{"id":178935,"date":"2026-08-14T13:36:46","date_gmt":"2026-08-14T13:36:46","guid":{"rendered":"https:\/\/pabau.com\/?p=178935"},"modified":"2026-08-14T14:35:27","modified_gmt":"2026-08-14T14:35:27","slug":"icd-10-code-s42143b","status":"publish","type":"post","link":"https:\/\/pabau.com\/es\/diagnostic-codes\/icd-10-code-s42143b\/","title":{"rendered":"ICD-10 code S42.143B: Displaced open glenoid cavity fracture"},"content":{"rendered":"\n<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"MedicalWebPage\",\"headline\":\"ICD-10 code S42.143B: Displaced fracture of glenoid cavity of scapula, unspecified shoulder, initial encounter for open fracture\",\"description\":\"Reference for ICD-10 code S42.143B, a displaced fracture of the glenoid cavity of the scapula, unspecified shoulder, initial encounter for open fracture. Covers the 7th character set for category S42, code hierarchy, billable status, documentation requirements and related codes.\",\"url\":\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s42143b\/\",\"audience\":{\"@type\":\"MedicalAudience\",\"audienceType\":\"Clinician\"},\"reviewedBy\":{\"@type\":\"Person\",\"name\":\"Dr Vanja Kitanova\",\"jobTitle\":\"Medical Reviewer\",\"affiliation\":{\"@type\":\"Organization\",\"name\":\"Pabau\"},\"knowsAbout\":[\"Medical Coding\",\"Clinical Documentation\",\"Healthcare Billing\",\"Clinical Safety\"],\"sameAs\":\"https:\/\/pabau.com\/blog\/author\/vanja\/\"},\"datePublished\":\"2026-07-25\",\"dateModified\":\"2026-08-14\"}<\/script>\n\n\n        <div id=\"key_takeaways\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/12\/Key-Takeaways-Icon.svg\" alt=\"Key takeaways\" height=\"42\" width=\"42\">\n                                <h3>Key takeaways<\/h3>\n            <\/div>\n            <div class=\"list\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>S42.143B covers a displaced fracture of the glenoid cavity of the scapula, at an initial encounter for an open fracture.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>The glenoid cavity sits on the scapula, so humerus codes never belong on this claim.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Category S42 uses only the 7th characters A, B, D, G, K, P and S.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>A plain B means an open initial encounter, and category S42 has no Gustilo type behind it.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>The shoulder side is unspecified here, so confirm it and move to S42.141B or S42.142B.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<p class=\"wp-block-paragraph\">An open fracture of the scapula rarely arrives on its own. It usually sits inside a larger trauma case, and the emergency note gets written fast. So the shoulder side goes unrecorded, and nobody writes the word displaced.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Both omissions land in the same place. S42.143B describes a displaced fracture of the glenoid cavity of the scapula. The shoulder side is not stated, and the encounter is an initial one for an open fracture. ICD-10-CM tells you to code an unlabeled fracture as displaced, and an undocumented side as unspecified.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The code will pay. It also tells the payer that the chart was thin when the code was picked. Fixing that usually takes one look at the operative report.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"ICD-10 Revisions: Stay Updated or Fall Behind\" width=\"800\" height=\"450\" src=\"https:\/\/www.youtube.com\/embed\/bqAyb-BCA0w?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<h2 id=\"h-s42-143b-answers-four-questions-at-once\" class=\"wp-block-heading\">S42.143B answers four questions at once<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The full descriptor settles four things in a single line. It names the bone, the state of the fragments, the side, and the type of encounter. Here is the whole code in summary form.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Attribute<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Detail<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Code<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S42.143B<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Full descriptor<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Displaced fracture of glenoid cavity of scapula, unspecified shoulder, initial encounter for open fracture<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Category<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S42, fracture of shoulder and upper arm<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Subcategory<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S42.14, fracture of glenoid cavity of scapula<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Base code<\/td>\n<td style=\"padding:12px 16px;color:#374151\">S42.143, which needs a 7th character before it can be billed<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">7th character<\/td>\n<td style=\"padding:12px 16px;color:#374151\">B, initial encounter for open fracture<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Bone involved<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Scapula, at the glenoid cavity, which forms the socket of the shoulder joint<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Laterality<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Unspecified shoulder<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Billable<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Yes, the seven-character code is valid for claim submission<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">The Centers for Medicare and Medicaid Services (<a href=\"https:\/\/www.cms.gov\/medicare\/coding-billing\/icd-10-codes\" target=\"_blank\" rel=\"nofollow noopener\">CMS<\/a>) revises ICD-10-CM every fiscal year. So confirm the code is still active for the year you are billing.<\/p>\n\n\n\n<h2 id=\"h-every-part-of-the-descriptor-needs-backup-in-the-chart\" class=\"wp-block-heading\">Every part of the descriptor needs backup in the chart<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Each element of the descriptor commits you to something in the record. The table below shows what, element by element.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Code element<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Value for S42.143B<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Clinical significance<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Body region<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Glenoid cavity of the scapula<\/td>\n<td style=\"padding:12px 16px;color:#374151\">The shallow socket that holds the head of the humerus, so the fracture line enters the shoulder joint<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Fracture character<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Displaced<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Fragments have moved out of alignment, which often drives surgical fixation of the joint surface<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Laterality<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Unspecified shoulder<\/td>\n<td style=\"padding:12px 16px;color:#374151\">The record does not name a side. Right is S42.141B and left is S42.142B<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Wound status<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Open fracture<\/td>\n<td style=\"padding:12px 16px;color:#374151\">A wound communicates with the fracture site. A closed fracture takes the A character instead<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Encounter type<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Initial encounter<\/td>\n<td style=\"padding:12px 16px;color:#374151\">The patient is still in active treatment for the fracture, not follow-up or aftercare<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">One of those five elements causes far more trouble than the rest, and it is not laterality.<\/p>\n\n\n\n<h2 id=\"h-why-humerus-codes-never-belong-on-s42-143b\" class=\"wp-block-heading\">Why humerus codes never belong on S42.143B<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The glenoid cavity is part of the scapula, so a humerus code can never describe it. Think of the shoulder as a ball and socket joint. Its ball is the head of the humerus. That socket, on the outer edge of the scapula, is the glenoid cavity.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Any fracture of the humeral head, the greater tuberosity or the surgical neck sits in a different subcategory. That distinction causes the most common error on this code.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The swap looks like this. A nondisplaced greater tuberosity fracture of the right humerus, at an open initial encounter, is S42.254B. It belongs to S42.25, the greater tuberosity subcategory, and <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s42256p\/\">S42.256P<\/a> shows how that family handles healing characters.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Because the glenoid cavity forms the joint surface, a displaced fracture here is intra-articular. Surgeons usually classify the pattern with the Ideberg system, modified by Goss. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Some use the AO classification instead. Those systems shape the operative plan, but they do not change the ICD-10-CM code.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Open scapular fractures also travel with company. Chest wall injuries, rib fractures, pneumothorax and brachial plexus injury show up alongside them. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Read the full trauma note before you close the encounter, because each finding carries its own code. The girdle can break in more than one place. Clavicle codes such as <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s42012p\/\">S42.012P<\/a> follow the same displacement and laterality pattern.<\/p>\n\n\n\n<h2 id=\"h-category-s42-uses-seven-7th-characters-and-no-others\" class=\"wp-block-heading\">Category S42 uses seven 7th characters and no others<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Category S42 offers seven 7th characters, and S42.143 needs one of them to be billable. The <a href=\"https:\/\/icd10cmtool.cdc.gov\/\" target=\"_blank\" rel=\"nofollow noopener\">CDC\/NCHS ICD-10-CM web tool<\/a> confirms the current list by fiscal year.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">7th character<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Description<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">When to use it<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">A<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Initial encounter for closed fracture<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Active treatment, with no wound communicating with the fracture site<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">B<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Initial encounter for open fracture<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Active treatment, with a documented open wound at the fracture site<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">D<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subsequent encounter for fracture with routine healing<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Follow-up and rehabilitation visits once active treatment has ended<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">G<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subsequent encounter for fracture with delayed healing<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Follow-up when healing is progressing, but slower than expected<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">K<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subsequent encounter for fracture with nonunion<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Follow-up when the fracture has failed to unite<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">P<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subsequent encounter for fracture with malunion<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Follow-up when the fracture has healed in a non-anatomic position<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Sequela<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Late effects of the healed fracture, such as post-traumatic shoulder arthritis<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Two details in that list catch coders out. First, the subsequent characters drop the open and closed distinction. A healing open fracture still takes D, G, K or P, whichever fits.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Second, there is no character for a subsequent encounter during active treatment. Active treatment keeps A or B, even at a second visit. The character follows the type of care, not the number of visits.<\/p>\n\n\n\n<h2 id=\"h-why-there-is-no-gustilo-type-behind-the-b\" class=\"wp-block-heading\">Why there is no Gustilo type behind the B<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">For S42.143B, B means initial encounter for open fracture and nothing more. Category S42 has no Gustilo classification in its characters, and it has no C character at all. If a coding tool offers you S42.143C, the tool is wrong.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The Gustilo split that many coders expect does exist, but only in three fracture categories. Those are S52 for the forearm, S72 for the femur, and S82 for the lower leg and ankle. In those three, B covers Gustilo type I or II, and C covers type III.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">You can see the forearm pattern in <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s52021r\/\">S52.021R<\/a> and the femur pattern in <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s72452q\/\">S72.452Q<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That has a practical upside at the point of coding. The note does not need a Gustilo grade before you assign S42.143B. Nobody has to raise a query for it. The trauma surgeon may still grade the wound for treatment planning, and that grade belongs in the record. It just has no effect on the diagnosis code.<\/p>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Coders who move between fracture categories often carry the Gustilo habit with them. Put one line in your open fracture template. Gustilo characters apply to S52, S72 and S82 only. Every other category uses a plain B for an open initial encounter.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-six-base-codes-split-s42-14-by-displacement-and-side\" class=\"wp-block-heading\">Six base codes split S42.14 by displacement and side<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">S42.14 splits six ways before the 7th character is added. The first three cover displaced fractures, and the last three cover nondisplaced ones. Within each set, the final digit carries the side.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Base code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Displacement<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Shoulder<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S42.141<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Displaced<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Right<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S42.142<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Displaced<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Left<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S42.143<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Displaced<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Unspecified<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S42.144<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Nondisplaced<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Right<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S42.145<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Nondisplaced<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Left<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S42.146<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Nondisplaced<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Unspecified<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Category S42 carries a note that fills the displacement column when the record is silent. A fracture not described as displaced or nondisplaced is coded as displaced. One not described as open or closed is coded as closed. S42.143B therefore sits where one default meets one documented finding.<\/p>\n\n\n\n<h2 id=\"h-follow-the-tabular-list-down-to-the-billable-code\" class=\"wp-block-heading\">Follow the tabular list down to the billable code<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Working down the tabular list makes the neighboring codes easier to find. It also shows which level adds each piece of specificity.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>S00-T88<\/strong> &#8211; Injury, poisoning and certain other consequences of external causes<\/li>\n\n\n\n<li><strong>S40-S49<\/strong> &#8211; Injuries to the shoulder and upper arm<\/li>\n\n\n\n<li><strong>S42<\/strong> &#8211; Fracture of shoulder and upper arm<\/li>\n\n\n\n<li><strong>S42.1<\/strong> &#8211; Fracture of scapula<\/li>\n\n\n\n<li><strong>S42.14<\/strong> &#8211; Fracture of glenoid cavity of scapula<\/li>\n\n\n\n<li><strong>S42.143<\/strong> &#8211; Displaced fracture of glenoid cavity of scapula, unspecified shoulder (base code, not billable on its own)<\/li>\n\n\n\n<li><strong>S42.143B<\/strong> &#8211; Displaced fracture of glenoid cavity of scapula, unspecified shoulder, initial encounter for open fracture<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Two exclusion notes sit at the category level. Traumatic amputation of the shoulder and upper arm is an Excludes1 note pointing to S48. That one is never coded with S42.143B.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Periprosthetic fracture around a prosthetic shoulder joint is an Excludes2 note pointing to M97.3. An Excludes2 code may be reported alongside S42.143B when the record documents both.<\/p>\n\n\n\n<h2 id=\"h-s42-143b-is-billable-and-six-rules-shape-how-you-report-it\" class=\"wp-block-heading\">S42.143B is billable, and six rules shape how you report it<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">S42.143B is a complete seven-character code, and Medicare, Medicaid and commercial payers accept it. Six rules shape how you report it.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Principal diagnosis:<\/strong> the code can lead the claim when the open fracture is the reason for the encounter. That is typical in emergency and acute orthopedic settings.<\/li>\n\n\n\n<li><strong>External cause codes:<\/strong> the ICD-10-CM Official Guidelines for Coding and Reporting ask for a code from V00-Y99. It captures the mechanism of injury, such as a fall or a motor vehicle collision.<\/li>\n\n\n\n<li><strong>Do not code the wound twice:<\/strong> the open fracture code already accounts for the wound. Leave the separate open wound code for the shoulder off the claim.<\/li>\n\n\n\n<li><strong>Present on admission:<\/strong> inpatient claims need a POA indicator. A fracture sustained before arrival is present on admission.<\/li>\n\n\n\n<li><strong>Grouping:<\/strong> on inpatient claims the code groups to the MS-DRG pair for fracture, sprain, strain and dislocation. That pair excludes femur, hip, pelvis and thigh, and it splits on major complications.<\/li>\n\n\n\n<li><strong>Laterality is expected:<\/strong> payers query unspecified side codes, so treat S42.143B as a placeholder rather than a final answer.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/diagnostic_codes\/icd-10-code-s42143b\/automate-claims-through-healthcode.webp\" alt=\"Pabau claims management screen showing an automated claim submission workflow\"\/><figcaption class=\"wp-element-caption\"><em>Pabau&#8217;s claims management validates insurer fields before submission, so a fracture claim leaves the practice complete the first time.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 id=\"h-how-an-open-fracture-claim-actually-moves\" class=\"wp-block-heading\">How an open fracture claim actually moves<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">An open fracture claim runs through six steps, and two of them decide whether it pays clean. The wider <a href=\"https:\/\/pabau.com\/blog\/what-is-medical-billing\/\">medical billing<\/a> chain is the same for any encounter, but fracture cases stall in predictable places.<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Registration opens the encounter and the trauma workup begins.<\/li>\n\n\n\n<li>Radiology reads the imaging and names the fracture site.<\/li>\n\n\n\n<li>The surgeon documents the wound, the displacement and the operative plan.<\/li>\n\n\n\n<li>A coder abstracts the record, assigns S42.143B and adds the external cause code.<\/li>\n\n\n\n<li>Charges post, and a scrubber checks the claim for missing or conflicting fields.<\/li>\n\n\n\n<li>The payer adjudicates, pays, or asks for the records.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">Steps two and three carry the weight. Between them they supply the side, the displacement and the wound status. That is everything the diagnosis code needs. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">When either one is vague, the coder at step four has to raise a query. The encounter then waits in accounts receivable while the answer comes back.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The scrubber at step five catches format problems, not clinical ones. It flags a missing POA indicator or an invalid 7th character. Software cannot see that the operative report named the left shoulder and the claim did not. A person catches that, or a template that asked for the side back at step three.<\/p>\n\n\n\n<h2 id=\"h-four-chart-elements-an-auditor-will-look-for\" class=\"wp-block-heading\">Four chart elements an auditor will look for<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">An auditor reviewing an S42.143B claim looks for four things. Three are usually in the chart already. The fourth is the one that sends the claim back.<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Anatomic site:<\/strong> the imaging report should place the fracture line in the glenoid cavity. A radiology note that says glenoid fossa or glenoid rim supports the same subcategory.<\/li>\n\n\n\n<li><strong>Displacement:<\/strong> the treating clinician or radiologist should state that the fragments are displaced. If nobody says either way, the category default assigns displaced for you.<\/li>\n\n\n\n<li><strong>Open wound:<\/strong> the exam, emergency note or operative report must record a wound that communicates with the fracture. Without it, the A character applies.<\/li>\n\n\n\n<li><strong>Laterality:<\/strong> the note has to name the right or left shoulder. This is the element that is missing whenever S42.143B lands on a claim.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">Chase laterality at the encounter rather than at billing. Operative reports, consent forms and imaging orders all carry the side. A query on it usually resolves in minutes, and the claim then moves to S42.141B or S42.142B.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Practices using <a href=\"https:\/\/pabau.com\/features\/patient-intake-software\/\">digital intake forms<\/a> can make these four elements required fields in a fracture assessment template. The answers then land in the record at the point of care, instead of in a retrospective query queue.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Structured fields beat free text here for one reason. A coder can read a checkbox without interpreting a sentence. <a href=\"https:\/\/pabau.com\/blog\/clinical-documentation-software\/\">Clinical documentation software<\/a> stores those fields inside the encounter, not in a scanned attachment, which keeps them searchable at billing.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/diagnostic_codes\/icd-10-code-s42143b\/customizable-consent-and-intake-forms.webp\" alt=\"Pabau customizable consent and intake form builder\"\/><figcaption class=\"wp-element-caption\"><em>Pabau&#8217;s customizable forms let you make shoulder side, displacement and wound status required fields on every fracture assessment.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 id=\"h-one-trauma-note-two-possible-codes\" class=\"wp-block-heading\">One trauma note, two possible codes<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Here is how thin the margin gets. A cyclist arrives after a collision with a car. Emergency staff record a laceration over the left shoulder with bone visible. The CT report reads comminuted fracture through the glenoid fossa with a 6 mm step-off. Nobody writes the word displaced.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Four decisions follow from that note.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Site:<\/strong> the fracture line runs through the glenoid fossa, so the subcategory is S42.14.<\/li>\n\n\n\n<li><strong>Displacement:<\/strong> a step-off means the fragments have moved, which supports displaced. Even without the word, the category default lands in the same place.<\/li>\n\n\n\n<li><strong>Wound:<\/strong> the laceration exposes bone at the fracture site, so the 7th character is B.<\/li>\n\n\n\n<li><strong>Side:<\/strong> the note names the left shoulder, so the code is S42.142B.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Now delete one word. Strike left from every line of that chart, and the same injury becomes S42.143B. One adjective is the whole difference between a specific claim and an unspecified one.<\/p>\n\n\n\n<h2 id=\"h-the-neighboring-codes-that-get-picked-by-mistake\" class=\"wp-block-heading\">The neighboring codes that get picked by mistake<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Most wrong picks around this code come from thin documentation rather than a coding slip. The table shows the near neighbors and what separates each one.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Description<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">How it differs<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S42.141B<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Displaced fracture of glenoid cavity of scapula, right shoulder, initial encounter for open fracture<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Same injury with the side documented as right<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S42.142B<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Displaced fracture of glenoid cavity of scapula, left shoulder, initial encounter for open fracture<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Same injury with the side documented as left<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S42.146B<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Nondisplaced fracture of glenoid cavity of scapula, unspecified shoulder, initial encounter for open fracture<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Fragments stay aligned, which needs an explicit nondisplaced statement<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S42.143A<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Displaced fracture of glenoid cavity of scapula, unspecified shoulder, initial encounter for closed fracture<\/td>\n<td style=\"padding:12px 16px;color:#374151\">No open wound, and the default when the note does not mention one<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S42.143D<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Displaced fracture of glenoid cavity of scapula, unspecified shoulder, subsequent encounter with routine healing<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Follow-up and rehabilitation visits after active treatment ends<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S42.143S<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Displaced fracture of glenoid cavity of scapula, unspecified shoulder, sequela<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Late effects of the healed fracture, such as joint stiffness or arthritis<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S42.113B<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Displaced fracture of body of scapula, unspecified shoulder, initial encounter for open fracture<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Fracture of the flat blade of the scapula, outside the joint surface<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S42.153B<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Displaced fracture of neck of scapula, unspecified shoulder, initial encounter for open fracture<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Fracture just medial to the glenoid, which is a separate subcategory<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">S42.254B<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Nondisplaced fracture of greater tuberosity of right humerus, initial encounter for open fracture<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Different bone entirely, on the humeral side of the joint<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">The last three rows are the ones to watch. Body, neck and glenoid cavity are all scapula fractures, and radiology reports move between those terms freely. If the report describes a fracture line through the joint surface, the glenoid cavity subcategory is right.<\/p>\n\n\n\n<h2 id=\"h-which-cpt-codes-ride-along-with-this-diagnosis\" class=\"wp-block-heading\">Which CPT codes ride along with this diagnosis<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">S42.143B is a diagnosis code, so the procedure codes depend on how the fracture is treated. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Displaced intra-articular fractures with an open wound usually go to surgery. Confirm every descriptor against the current AMA CPT manual before you submit.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">CPT code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Description<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Clinical context<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">23585<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Open treatment of scapular fracture (body, glenoid or acromion), includes internal fixation when performed<\/td>\n<td style=\"padding:12px 16px;color:#374151\">The usual pairing for a displaced glenoid fracture taken to surgery<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">23570<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Closed treatment of scapular fracture, without manipulation<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Sling and monitoring for fractures managed without surgery<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">23575<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Closed treatment of scapular fracture, with manipulation, with or without skeletal traction<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Reduction attempted without opening the fracture site<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">11010<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Debridement at the site of an open fracture, skin and subcutaneous tissues<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Wound care for a superficial open fracture wound<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">11012<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Debridement at the site of an open fracture, skin, subcutaneous tissue, muscle fascia, muscle and bone<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Deep contamination reaching bone, which is common in high-energy trauma<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">97110<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Therapeutic exercise, each 15 minutes<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Shoulder rehabilitation, billed against a subsequent encounter code<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<h3 id=\"h-debridement-is-the-tier-payers-audit-hardest\" class=\"wp-block-heading\">Debridement is the tier payers audit hardest<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Debridement is where open fracture claims tend to stall. Payers audit these codes closely, so the operative note should record wound size, depth and contamination. The reference on <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-11012\/\">11012<\/a> sets out the note detail that supports the deeper tissue tiers.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Two more codes are worth knowing. <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-23670\/\">23670<\/a> covers open treatment of a shoulder dislocation with a greater tuberosity fracture. That sits on the humeral side of the joint, which is a different diagnosis code. Surgical cases also generate an anesthesia claim, and <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-00450\/\">00450<\/a> covers anesthesia for clavicle and scapula procedures.<\/p>\n\n\n\n<h3 id=\"h-later-visits-move-the-encounter-character\" class=\"wp-block-heading\">Later visits move the encounter character<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Rehabilitation billing needs the same care in the other direction. A therapy visit weeks after surgery is a subsequent encounter, so it takes S42.143D rather than S42.143B. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Carrying the initial encounter character into rehabilitation is a compliance error. A <a href=\"https:\/\/pabau.com\/features\/medical-records-management\/\">connected clinical record<\/a> keeps the original fracture detail visible to whoever codes the follow-up.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Late reconstruction sits further out again. Post-traumatic arthritis of the shoulder can eventually lead to joint replacement, and <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-23472\/\">23472<\/a> covers that procedure. At that point the fracture is reported with the sequela character, S42.143S, after the code for the late condition.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/diagnostic_codes\/icd-10-code-s42143b\/comprehensive-emr-patient-record-management.webp\" alt=\"Pabau EMR patient record showing consolidated clinical notes and history\"\/><figcaption class=\"wp-element-caption\"><em>Pabau&#8217;s EMR keeps imaging and operative notes in one record, so the follow-up coder picks the right encounter character.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 id=\"h-five-mistakes-that-get-this-code-denied\" class=\"wp-block-heading\">Five mistakes that get this code denied<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Five mistakes account for most denials on this code, and all five are avoidable at the desk.<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Coding the humerus instead of the scapula.<\/strong> Greater tuberosity and humeral head fractures live in S42.2, not S42.14.<\/li>\n\n\n\n<li><strong>Reaching for a Gustilo type.<\/strong> There is no C character in this category, so B stands alone.<\/li>\n\n\n\n<li><strong>Leaving the side unspecified.<\/strong> If the operative report names a shoulder, the claim should carry S42.141B or S42.142B.<\/li>\n\n\n\n<li><strong>Adding a separate open wound code.<\/strong> The B character already accounts for the wound at the fracture site.<\/li>\n\n\n\n<li><strong>Reusing B at rehabilitation.<\/strong> Once active treatment ends, the encounter takes D, G, K or P instead.<\/li>\n<\/ol>\n\n\n\n<h2 id=\"h-run-this-check-before-you-submit\" class=\"wp-block-heading\">Run this check before you submit<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">All of the above condenses into seven questions. Answer them from the chart before the claim leaves the practice.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Does the imaging report place the fracture in the glenoid cavity, rather than the scapular body or neck?<\/li>\n\n\n\n<li>Does any note name the right or left shoulder? If so, the code is S42.141B or S42.142B.<\/li>\n\n\n\n<li>Is there a documented wound at the fracture site? Without one, the character is A.<\/li>\n\n\n\n<li>Is this encounter still active treatment? If the patient is in rehabilitation, use D, G, K or P.<\/li>\n\n\n\n<li>Is a mechanism code from V00-Y99 on the claim?<\/li>\n\n\n\n<li>On an inpatient claim, is the POA indicator set?<\/li>\n\n\n\n<li>Have you kept a separate open wound code off the claim?<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">None of these takes long on its own. Together they remove the two most common reasons an open fracture claim comes back. Those two are a missing side and a wrong encounter character.<\/p>\n\n\n\n<h2 id=\"h-how-pabau-keeps-open-fracture-claims-moving\" class=\"wp-block-heading\">How Pabau keeps open fracture claims moving<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">In most practices the fracture detail is captured once and then re-entered several times. The radiology report lands in one place and the operative note in another. A coder then rebuilds the picture at billing, which is where the shoulder side goes missing.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Practice management software like Pabau keeps the whole episode in one patient record. Custom fracture templates capture side, displacement and wound status as structured fields. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Imaging and operative notes attach to the same encounter, so coders read the answer instead of chasing it. That matters most in orthopedic and <a href=\"https:\/\/pabau.com\/industry\/sports-medicine-software\/\">sports medicine<\/a> practices, where trauma volume is high.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">From there, <a href=\"https:\/\/pabau.com\/features\/claims-management-software\/\">claims management<\/a> validates insurer fields before submission, so incomplete claims are corrected in-house rather than returned. Follow-up visits open against the same record, so the <a href=\"https:\/\/pabau.com\/industry\/physical-therapy-emr\/\">physical therapy<\/a> team picking up rehabilitation sees the original encounter. Switching from an initial to a subsequent character is then straightforward.<\/p>\n\n\n        <div id=\"book_a_demo\">\n            <div class=\"left-side\">\n                <div class=\"logo\">\n                    <img decoding=\"async\"\n                        src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Logo.svg\"\n                        alt=\"Logo\"\n                        loading=\"lazy\"\n                    \/>\n                <\/div>\n\n                <h3 class=\"heading\">\n                    Send fracture claims out complete the first time                <\/h3>\n\n                <p class=\"description\">\n                    Pabau is practice management software for orthopedic, sports medicine and rehabilitation practices. It keeps imaging, clinical notes and claim submission in one record. Coders then get the laterality detail without raising a query.                <\/p>\n\n                <div class=\"button-group\">\n                    <a href=\"\/book-demo\/\" class=\"btn btn-scale-effect btn-cta-color btn-md\">\n                        <span class=\"btn-text\">Book a demo<\/span>\n                        <div class=\"btn-icon btn-icon-right\" aria-hidden=\"true\">\n                            <svg\n                                width=\"14\"\n                                height=\"12\"\n                                viewBox=\"0 0 14 12\"\n                                fill=\"none\"\n                                xmlns=\"http:\/\/www.w3.org\/2000\/svg\"\n                            >\n                                <path\n                                    d=\"M0.75 4.77295C0.335786 4.77295 0 5.10874 0 5.52295C0 5.93716 0.335786 6.27295 0.75 6.27295V5.52295V4.77295ZM13.2803 6.05328C13.5732 5.76039 13.5732 5.28551 13.2803 4.99262L8.50736 0.219648C8.21447 -0.073245 7.73959 -0.073245 7.4467 0.219648C7.15381 0.512542 7.15381 0.987415 7.4467 1.28031L11.6893 5.52295L7.4467 9.76559C7.15381 10.0585 7.15381 10.5334 7.4467 10.8263C7.73959 11.1191 8.21447 11.1191 8.50736 10.8263L13.2803 6.05328ZM0.75 5.52295V6.27295L12.75 6.27295V5.52295V4.77295L0.75 4.77295V5.52295Z\"\n                                    fill=\"currentColor\"\n                                ><\/path>\n                            <\/svg>\n                        <\/div>\n                    <\/a>\n                <\/div>\n            <\/div>\n\n            <div class=\"right-side\">\n                <img decoding=\"async\"\n                    src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Home-Page-Concept-4.webp\"\n                    alt=\"Pabau clinical documentation workflow dashboard\"\n                    loading=\"lazy\"\n                \/>\n            <\/div>\n        <\/div>\n        \n\n\n<h2 id=\"h-conclusion\" class=\"wp-block-heading\">Conclusion<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">S42.143B is a billable code with one soft edge. The site, the displacement and the open wound are all firm. That soft edge is the unspecified shoulder, and it tells you the record was thin. Treat it as a prompt to open the operative report, not a finished answer.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Get the anatomy right first, since the glenoid cavity is scapula and the tuberosities are humerus. Skip the Gustilo question, because category S42 does not ask it. Then confirm the side, and the claim usually becomes S42.141B or S42.142B. To see how Pabau supports that workflow in your practice, <a href=\"https:\/\/pabau.com\/book-demo\/\">book a demo<\/a>.<\/p>\n\n\n        <div id=\"expert_picks\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/11\/Expert-Picks.svg\" alt=\"Continue your research\" height=\"42\" width=\"42\">\n                                <h3>Continue your research<\/h3>\n            <\/div>\n            <div class=\"content\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Coding the humerus side of the same joint?<\/strong> <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s42256p\/\">ICD-10 code S42.256P<\/a> walks through the greater tuberosity family and its healing characters.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Need the categories where Gustilo type does change the character?<\/strong> <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s52021r\/\">ICD-10 code S52.021R<\/a> shows the open fracture split in the forearm group.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Coding another shoulder girdle fracture?<\/strong> <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s42012p\/\">ICD-10 code S42.012P<\/a> covers clavicle displacement and laterality rules in the same category.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Billing the debridement alongside the fracture?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-11012\/\">CPT code 11012<\/a> explains the tissue depth tiers and the note detail payers expect.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Coding the shoulder replacement years later?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-23472\/\">CPT code 23472<\/a> sets out the billing rules for total shoulder arthroplasty.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-frequently-asked-questions\" class=\"wp-block-heading\">Frequently asked questions<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1786622157336\"><h3 class=\"schema-faq-question\">Do you code a shoulder dislocation separately from S42.143B?<\/h3> <p class=\"schema-faq-answer\">Yes. A dislocation of the shoulder joint carries its own code in the S43.0 subcategory. When the record documents a dislocation alongside the glenoid fracture, report both codes. Sequence the more serious injury first.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786622157337\"><h3 class=\"schema-faq-question\">Does S42.143B cover a stress or pathological fracture?<\/h3> <p class=\"schema-faq-answer\">No. Category S42 covers traumatic fractures only. A pathological fracture of the shoulder is reported from category M84.4, and a stress fracture from M84.3. Osteoporosis with a current pathological fracture goes to M80 instead.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786622157338\"><h3 class=\"schema-faq-question\">Which external cause codes belong beside S42.143B?<\/h3> <p class=\"schema-faq-answer\">Start with the mechanism code from V00 to Y99, such as a fall or a collision. Then add place of occurrence from Y92, activity from Y93, and external cause status from Y99. Those three are reported at the initial encounter only.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786622157339\"><h3 class=\"schema-faq-question\">Does a transfer to another surgeon reset the encounter character?<\/h3> <p class=\"schema-faq-answer\">No. The 7th character follows the type of care, not the number of providers. A surgeon taking over active treatment still reports the B character. It moves to D, G, K or P once active treatment ends.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786622157340\"><h3 class=\"schema-faq-question\">What if the scan shows a glenoid fracture and a scapular body fracture?<\/h3> <p class=\"schema-faq-answer\">Code both. The glenoid cavity fracture takes a code from S42.14, and the body fracture takes one from S42.11. ICD-10-CM asks you to sequence multiple fractures by severity, with the most serious listed first.<\/p> <\/div> <\/div>\n","protected":false},"excerpt":{"rendered":"<p>An open fracture of the scapula rarely arrives on its own. It usually sits inside a larger trauma case, and the emergency note gets written fast. So the shoulder side goes unrecorded, and nobody writes the word displaced. Both omissions land in the same place. S42.143B describes a displaced fracture of the glenoid cavity of [&hellip;]<\/p>\n","protected":false},"author":85,"featured_media":178934,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_linkdex":"84","_yoast_wpseo_content_score":"90","_yoast_wpseo_is_cornerstone":"","_yoast_wpseo_keywordsynonyms":"[\"\",\"\",\"\",\"\"]","_yoast_wpseo_focuskw_text_input":"","_seo_original_html":"","footnotes":""},"categories":[1549,1550],"tags":[2775,4170,2299,1666,3271],"class_list":["post-178935","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-diagnostic-codes","category-icd-10-cm","tag-fracture-management","tag-icd-10-cm-2","tag-intra-articular-fracture","tag-orthopedic-billing","tag-orthopedic-trauma"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.2 (Yoast SEO v28.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>ICD-10 code S42.143B: Displaced open glenoid cavity fracture<\/title>\n<meta name=\"description\" content=\"ICD-10 code S42.143B covers a displaced, open glenoid cavity fracture, unspecified shoulder. 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With a background in storytelling and SEO, she knows how to make even the driest topics worth reading. Off the clock, you'll find her in a caf\u00e9 somewhere in Europe, probably with a good book and an even better coffee.\",\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/blog\\\/author\\\/monika-lazarevska\\\/\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/diagnostic-codes\\\/icd-10-code-s42143b\\\/#faq-question-1786622157336\",\"position\":1,\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/diagnostic-codes\\\/icd-10-code-s42143b\\\/#faq-question-1786622157336\",\"name\":\"Do you code a shoulder dislocation separately from S42.143B?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Yes. A dislocation of the shoulder joint carries its own code in the S43.0 subcategory. When the record documents a dislocation alongside the glenoid fracture, report both codes. Sequence the more serious injury first.\",\"inLanguage\":\"es\"},\"inLanguage\":\"es\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/diagnostic-codes\\\/icd-10-code-s42143b\\\/#faq-question-1786622157337\",\"position\":2,\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/diagnostic-codes\\\/icd-10-code-s42143b\\\/#faq-question-1786622157337\",\"name\":\"Does S42.143B cover a stress or pathological fracture?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"No. Category S42 covers traumatic fractures only. A pathological fracture of the shoulder is reported from category M84.4, and a stress fracture from M84.3. Osteoporosis with a current pathological fracture goes to M80 instead.\",\"inLanguage\":\"es\"},\"inLanguage\":\"es\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/diagnostic-codes\\\/icd-10-code-s42143b\\\/#faq-question-1786622157338\",\"position\":3,\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/diagnostic-codes\\\/icd-10-code-s42143b\\\/#faq-question-1786622157338\",\"name\":\"Which external cause codes belong beside S42.143B?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Start with the mechanism code from V00 to Y99, such as a fall or a collision. Then add place of occurrence from Y92, activity from Y93, and external cause status from Y99. Those three are reported at the initial encounter only.\",\"inLanguage\":\"es\"},\"inLanguage\":\"es\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/diagnostic-codes\\\/icd-10-code-s42143b\\\/#faq-question-1786622157339\",\"position\":4,\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/diagnostic-codes\\\/icd-10-code-s42143b\\\/#faq-question-1786622157339\",\"name\":\"Does a transfer to another surgeon reset the encounter character?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"No. The 7th character follows the type of care, not the number of providers. A surgeon taking over active treatment still reports the B character. It moves to D, G, K or P once active treatment ends.\",\"inLanguage\":\"es\"},\"inLanguage\":\"es\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/diagnostic-codes\\\/icd-10-code-s42143b\\\/#faq-question-1786622157340\",\"position\":5,\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/diagnostic-codes\\\/icd-10-code-s42143b\\\/#faq-question-1786622157340\",\"name\":\"What if the scan shows a glenoid fracture and a scapular body fracture?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Code both. The glenoid cavity fracture takes a code from S42.14, and the body fracture takes one from S42.11. ICD-10-CM asks you to sequence multiple fractures by severity, with the most serious listed first.\",\"inLanguage\":\"es\"},\"inLanguage\":\"es\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"ICD-10 code S42.143B: Displaced open glenoid cavity fracture","description":"ICD-10 code S42.143B covers a displaced, open glenoid cavity fracture, unspecified shoulder. See 7th characters, laterality + documentation.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/pabau.com\/es\/diagnostic-codes\/icd-10-code-s42143b\/","og_locale":"es_ES","og_type":"article","og_title":"ICD-10 code S42.143B: Displaced open glenoid cavity fracture","og_description":"ICD-10 code S42.143B covers a displaced, open glenoid cavity fracture, unspecified shoulder. 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With a background in storytelling and SEO, she knows how to make even the driest topics worth reading. Off the clock, you'll find her in a caf\u00e9 somewhere in Europe, probably with a good book and an even better coffee.","url":"https:\/\/pabau.com\/es\/blog\/author\/monika-lazarevska\/"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/diagnostic-codes\/icd-10-code-s42143b\/#faq-question-1786622157336","position":1,"url":"https:\/\/pabau.com\/es\/diagnostic-codes\/icd-10-code-s42143b\/#faq-question-1786622157336","name":"Do you code a shoulder dislocation separately from S42.143B?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Yes. A dislocation of the shoulder joint carries its own code in the S43.0 subcategory. When the record documents a dislocation alongside the glenoid fracture, report both codes. Sequence the more serious injury first.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/diagnostic-codes\/icd-10-code-s42143b\/#faq-question-1786622157337","position":2,"url":"https:\/\/pabau.com\/es\/diagnostic-codes\/icd-10-code-s42143b\/#faq-question-1786622157337","name":"Does S42.143B cover a stress or pathological fracture?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"No. Category S42 covers traumatic fractures only. A pathological fracture of the shoulder is reported from category M84.4, and a stress fracture from M84.3. Osteoporosis with a current pathological fracture goes to M80 instead.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/diagnostic-codes\/icd-10-code-s42143b\/#faq-question-1786622157338","position":3,"url":"https:\/\/pabau.com\/es\/diagnostic-codes\/icd-10-code-s42143b\/#faq-question-1786622157338","name":"Which external cause codes belong beside S42.143B?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Start with the mechanism code from V00 to Y99, such as a fall or a collision. Then add place of occurrence from Y92, activity from Y93, and external cause status from Y99. Those three are reported at the initial encounter only.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/diagnostic-codes\/icd-10-code-s42143b\/#faq-question-1786622157339","position":4,"url":"https:\/\/pabau.com\/es\/diagnostic-codes\/icd-10-code-s42143b\/#faq-question-1786622157339","name":"Does a transfer to another surgeon reset the encounter character?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"No. The 7th character follows the type of care, not the number of providers. A surgeon taking over active treatment still reports the B character. It moves to D, G, K or P once active treatment ends.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/diagnostic-codes\/icd-10-code-s42143b\/#faq-question-1786622157340","position":5,"url":"https:\/\/pabau.com\/es\/diagnostic-codes\/icd-10-code-s42143b\/#faq-question-1786622157340","name":"What if the scan shows a glenoid fracture and a scapular body fracture?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Code both. The glenoid cavity fracture takes a code from S42.14, and the body fracture takes one from S42.11. ICD-10-CM asks you to sequence multiple fractures by severity, with the most serious listed first.","inLanguage":"es"},"inLanguage":"es"}]}},"yoast":{"focus_keyword":"ICD-10 code S42.143B","seo_title":"ICD-10 code S42.143B: Displaced open glenoid cavity fracture","meta_description":"ICD-10 code S42.143B covers a displaced, open glenoid cavity fracture, unspecified shoulder. 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