracture | BILLABLE CODE |
S42.009D | Fracture of unspecified part of unspecified clavicle, subsequent encounter for fracture with routine healing | BILLABLE CODE |
S42.009G | Fracture of unspecified part of unspecified clavicle, subsequent encounter for fracture with delayed healing | BILLABLE CODE |
S42.009K | Fracture of unspecified part of unspecified clavicle, subsequent encounter for fracture with nonunion | BILLABLE CODE |
S42.009P | Fracture of unspecified part of unspecified clavicle, subsequent encounter for fracture with malunion | BILLABLE CODE |
S42.009S | Fracture of unspecified part of unspecified clavicle, sequela | BILLABLE CODE |
S42.01 | Fracture of sternal end of clavicle | NON-BILLABLE CODE |
S42.011 | Anterior displaced fracture of sternal end of right clavicle | NON-BILLABLE CODE |
S42.011A | Anterior displaced fracture of sternal end of right clavicle, initial encounter for closed fracture | BILLABLE CODE |
S42.011B | Anterior displaced fracture of sternal end of right clavicle, initial encounter for open fracture | BILLABLE CODE |
S42.011D | Anterior displaced fracture of sternal end of right clavicle, subsequent encounter for fracture with routine healing | BILLABLE CODE |
S42.011G | Anterior displaced fracture of sternal end of right clavicle, subsequent encounter for fracture with delayed healing | BILLABLE CODE |
S42.011K | Anterior displaced fracture of sternal end of right clavicle, subsequent encounter for fracture with nonunion | BILLABLE CODE |
S42.011P | Anterior displaced fracture of sternal end of right clavicle, subsequent encounter for fracture with malunion | BILLABLE CODE |
S42.011S | Anterior displaced fracture of sternal end of right clavicle, sequela | BILLABLE CODE |
S42.012 | Anterior displaced fracture of sternal end of left clavicle | NON-BILLABLE CODE |
S42.012A | Anterior displaced fracture of sternal end of left clavicle, initial encounter for closed fracture | BILLABLE CODE |
S42.012B | Anterior displaced fracture of sternal end of left clavicle, initial encounter for open fracture | BILLABLE CODE |
S42.012D | Anterior displaced fracture of sternal end of left clavicle, subsequent encounter for fracture with routine healing | BILLABLE CODE |
S42.012G | Anterior displaced fracture of sternal end of left clavicle, subsequent encounter for fracture with delayed healing | BILLABLE CODE |
S42.012K | Anterior displaced fracture of sternal end of left clavicle, subsequent encounter for fracture with nonunion | BILLABLE CODE |
S42.012P | Anterior displaced fracture of sternal end of left clavicle, subsequent encounter for fracture with malunion | BILLABLE CODE |
S42.012S | Anterior displaced fracture of sternal end of left clavicle, sequela | BILLABLE CODE |
S42.013 | Anterior displaced fracture of sternal end of unspecified clavicle | NON-BILLABLE CODE |
S42.013A | Anterior displaced fracture of sternal end of unspecified clavicle, initial encounter for closed fracture | BILLABLE CODE |
S42.013B | Anterior displaced fracture of sternal end of unspecified clavicle, initial encounter for open fracture | BILLABLE CODE |
S42.013D | Anterior displaced fracture of sternal end of unspecified clavicle, subsequent encounter for fracture with routine healing | BILLABLE CODE |
S42.013G | Anterior displaced fracture of sternal end of unspecified clavicle, subsequent encounter for fracture with delayed healing | BILLABLE CODE |
S42.013K | Anterior displaced fracture of sternal end of unspecified clavicle, subsequent encounter for fracture with nonunion | BILLABLE CODE |
S42.013P | Anterior displaced fracture of sternal end of unspecified clavicle, subsequent encounter for fracture with malunion | BILLABLE CODE |
Code History
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)