Periprosth fx around internal prosth r shoulder jt, init

This code signifies a fracture that occurs in the bone surrounding an existing prosthetic implant in the right shoulder joint. This type of fracture is directly related to the presence of the internal prosthesis, often due to trauma or loosening of the implant. It represents the initial episode of care for this specific injury.

Apply this code when a patient presents with a newly diagnosed fracture adjacent to a previously implanted right shoulder prosthesis. Documentation should clearly state the location of the fracture (periprosthetic), the affected joint (right shoulder), and confirm the presence of an internal prosthetic device. This code is appropriate for the initial treatment or evaluation of the fracture.

• Ensure documentation specifies "right shoulder" and "periprosthetic" to differentiate from other fracture types or locations.
• Confirm the encounter is the "initial encounter" for this specific fracture; subsequent care would use a different seventh character.
• Distinguish from fractures of the prosthesis itself, which would be coded differently.