Fx unsp prt of scapula, unsp shldr, subs for fx w delay heal

This code indicates a fracture of the scapula (shoulder blade) where the specific location of the break is not documented, and the affected shoulder is also unspecified. It is used when the patient is receiving follow-up care for this fracture, and the healing process is taking longer than expected.

Apply this code for patients presenting for subsequent treatment of an unclassified scapular fracture that is exhibiting delayed union or non-union. This typically occurs after the initial acute treatment phase, when the physician is monitoring the healing progress and noting a slower-than-anticipated recovery.

• Ensure documentation clearly states "delayed healing" or similar terminology for a subsequent encounter.
• Avoid using this code if the specific part of the scapula or the affected shoulder is known; instead, use a more specific S42.1- subcategory.
• Pair with an external cause code (V, W, X, Y) if the cause of the fracture is known and documented.