Fracture of unsp part of scapula, left shoulder, init

This code signifies a break in the shoulder blade bone (scapula) on the left side, where the specific location of the fracture on the scapula is not documented. It indicates that the skin over the fracture is intact, and this is the first time the patient is being treated for this injury.

This code is appropriate for initial encounters with patients presenting with a newly diagnosed, closed fracture of the left scapula when the physician documentation does not specify the anatomical part of the scapula that is fractured (e.g., body, neck, glenoid). It would be used for the initial treatment phase, including evaluation, reduction, and stabilization.

• Ensure documentation explicitly states "left" scapula and "closed" fracture.
• Only use this code when the specific part of the scapula fractured is truly unspecified in the medical record.
• Append subsequent encounter or sequela characters for follow-up care or late effects, respectively.