K29.70 - Gastritis, unspecified, without bleeding

Clinical Definition

A broken humeral head (proximal humerus) usually occurs from direct trauma or falls, particularly in elderly patients with osteoporosis. It involves a fracture of the ball portion of the shoulder's ball-and-socket joint.

Documentation Requirements

• Laterality must be specified (right vs. left)

• Type of fracture (displaced vs. nondisplaced)

• Part of humeral head involved

• Healing status (routine, delayed, nonunion)

• Initial vs. subsequent encounter

• Any associated complications

• Mechanism of injury

• Open vs. closed fracture

Common Synonyms

• Broken shoulder

• Upper arm fracture

• Shoulder joint break

• Ball of shoulder joint fracture

• Proximal humerus break

Coding Conflicts

Excludes1:

• Multiple fractures of same humerus (use multiple fracture code)

• Physeal fractures of proximal humerus

• Scapular fractures

Excludes2:

• Shoulder dislocation without fracture

• Pathological fractures due to osteoporosis

Scribing.io Automation

Our AI automatically identifies and tags:

• Anatomic terms ("proximal humerus," "humeral head")

• Injury descriptions ("displaced," "comminuted")

• Laterality mentions

• Healing status terms

• Treatment plans

The system also prompts for missing required elements to ensure complete documentation for billing.