ICD Code S42.202A

ICD code S42.202A is an unspecified fracture at the upper end of the left humerus, for a patient’s first visit where the bone is broken but the skin is not open.

1. Patient presents with a fracture involving the upper end of the left humerus.

2. The specific type or pattern of the fracture cannot be determined or is not documented.

3. The fracture is confirmed to be closed, with no associated open wound.

4. This is the initial encounter for active treatment of the fracture.

5. Clinical evaluation and imaging support the diagnosis of a humeral fracture without further specification.

6. Symptoms may include localized pain, swelling, decreased range of motion, and possible deformity of the left shoulder or upper arm.

Relevant CPT codes for ICD S42.202A may include:

- 23600: Closed treatment of proximal humeral (surgical or anatomical neck) fracture; without manipulation

- 23605: Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation

- 23615: Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed

- 23630: Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed

- 23670: Closed treatment of humeral shaft fracture; without manipulation

- 23675: Closed treatment of humeral shaft fracture; with manipulation

- 23680: Open treatment of humeral shaft fracture, includes internal fixation, when performed

Selection of the appropriate CPT code depends on the specific treatment provided.

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