Fracture of unspecified part of right clavicle, initial encounter
ICD-10 Code: S42.001A · Body Part: Shoulder
QME Evaluation Process
Shoulder ROM testing, imaging for healing, AC and SC joint assessment. UE impairment for shoulder ROM loss and clavicle malunion if present.
Typical Impairment Rating
3-10% UE (2-6% WPI)
AMA Guides Edition
5th Edition
Common Treatments
Related Conditions
Body Part Guide
Shoulder Evaluation Guide
Impairment rating methods, common conditions, and QME evaluation protocols
QME Specialties for Fracture of unspecified part of right clavicle, initial encounter
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What is Fracture of unspecified part of right clavicle, initial encounter (S42.001A)?
Fracture of unspecified part of right clavicle, initial encounter is an ICD-10 diagnosis code (S42.001A) classified under Musculoskeletal conditions. It affects the Shoulder and is commonly encountered in California workers' compensation claims. QME physicians evaluate this condition using AMA Guides 5th Edition protocols.
How is S42.001A rated for impairment?
The typical whole person impairment (WPI) range for Fracture of unspecified part of right clavicle, initial encounter is 3-10% UE (2-6% WPI). The exact rating depends on clinical findings, imaging, and the evaluation method (DRE or ROM) chosen by the QME physician per AMA Guides 5th Edition.
What is the QME evaluation process for S42.001A?
Shoulder ROM testing, imaging for healing, AC and SC joint assessment. UE impairment for shoulder ROM loss and clavicle malunion if present.
What treatments are common for Fracture of unspecified part of right clavicle, initial encounter?
Common treatments for Fracture of unspecified part of right clavicle, initial encounter include Sling immobilization, ORIF for displaced fractures, Physical therapy. Treatment appropriateness and outcomes are considered during the QME evaluation when determining permanent and stationary status and apportionment.