ICD-10-CM Code S42.132D
Displaced fracture of coracoid process, left shoulder, subsequent encounter for fracture with routine healing
Billable Code
Billable codes are sufficient justification for admission to an acute care hospital when used a principal diagnosis.POA Exempt Code
The Center for Medicare & Medicaid Services (CMS) requires medical coders to indicate whether or not a condition was present at the time of admission, in order to properly assign MS-DRG codes. This "Present On Admission" (POA) indicator is recorded on CMS form 4010A.S42.132D is a billable ICD code used to specify a diagnosis of displaced fracture of coracoid process, left shoulder, subsequent encounter for fracture with routine healing. A 'billable code' is detailed enough to be used to specify a medical diagnosis.
POA Indicators on CMS form 4010A are as follows:
| Indicator | Meaning | CMS Will Pay CC/MCC DRG Costs |
|---|---|---|
| Y | Diagnosis was present at time of inpatient admission | Yes |
| N | Diagnosis was not present at time of inpatient admission | No |
| U | Documentation insufficient to determine if the condition was present at the time of inpatient admission. | No |
| W | Clinically undetermined. Provider unable to clinically determine whether the condition was present at the time of inpatient admission. | Yes |
| 1 | Exempt from POA reporting | No |
The ICD code S421 is used to code Scapular fracture
A scapular fracture is a fracture of the scapula, the shoulder blade. The scapula is sturdy and located in a protected place, so it rarely breaks. When it does, it is an indication that the individual was subjected to a considerable amount of force and that severe chest trauma may be present. High-speed vehicle accidents are the most common cause. This could be anywhere from a car accident, motorcycle crash, or high speed bicycle crash but falls and blows to the area can also be responsible for the injury. Signs and symptoms are similar to those of other fractures: they include pain, tenderness, and reduced motion of the affected area although symptoms can take a couple of days to appear. Imaging techniques such as X-ray are used to diagnose scapular fracture, but the injury may not be noticed in part because it is so frequently accompanied by other, severe injuries that demand attention. The injuries that usually accompany scapular fracture generally have the greatest impact on the patient's outcome. However, the injury can also occur by itself; when it does, it does not present a significant threat to life. Treatment involves pain control and immobilizing the affected area, and, later, physical therapy.
| ICD 9 Code: | 811 |
MS-DRG Mapping
- DRG Group #559-561 - Aftercare, musculoskeletal system and connective tissue with MCC.
- DRG Group #559-561 - Aftercare, musculoskeletal system and connective tissue with CC.
- DRG Group #559-561 - Aftercare, musculoskeletal system and connective tissue without CC or MCC.
Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)
This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code S42.132D and a single ICD9 code, V54.11 is an approximate match for comparison and conversion purposes.
Parent Code: S42.132 - Displaced fracture of coracoid process, left shoulder