Official Disability Guidelines
FRACTURE OF CLAVICLE
(3-digit ICD9 810)

FRACTURE OF UPPER LIMB (810-819)
CM Triage: Level 2 (case management), inflection point 17 days

RTW Claims Data (Calendar-days away from work by decile)

10%20%30%40%50%60%70%80%90%100%Mean
13162124304245577336539.74

Impact on Total Absence: Prevalence 1.8190% of total lost workdays; Incidence 19.10 days per 100 workers

   Occupational Disability Durations, in days
   Median (mid-point)  25  -  Benchmark Indemnity Costs $18,750
                           Percent of Cases
                              (28446 cases)
                                                                      
                                                               42.3   
                                                                      
                                                                      
                                                                      
                                                                      
                                                                      
                                                                      
    8.6                11.6       9.8      12.3                       
              7.1                                     8.3             
                                                                      
  ______    ______    ______    ______    ______    ______    ______  
   1 day    2 days    3 to 5   6 to 10  11 to 20  21 to 30  31 or more
                           Range of Days

Impact on Occupational Absence: Prevalence 8.0674% of occupational lost workdays; Incidence 1.29 days per 100 workers

810  Fracture of clavicle

Return-To-Work Summary Guidelines
DatasetMidrangeAt-Risk
Claims data41 days58 days
All absences31 days55 days

Return-To-Work "Best Practice" Guidelines
Closed, without manipulation, clerical/modified work: 14 days
Closed, without manipulation, manual work: 42 days

RTW Prescription: 810 New!
Description: A fracture of the collarbone.  Symptoms include swelling, pain, tenderness, temporary or permanent impairment and, sometimes, visible deformity.
Other names: Broken collarbone
              Includes:    collar bone
                        interligamentous part of clavicle
              The following fifth-digit subclassification is for use with category 810:
                0  unspecified part
                    Clavicle NOS
                1  sternal end of clavicle
                2  shaft of clavicle
                3  acromial end of clavicle
ICD-10 Code: S42.0
ODG Treatment Procedure Summary (not all recommended): Acromioplasty; Activity restrictions; Acupuncture; Adson's test (AT); Anterior scalene block; Arthrography; Arthroplasty (shoulder); Arthroscopy; Arthroscopic release of adhesions; Bipolar interferential electrotherapy; Biofeedback; Biopsychosocial rehab; Cardiovascular functional testing; Chiropractic; Cold lasers; Continuous-flow cryotherapy; Continuous passive motion (CPM); Corticosteroid injections; Costoclavicular maneuver (CCM); Cutaneous laser treatment; Deep friction massage; Diagnostic arthroscopy; Diathermy; Distension arthrography; Electrical stimulation; Electrodiagnostic testing for TOS (thoracic outlet syndrome); Elevated arm stress test (EAST); Ergonomic interventions; Exercises; Extracorporeal shock wave therapy (ESWT); Hydroplasty/ hydrodilation; Imaging; Immobilization; Impingement test; Injections; Interferential therapy; Laser therapy; Low level laser therapy (LLLT); Magnetic resonance imaging (MRI); Manipulation; Manipulation under anesthesia (MUA); Massage; Mechanical traction; Modified duty; Multidisciplinary biopsychosocial rehab; Nerve blocks; Osteochondral autologous transplantation (OATS); Physical therapy; Porcine small intestinal submucosa (SIS); Pulsed electromagnetic field; Radiography; Return to work; Rotator cuff repair; Rotator cuff porcine graft repair; Shock wave therapy; Shoulder repair; Steroid injections; Supraclavicular pressure (SCP); Surgery for AC joint separation; Surgery for adhesive capsulitis; Surgery for impingement syndrome; Surgery for rotator cuff repair; Surgery for ruptured biceps tendon; Surgery for shoulder dislocation; Surgery for Thoracic Outlet Syndrome; Thermal capsulorrhaphy; Thermotherapy; Transcutaneous electrical neurostimulation (TENS); Transdermal nitroglycerin; Ultrasound, diagnostic; Ultrasound, therapeutic; Work
ODG Treatment Contents: ODG/TWC Index
ODG Treatment UR Advisor: 810
Other Links: Click below for detailed information on this condition:
Merck Manual | Merck Home Edition | NGC | State Guidelines
Causality Likelihood: Under 5%
Hospital Costs: $14,131 (average of 5,796 cases)
Hospital Length Of Stay: 4.6 days
Common Procedure Codes (see ODG Treatment for auto approval codes): 23500 29240 36415 70450 71010 71020 72040 72050 72170 73000 73020 73030 73221 82150 85025 85610 85730 93005 97001 97002 97010 97014 97035 97110 97140 97530 99202 99203 99204 99212 99213 99214 99238 99243 99282 99283 99284 99285
CM Triage: Level 2 (case management), inflection point 40 days
Physical Therapy Guidelines:
8 visits over 10 weeks

Workers' Comp Costs per Claim (based on 666 claims)
Quartile25%50%75%Mean% no cost
Indemnity$2,381$4,978$9,798$9,25951%
Medical$941$1,985$5,613$5,6701%
Total$1,077$3,799$11,397$10,2381%

RTW Claims Data (Calendar-days away from work by decile)

10%20%30%40%50%60%70%80%90%100%Mean
13141619414243455836536.41

   Integrated Disability Durations, in days*
   Median (mid-point)     31.0       Mean (average)        33.14
   Mode (most frequent)   42         Calculated rec.       34
                           Percent of Cases
                              (1026 cases)
                                                                      
      32.5           30.3                                             
                                                                      
                                                                      
                                                                      
                                                                      
                                                                      
 10.3                                                                 
                                                                      
                           5.7                                        
            2.7  2.3            2.7  1.5  1.4  1.1  0.4  0.3  0.3  1.8
  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___
    9   18   27   36   45   54   63   72   81   90   99  108  117 118+
                       Range of Days (up to)
   *CDC NHIS cases with no lost workdays: 70 (6.8%)

Impact on Total Absence: Prevalence 0.0652% of total lost workdays; Incidence 0.69 days per 100 workers

810.0  Closed

Return-To-Work Summary Guidelines
DatasetMidrangeAt-Risk
Claims data38 days61 days
All absences26 days58 days

Return-To-Work "Best Practice" Guidelines
See 810

RTW Prescription: 810.0 New!
ICD-10 Code: S42.0
ODG Treatment UR Advisor: 810.0
Other Links: Click below for detailed information on this condition:
Merck Manual | Merck Home Edition | NGC
Hospital Costs: $14,106 (average of 5,664 cases)
Hospital Length Of Stay: 3.1 days
Common Procedure Codes (see ODG Treatment for auto approval codes): 23500 29240 36415 70450 71010 71020 72040 72050 72170 73000 73020 73030 73221 82150 85025 85610 85730 93005 97001 97002 97010 97014 97035 97110 97140 97530 99202 99203 99204 99212 99213 99214 99238 99243 99244 99282 99283 99284 99285
CM Triage: Level 2 (case management), inflection point 40 days

Workers' Comp Costs per Claim (based on 661 claims)
Quartile25%50%75%Mean% no cost
Indemnity$2,381$4,899$9,458$8,84552%
Medical$941$1,967$5,432$5,4301%
Total$1,077$3,720$11,034$9,7631%

RTW Claims Data (Calendar-days away from work by decile)

10%20%30%40%50%60%70%80%90%100%Mean
13141621384243466119735.75

   Integrated Disability Durations, in days*
   Median (mid-point)     26.0       Mean (average)        31.60
   Mode (most frequent)   14         Calculated rec.       24
                           Percent of Cases
                              (462 cases)
                                                                      
      29.2                                                            
                     23.4                                             
                                                                      
                                                                      
                                                                      
 11.9                                                                 
                                                                      
                                                                      
            3.9  4.1       5.4  4.3                                   
                                     1.7  1.7  1.3  0.0  0.4  0.4  1.1
  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___
    9   18   27   36   45   54   63   72   81   90   99  108  117 118+
                       Range of Days (up to)
   *CDC NHIS cases with no lost workdays: 51 (11.0%)

Impact on Total Absence: Prevalence 0.0267% of total lost workdays; Incidence 0.28 days per 100 workers

810.1  Open

Return-To-Work Summary Guidelines
DatasetMidrangeAt-Risk
Claims data41 days58 days
All absences31 days55 days

Return-To-Work "Best Practice" Guidelines
See 810

RTW Prescription: 810.1 New!
ICD-10 Code: S42.0
Other Links: Click below for detailed information on this condition:
Merck Manual | Merck Home Edition | NGC
Hospital Costs: $15,206 (average of 132 cases)
Hospital Length Of Stay: 4.6 days
CM Triage: Level 2 (case management), inflection point 40 days

ODG 2011 Work Loss Data Institute. All Rights Reserved.

CPT 2011 American Medical Association. All Rights Reserved.

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