S42.032G Displaced fracture of lateral end of left clavicle, subsequent encounter for fracture with delayed healing

ICD10CM code

#### Name of the Condition
- Displaced fracture of the lateral end of the left clavicle, subsequent encounter with delayed healing  
- **ICD-10 Code: S42.032G**

#### Summary
A displaced fracture of the lateral end of the left clavicle refers to a break occurring at the outer part of the collarbone, where the bones are misaligned. This documentation is for a subsequent encounter where the healing process of the fracture is taking longer than expected.

#### Causes
- Trauma or direct impact to the shoulder, such as a fall or sports injury.
- Accidents, such as car crashes or falls from a height.

#### Risk Factors
- Age: Common in younger individuals due to active lifestyle and older adults due to decreased bone density.
- Participation in contact sports or high-risk activities.
- Osteoporosis or weakened bone conditions.

#### Symptoms
- Noticeable deformity or lump over the shoulder.
- Bruising, swelling, or tenderness around the collarbone area.
- Difficulty moving the arm and shoulder.
- Persistent pain that worsens with shoulder movement.

#### Diagnosis
- Physical examination by a healthcare provider.
- X-rays to visualize the displacement and healing progress of the fracture.
- MRI or CT scans may be occasionally used for detailed assessment.

#### Treatment Options
- Immobilization with a sling or brace to allow proper alignment and healing.
- Physical therapy to regain movement and strength after immobilization.
- Surgery might be considered if bones do not align properly or if healing is continuously delayed.
- Pain management through medications.

#### Prognosis and Follow-Up
- With timely and appropriate treatment, most clavicle fractures heal well, though delayed healing may extend recovery.
- Regular follow-up appointments to monitor the healing process and adjust treatment if necessary.

#### Complications
- Non-union or malunion of the fracture leading to chronic pain or deformity.
- Reduced range of motion in the shoulder.
- Potential risk of developing arthritis in the shoulder.

#### Lifestyle & Prevention
- Engage in strengthening exercises to improve bone density and muscle support.
- Wear protective gear when participating in high-risk sports or activities.
- Ensure a diet rich in calcium and vitamin D to promote healthy bones.

#### When to Seek Professional Help
- Increased pain, swelling, or redness around the fracture site.
- Numbness or tingling in the arm.
- Difficulty in moving the shoulder compared to prior visits.

#### Additional Resources
- [American Academy of Orthopaedic Surgeons](https://www.aaos.org)
- [Orthoinfo](https://orthoinfo.aaos.org) for patient education information.

#### Tips for Medical Coders
- Verify the site and laterality (left clavicle) when coding.
- Ensure to use the `G` variant of the code to indicate delayed healing in subsequent encounters.
- Confirm the displacement and delayed healing status through the provider's documentation for accurate coding.
- Avoid miscoding as a new encounter or healed fracture.

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