Fracture of clavicle due to birth injury

This code signifies a clavicular fracture sustained by a neonate during the birthing process. This injury typically results from mechanical stress on the infant's shoulder during delivery, often associated with shoulder dystocia or instrumental delivery. The fracture can be unilateral or bilateral.

Apply this code when documentation clearly indicates a newborn diagnosed with a fractured clavicle directly attributable to the forces experienced during labor and delivery. Supporting documentation includes physician notes detailing the birth injury, imaging reports confirming the fracture, and a clear link between the fracture and the delivery event.

• Ensure the documentation explicitly states the fracture is a "birth injury" to differentiate from other causes of neonatal clavicle fractures.
• Do not use this code for clavicle fractures acquired post-delivery or due to non-birth-related trauma.
• Consider sequencing this code as a principal diagnosis if it is the primary reason for the encounter, or as a secondary diagnosis if other birth-related conditions are more significant.