Stress fracture, right shoulder, init encntr for fracture

This code signifies a stress fracture affecting the right shoulder region, typically involving the humerus, scapula, or clavicle. A stress fracture is a small crack in a bone that develops from repetitive stress or overuse, rather than a single acute injury. This specific code indicates that the patient is receiving initial active treatment for this fracture.

Apply this code when documentation clearly states a diagnosis of a stress fracture in the right shoulder and the patient is in the acute phase of treatment. This includes initial evaluation, surgical repair, or casting/immobilization. Supporting documentation should detail the location of the stress fracture within the right shoulder and confirm it's the first time the patient is being treated for this specific fracture.

• Ensure documentation specifies "stress fracture" and not another type of fracture (e.g., pathological, traumatic).
• Verify the laterality is explicitly "right shoulder"; do not assume if not stated.
• The "A" seventh character indicates an initial encounter for active treatment; use subsequent characters for follow-up care or sequelae.