Fracture of clavicle due to birth trauma

This code signifies a broken collarbone in a newborn resulting directly from the birthing process. It specifically identifies a traumatic injury sustained during labor and delivery, rather than a congenital anomaly or a fracture occurring post-natally.

Use this code when documentation clearly indicates a clavicular fracture in a neonate, with the etiology explicitly attributed to birth trauma. Common scenarios include difficult deliveries, shoulder dystocia, or instrumental deliveries where excessive force may have been applied. The medical record should detail the injury and its direct association with the birth event.

• Ensure documentation specifies "birth trauma" as the cause; do not use for congenital pseudarthrosis of the clavicle or fractures occurring after the immediate perinatal period.
• Consider sequencing with codes for the outcome of delivery (e.g., V27.x) and any associated maternal conditions or complications of labor and delivery.
• Differentiate from other neonatal fractures not related to birth trauma, which would be coded differently based on their etiology.