ICD 10 CM S04.12XS | Description & Clinical Information

ICD 10 S04.12XS describes a specific medical condition that involves damage or impairment to the oculomotor nerve located on the left side of the body, which is one of the 12 pairs of cranial nerves responsible for controlling the movement of the eyeball and eyelid, and this code is used to indicate the presence of a sequela, which is a medical condition that results from the initial injury.

Official Description Of S04.12XS

The ICD 10 CM book defines ICD 10 code S04.12XS as:

Injury of oculomotor nerve, left side, sequela
Parent Code Notes: S04

Code first any associated intracranial injury (S06.-)

Code also: any associated:
open wound of head (S01.-)
skull fracture (S02.-)

When To Use S04.12XS

The diagnosis describes by ICD 10 CM S04.12XS is an injury to the oculomotor nerve on the left side due to trauma or other disorders. This condition can arise due to various reasons such as an oculomotor nerve palsy, aneurysms, subarachnoid hemorrhage, or diabetes.

The diagnosis is clinically significant as it can cause a multitude of symptoms such as pain in the eye, double vision, deviation of the eye downwards and outwards, and drooping of the eyelid. These symptoms can severely affect an individual’s quality of life and require prompt medical attention.

To diagnose this condition, healthcare providers typically rely on a combination of the patient’s medical history, clinical signs and symptoms, and imaging techniques such as computed tomography (CT), magnetic resonance imaging (MRI), and magnetic resonance angiography (MRA). Medical professionals need to take a detailed history of the patient to understand the mechanism of injury or the presence of any underlying conditions that may have led to the injury.

Clinical signs and symptoms such as pain in the eye, blurred vision, or double vision can aid in identifying the condition. Imaging techniques such as CT, MRI or MRA are important diagnostic tools to visualize the area of injury and assess the extent of nerve damage.

The treatment for this condition typically involves a combination of pharmacological and surgical interventions. Nonsteroidal anti-inflammatory drugs (NSAIDs) can provide pain relief, but they might not be enough to treat the underlying injury. In certain cases, physicians might opt for surgical correction of the injured nerve.

The prognosis for this condition varies depending on the severity and extent of nerve damage. Early diagnosis and prompt medical intervention are crucial factors that can improve the chances of a positive recovery. Untreated injuries to the oculomotor nerve can cause long-term damage that can permanently affect an individual’s vision and eye movement.

Overall, the ICD 10 CM S04.12XS remains an essential diagnosis code for healthcare providers to recognize and document accurately. Prompt recognition of this code can enable timely medical intervention and ultimately lead to better patient outcomes.

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